The novel coronavirus disease 2019 (COVID-19) continues to be a major public health concern. The aim of this study was to describe the presenting characteristics, epidemiology and predictors of outcomes among confirmed COVID-19 cases seen at a large community healthcare system which serves the epicenter and diverse region of Florida. We conducted a retrospective analysis of individuals with lab-confirmed SARS-CoV-2 infection who were seen, from March 2, 2020 to May 31, 2020, at Memorial Healthcare System in South Florida. Data was extracted from a COVID-19 registry of patients with lab-confirmed SARS-CoV-2 infection. Univariate and backward stepwise multivariate logistic regression models were used to determine predictors of key study outcomes. There were a total of 1692 confirmed COVID-19 patients included in this study. Increasing age was found to be a significant predictor of hospitalization, 30-day readmission and death. Having a temperature of 38 °C or more and increasing comorbidity score were also associated with an increased risk of hospitalization. Significant predictors of ICU admission included having a saturated oxygen level less than 90%, hypertension, dementia, rheumatologic disease, having a respiratory rate greater than 24 breaths per minute. Being of Hispanic ethnicity and immunosuppressant utilization greatly increased the risk of 30-day readmission. Having an oxygen saturation less than 90% and an underlying neurological disorder were associated with an increased likelihood of death. Results show that a patient’s demographic, underlying condition and vitals at triage may increase or reduce their risk of hospitalization, ICU admission, 30-day readmission or death. Supplementary Information The online version contains supplementary material available at 10.1007/s10900-020-00957-y.
【저자키워드】 SARS-CoV-2, Epidemiology, Infectious disease, outcomes, Racial/ethnic disparities, 【초록키워드】 COVID-19, public health, Hospitalization, SARS-COV-2 infection, Comorbidity, risk, oxygen, outcome, novel coronavirus disease, hypertension, oxygen saturation, Dementia, Characteristics, breath, Patient, ICU admission, death, Community, Retrospective analysis, age, temperature, predictor, disease, readmission, Neurological disorder, COVID-19 patient, respiratory rate, Healthcare system, supplementary material, increased risk, individual, multivariate logistic regression, South, Hispanic ethnicity, being, study outcomes, confirmed COVID-19 case, System, likelihood, Result, greater, conducted, were used, less, determine, reduce, presenting, Increasing, Significant, saturated, increased the risk, Memorial, Vital, 【제목키워드】 COVID-19, South, System, Confirmed,