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Characteristics and outcomes of COVID-19 patients in New York City’s public hospital system

2020; Public Library of Science; Volume: 15; Issue: 12 Linguagem: Inglês

10.1371/journal.pone.0243027

1932-6203

Roopa Kalyanaraman Marcello, Johanna Dolle, Sheila Grami, Richard Adule, Zeyu Li, Kathleen Tatem, Chinyere Anyaogu, Stephen Apfelroth, Raji Ayinla, Noella Boma, Terence Brady, Braulio F. Cosme-Thormann, Roseann Costarella, Kenra Ford, Kecia Gaither, Jessica Jacobson, Marc Kanter, Stuart Kessler, Ross B. Kristal, Joseph Lieber, Vikramjit Mukherjee, Vincent Rizzo, Madden Rowell, David Stevens, Elana Sydney, Andrew Wallach, Dave A. Chokshi, Nichola Davis,

COVID-19 Clinical Research Studies

Background New York City (NYC) bore the greatest burden of COVID-19 in the United States early in the pandemic. In this case series, we describe characteristics and outcomes of racially and ethnically diverse patients tested for and hospitalized with COVID-19 in New York City’s public hospital system. Methods We reviewed the electronic health records of all patients who received a SARS-CoV-2 test between March 5 and April 9, 2020, with follow up through April 16, 2020. The primary outcomes were a positive test, hospitalization, and death. Demographics and comorbidities were also assessed. Results 22254 patients were tested for SARS-CoV-2. 13442 (61%) were positive; among those, the median age was 52.7 years (interquartile range [IQR] 39.5–64.5), 7481 (56%) were male, 3518 (26%) were Black, and 4593 (34%) were Hispanic. Nearly half (4669, 46%) had at least one chronic disease (27% diabetes, 30% hypertension, and 21% cardiovascular disease). Of those testing positive, 6248 (46%) were hospitalized. The median age was 61.6 years (IQR 49.7–72.9); 3851 (62%) were male, 1950 (31%) were Black, and 2102 (34%) were Hispanic. More than half (3269, 53%) had at least one chronic disease (33% diabetes, 37% hypertension, 24% cardiovascular disease, 11% chronic kidney disease). 1724 (28%) hospitalized patients died. The median age was 71.0 years (IQR 60.0, 80.9); 1087 (63%) were male, 506 (29%) were Black, and 528 (31%) were Hispanic. Chronic diseases were common (35% diabetes, 37% hypertension, 28% cardiovascular disease, 15% chronic kidney disease). Male sex, older age, diabetes, cardiac history, and chronic kidney disease were significantly associated with testing positive, hospitalization, and death. Racial/ethnic disparities were observed across all outcomes. Conclusions and relevance This is the largest and most racially/ethnically diverse case series of patients tested and hospitalized for COVID-19 in New York City to date. Our findings highlight disparities in outcomes that can inform prevention and testing recommendations.