Characteristics and Risk Factors of Hospitalized and Nonhospitalized COVID-19 Patients, Atlanta, Georgia, USA, March–April 2020
Year: 2021
Type: article
Study design: Observational Study
Abstract: I nformation about care-seeking behavior, symp- tom duration, and risk factors for progression to severe illness in nonhospitalized patients with coronavirus disease (COVID-19) aids in resource planning, disease identifi cation, risk stratifi cation, and clinical management of nonhospitalized patients (1-6).We built on a previous analysis comparing hospitalized and nonhospitalized CO-VID-19 patients, which found that hospitalized patients were more likely to be >65 years of age, men, Black, diabetic, or obese (7).We describe symptom patterns, duration of illness, and care-seeking behavior among nonhospitalized patients and explore the relationships between hospitalization and the number, control, and interaction of concurrent medical conditions and age.We defi ned control as how well a disease is managed in the patient, as measured by hemoglobin A1c levels in diabetics, number of classes of hypertension medication being taken by patients with hypertension, and BMI among patients with obesity. The StudyWe enrolled hospitalized and nonhospitalized patients >18 years of age with laboratory-confi rmed COVID-19 (defi ned as a positive real-time reverse transcription PCR result for severe acute respiratory syndrome coronavirus 2) treated at 6 acute care hospitals and outpatient clinics affi liated with a single academic hospital system in the Atlanta, Georgia, USA, metropolitan area during March 1-April 7, 2020, as previously described (7).In this investigation, we compared characteristics and symptoms of hospitalized and nonhospitalized persons using χ 2 , Fisher exact, or t-test as appropriate.We conducted univariable and multivariable logistic regression analyses to explore the associations between age group and number of underlying conditions on risk for hospitalization.We conducted separate analyses to model the associations and interactions of diabetes, hypertension, and obesity Characteristics and Risk Factors of Hospitalized and Nonhospitalized COVID-19 Patients, Atlanta, Georgia, USA,
Source: Emerging infectious diseases
Authors: Kristen Pettrone, Eleanor Burnett, Ruth Link-Gelles, Sarah C. Haight, Caroline Schrodt, Lucinda England, Danica J. Gomes, Mays Shamout, Kevin O’Laughlin, Anne Kimball, Erin F. Blau, Chandresh N. Ladva, Christine M. Szablewski, Melissa Tobin-D’Angelo, Nadine Oosmanally, Cherie Drenzek, Sean D. Browning, Beau B. Bruce, Juliana da Silva, Jeremy A.W. Gold, Brendan R. Jackson, Sapna Bamrah Morris, Pavithra Natarajan, Robyn Neblett Fanfair, Priti R. Patel, Jessica Rogers-Brown, John Rossow, Karen K. Wong, David J. Murphy, James M. Blum, Julie Hollberg, Benjamin Lefkove, Frank W. Brown, Tom Shimabukuro, Claire M. Midgley, Jacqueline E. Tate, Marie E. Killerby
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W3138922904