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Diagnosis, clinical characteristics, and outcomes of COVID-19 patients from a large healthcare system in northern New Jersey

New Jersey was an early epicenter for the COVID-19 pandemic in the United States, yet information on hospitalized COVID-19 patients from this area is scarce. This study aimed to provide data on demographics and clinical features of a hospitalized patient population who were confirmed with infection...

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Autores principales: Zhao, Yanan, Cunningham, Marcus H., Mediavilla, Jose R., Park, Steven, Fitzgerald, Sean, Ahn, Hee Sang, Li, Xiangyang, Zhan, Caixin, Hong, Tao, Munk, Gary, Chow, Kar Fai, Perlin, David S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7902820/
https://www.ncbi.nlm.nih.gov/pubmed/33623090
http://dx.doi.org/10.1038/s41598-021-83959-7
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author Zhao, Yanan
Cunningham, Marcus H.
Mediavilla, Jose R.
Park, Steven
Fitzgerald, Sean
Ahn, Hee Sang
Li, Xiangyang
Zhan, Caixin
Hong, Tao
Munk, Gary
Chow, Kar Fai
Perlin, David S.
author_facet Zhao, Yanan
Cunningham, Marcus H.
Mediavilla, Jose R.
Park, Steven
Fitzgerald, Sean
Ahn, Hee Sang
Li, Xiangyang
Zhan, Caixin
Hong, Tao
Munk, Gary
Chow, Kar Fai
Perlin, David S.
author_sort Zhao, Yanan
collection PubMed
description New Jersey was an early epicenter for the COVID-19 pandemic in the United States, yet information on hospitalized COVID-19 patients from this area is scarce. This study aimed to provide data on demographics and clinical features of a hospitalized patient population who were confirmed with infection by our in-house (CDI) real-time reverse-transcription polymerase chain reaction (RT-PCR) test. We included consecutive patients who were admitted to Hackensack Meridian Health system hospitals with laboratory-confirmed diagnoses of COVID-19 at Hackensack University Medical Center by the CDI virus test between March 12, 2020, and April 8, 2020. Clinical data and viral testing results were collected and analyzed for characteristics associated with outcomes, as well as the correlation with viral load. A total of 722 patients were included in the study, with a median age of 63 (interquartile range (IQR), 51–75) and 272 (37.7%) females. Mortality of this case series was 25.8%, with a statistically significant linear increase observed from age 40 to ≥ 80 by 10-year intervals. Viral load, as indicated by the cycle of threshold (Ct) values from the RT-PCR test, was significantly higher in the oldest patient group (≥ 80), and inversely correlated with survival. This is the first report to describe the clinical characteristics and outcomes in a large hospitalized COVID-19 patient series from New Jersey. Findings from this study are valuable to the ongoing response of both nationwide healthcare networks and the medical research community.
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spelling pubmed-79028202021-02-25 Diagnosis, clinical characteristics, and outcomes of COVID-19 patients from a large healthcare system in northern New Jersey Zhao, Yanan Cunningham, Marcus H. Mediavilla, Jose R. Park, Steven Fitzgerald, Sean Ahn, Hee Sang Li, Xiangyang Zhan, Caixin Hong, Tao Munk, Gary Chow, Kar Fai Perlin, David S. Sci Rep Article New Jersey was an early epicenter for the COVID-19 pandemic in the United States, yet information on hospitalized COVID-19 patients from this area is scarce. This study aimed to provide data on demographics and clinical features of a hospitalized patient population who were confirmed with infection by our in-house (CDI) real-time reverse-transcription polymerase chain reaction (RT-PCR) test. We included consecutive patients who were admitted to Hackensack Meridian Health system hospitals with laboratory-confirmed diagnoses of COVID-19 at Hackensack University Medical Center by the CDI virus test between March 12, 2020, and April 8, 2020. Clinical data and viral testing results were collected and analyzed for characteristics associated with outcomes, as well as the correlation with viral load. A total of 722 patients were included in the study, with a median age of 63 (interquartile range (IQR), 51–75) and 272 (37.7%) females. Mortality of this case series was 25.8%, with a statistically significant linear increase observed from age 40 to ≥ 80 by 10-year intervals. Viral load, as indicated by the cycle of threshold (Ct) values from the RT-PCR test, was significantly higher in the oldest patient group (≥ 80), and inversely correlated with survival. This is the first report to describe the clinical characteristics and outcomes in a large hospitalized COVID-19 patient series from New Jersey. Findings from this study are valuable to the ongoing response of both nationwide healthcare networks and the medical research community. Nature Publishing Group UK 2021-02-23 /pmc/articles/PMC7902820/ /pubmed/33623090 http://dx.doi.org/10.1038/s41598-021-83959-7 Text en © The Author(s) 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Zhao, Yanan
Cunningham, Marcus H.
Mediavilla, Jose R.
Park, Steven
Fitzgerald, Sean
Ahn, Hee Sang
Li, Xiangyang
Zhan, Caixin
Hong, Tao
Munk, Gary
Chow, Kar Fai
Perlin, David S.
Diagnosis, clinical characteristics, and outcomes of COVID-19 patients from a large healthcare system in northern New Jersey
title Diagnosis, clinical characteristics, and outcomes of COVID-19 patients from a large healthcare system in northern New Jersey
title_full Diagnosis, clinical characteristics, and outcomes of COVID-19 patients from a large healthcare system in northern New Jersey
title_fullStr Diagnosis, clinical characteristics, and outcomes of COVID-19 patients from a large healthcare system in northern New Jersey
title_full_unstemmed Diagnosis, clinical characteristics, and outcomes of COVID-19 patients from a large healthcare system in northern New Jersey
title_short Diagnosis, clinical characteristics, and outcomes of COVID-19 patients from a large healthcare system in northern New Jersey
title_sort diagnosis, clinical characteristics, and outcomes of covid-19 patients from a large healthcare system in northern new jersey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7902820/
https://www.ncbi.nlm.nih.gov/pubmed/33623090
http://dx.doi.org/10.1038/s41598-021-83959-7
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