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Showing content from https://pubmed.ncbi.nlm.nih.gov/32620056/ below:

Demographics, comorbidities and outcomes in hospitalized Covid-19 patients in rural southwest Georgia

. 2020 Nov;52(7):354-360. doi: 10.1080/07853890.2020.1791356. Epub 2020 Jul 13. Demographics, comorbidities and outcomes in hospitalized Covid-19 patients in rural southwest Georgia

Affiliations

¹ Department of Cardiology, Phoebe Putney Memorial Hospital, Albany, GA, USA.
² Department of Internal Medicine, Southwest Clinical Campus, Medical College of Georgia, Augusta, GA, USA.
³ Department of Pediatrics, Phoebe Putney Memorial Hospital, Albany, GA, USA.
⁴ Department of Advanced Analytics and Quality Improvement, Phoebe Putney Memorial Hospital, Albany, GA, USA.
⁵ Department of Internal Medicine, Medical College of Georgia, Augusta, GA, USA.
⁶ Department of Internal Medicine, Phoebe Putney Memorial Hospital, Albany, GA, USA.
⁷ Department of Gynecology, Phoebe Putney Memorial Hospital, Albany, GA, USA.
⁸ Department of Nursing and Continuous Improvement, Phoebe Putney Memorial Hospital, Albany, GA, USA.
⁹ Department of Internal Medicine, University of Nevada Reno School of Medicine, Reno, NV, USA.

PMID: 32620056
PMCID: PMC7877969
DOI: 10.1080/07853890.2020.1791356

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Demographics, comorbidities and outcomes in hospitalized Covid-19 patients in rural southwest Georgia

Priyank Shah et al. Ann Med. 2020 Nov.

. 2020 Nov;52(7):354-360. doi: 10.1080/07853890.2020.1791356. Epub 2020 Jul 13. Affiliations

¹ Department of Cardiology, Phoebe Putney Memorial Hospital, Albany, GA, USA.
² Department of Internal Medicine, Southwest Clinical Campus, Medical College of Georgia, Augusta, GA, USA.
³ Department of Pediatrics, Phoebe Putney Memorial Hospital, Albany, GA, USA.
⁴ Department of Advanced Analytics and Quality Improvement, Phoebe Putney Memorial Hospital, Albany, GA, USA.
⁵ Department of Internal Medicine, Medical College of Georgia, Augusta, GA, USA.
⁶ Department of Internal Medicine, Phoebe Putney Memorial Hospital, Albany, GA, USA.
⁷ Department of Gynecology, Phoebe Putney Memorial Hospital, Albany, GA, USA.
⁸ Department of Nursing and Continuous Improvement, Phoebe Putney Memorial Hospital, Albany, GA, USA.
⁹ Department of Internal Medicine, University of Nevada Reno School of Medicine, Reno, NV, USA.

PMID: 32620056
PMCID: PMC7877969
DOI: 10.1080/07853890.2020.1791356

Item in Clipboard

Abstract

Background: There is limited data on outcomes in patients with coronavirus disease 2019 (Covid-19) in rural United States (US). This study aimed to describe the demographics, and outcomes of hospitalized Covid-19 patients in rural Southwest Georgia.

Methods: Using electronic medical records, we analyzed data from all hospitalized Covid-19 patients who either died or survived to discharge between 2 March 2020 and 6 May 2020.

Results: Of the 522 patients, 92 died in hospital (17.6%). Median age was 63 years, 58% were females, and 87% African-Americans. Hypertension (79.7%), obesity (66.5%) and diabetes mellitus (42.3%) were the most common comorbidities. Males had higher overall mortality compared to females (23 v 13.8%). Immunosuppression [odds ratio (OR) 3.6; (confidence interval (CI): 1.52-8.47, p=.003)], hypertension (OR 3.36; CI:1.3-8.6, p=.01), age ≥65 years (OR 3.1; CI:1.7-5.6, p<.001) and morbid obesity (OR 2.29; CI:1.11-4.69, p=.02), were independent predictors of in-hospital mortality. Female gender was an independent predictor of decreased in-hospital mortality. Mortality in intubated patients was 67%. Mortality was 8.9% in <50 years, compared to 20% in ≥50 years.

Conclusions: Immunosuppression, hypertension, age ≥ 65 years and morbid obesity were independent predictors of mortality, whereas female gender was protective for mortality in hospitalized Covid-19 patients in rural Southwest Georgia. KEY MESSAGES Patients hospitalized with Covid-19 in rural US have higher comorbidity burden. Immunosuppression, hypertension, age ≥ 65 years and morbid obesity are independent predictors of increased mortality. Female gender is an independent predictor of reduced mortality.

Keywords: Covid-19; baseline characteristics; demographics; outcomes; rural US.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

Figures
Figure 1.

Histogram showing increasing mortality with…

Figure 1.

Histogram showing increasing mortality with increased cumulative burden of independent predictors. Independent predictors…

Figure 1.

Histogram showing increasing mortality with increased cumulative burden of independent predictors. Independent predictors include–age ≥ 65 years, hypertension, immunosuppression, and morbid obesity.

Figure 2.

Panel A–histogram showing total cases…

Figure 2.

Panel A–histogram showing total cases and mortality by 10-year age interval, Panel B–histogram…

Figure 2.

Panel A–histogram showing total cases and mortality by 10-year age interval, Panel B–histogram showing percentage of total cases and percentage mortality in corresponding age interval by 10-year age intervals.