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Showing content from https://pubmed.ncbi.nlm.nih.gov/32945846/ below:

Risk Factors for Coronavirus Disease 2019 (COVID-19)-Associated Hospitalization: COVID-19-Associated Hospitalization Surveillance Network and Behavioral Risk Factor Surveillance System

Collaborators, Affiliations

• COVID-NET Surveillance Team: Michael Whitaker, Alissa O'Halloran, Rachel Holstein, William Garvin, Shua J Chai, Breanna Kawasaki, James Meek, Kyle P Openo, Maya L Monroe, Justin Henderson, Kathy Como-Sabetti, Sarah Shrum Davis, Nancy L Spina, Christina B Felsen, Nicole West, William Schaffner, Andrea George

• ¹ COVID-NET Team, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
• ² US Public Health Service, Rockville, Maryland, USA.
• ³ Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
• ⁴ California Emerging Infections Program, Oakland, California, USA.
• ⁵ Colorado Department of Public Health and Environment, Denver, Colorado, USA.
• ⁶ Connecticut Emerging Infections Program, Yale School of Public Health, New Haven, Connecticut, USA.
• ⁷ Department of Medicine and Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
• ⁸ Emerging Infections Program, Georgia Department of Health, Atlanta, Georgia, USA.
• ⁹ Veterans Affairs Medical Center, Atlanta, Georgia, USA.
• ¹⁰ Maryland Department of Health, Baltimore, Maryland, USA.
• ¹¹ Michigan Department of Health and Human Services, Lansing, Michigan, USA.
• ¹² Minnesota Department of Health, St Paul, Minnesota, USA.
• ¹³ New Mexico Department of Health, Santa Fe, New Mexico, USA.
• ¹⁴ New York State Department of Health, Albany, New York, USA.
• ¹⁵ University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
• ¹⁶ Oregon Health Authority, Portland, Oregon, USA.
• ¹⁷ Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
• ¹⁸ Salt Lake County Health Department, Salt Lake City, Utah, USA.

• PMID: 32945846
• PMCID: PMC7543371
• DOI: 10.1093/cid/ciaa1419

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Jean Y Ko et al. Clin Infect Dis. 2021.

• COVID-NET Surveillance Team: Michael Whitaker, Alissa O'Halloran, Rachel Holstein, William Garvin, Shua J Chai, Breanna Kawasaki, James Meek, Kyle P Openo, Maya L Monroe, Justin Henderson, Kathy Como-Sabetti, Sarah Shrum Davis, Nancy L Spina, Christina B Felsen, Nicole West, William Schaffner, Andrea George

• ¹ COVID-NET Team, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
• ² US Public Health Service, Rockville, Maryland, USA.
• ³ Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
• ⁴ California Emerging Infections Program, Oakland, California, USA.
• ⁵ Colorado Department of Public Health and Environment, Denver, Colorado, USA.
• ⁶ Connecticut Emerging Infections Program, Yale School of Public Health, New Haven, Connecticut, USA.
• ⁷ Department of Medicine and Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
• ⁸ Emerging Infections Program, Georgia Department of Health, Atlanta, Georgia, USA.
• ⁹ Veterans Affairs Medical Center, Atlanta, Georgia, USA.
• ¹⁰ Maryland Department of Health, Baltimore, Maryland, USA.
• ¹¹ Michigan Department of Health and Human Services, Lansing, Michigan, USA.
• ¹² Minnesota Department of Health, St Paul, Minnesota, USA.
• ¹³ New Mexico Department of Health, Santa Fe, New Mexico, USA.
• ¹⁴ New York State Department of Health, Albany, New York, USA.
• ¹⁵ University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
• ¹⁶ Oregon Health Authority, Portland, Oregon, USA.
• ¹⁷ Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
• ¹⁸ Salt Lake County Health Department, Salt Lake City, Utah, USA.

• PMID: 32945846
• PMCID: PMC7543371
• DOI: 10.1093/cid/ciaa1419

Item in Clipboard

Background: Data on risk factors for coronavirus disease 2019 (COVID-19)-associated hospitalization are needed to guide prevention efforts and clinical care. We sought to identify factors independently associated with COVID-19-associated hospitalizations.

Methods: Community-dwelling adults (aged ≥18 years) in the United States hospitalized with laboratory-confirmed COVID-19 during 1 March-23 June 2020 were identified from the COVID-19-Associated Hospitalization Surveillance Network (COVID-NET), a multistate surveillance system. To calculate hospitalization rates by age, sex, and race/ethnicity strata, COVID-NET data served as the numerator and Behavioral Risk Factor Surveillance System estimates served as the population denominator for characteristics of interest. Underlying medical conditions examined included hypertension, coronary artery disease, history of stroke, diabetes, obesity, severe obesity, chronic kidney disease, asthma, and chronic obstructive pulmonary disease. Generalized Poisson regression models were used to calculate adjusted rate ratios (aRRs) for hospitalization.

Results: Among 5416 adults, hospitalization rates (all reported as aRR [95% confidence interval]) were higher among those with ≥3 underlying conditions (vs without) (5.0 [3.9-6.3]), severe obesity (4.4 [3.4-5.7]), chronic kidney disease (4.0 [3.0-5.2]), diabetes (3.2 [2.5-4.1]), obesity (2.9 [2.3-3.5]), hypertension (2.8 [2.3-3.4]), and asthma (1.4 [1.1-1.7]), after adjusting for age, sex, and race/ethnicity. Adjusting for the presence of an individual underlying medical condition, higher hospitalization rates were observed for adults aged ≥65 or 45-64 years (vs 18-44 years), males (vs females), and non-Hispanic black and other race/ethnicities (vs non-Hispanic whites).

Conclusions: Our findings elucidate groups with higher hospitalization risk that may benefit from targeted preventive and therapeutic interventions.

Keywords: COVID-19; epidemiology; hospitalization; risk factors; surveillance.

Published by Oxford University Press for the Infectious Diseases Society of America 2020.

PubMed Disclaimer

• Risk Factors for Intensive Care Unit Admission and In-hospital Mortality Among Hospitalized Adults Identified through the US Coronavirus Disease 2019 (COVID-19)-Associated Hospitalization Surveillance Network (COVID-NET).

  Kim L, Garg S, O'Halloran A, Whitaker M, Pham H, Anderson EJ, Armistead I, Bennett NM, Billing L, Como-Sabetti K, Hill M, Kim S, Monroe ML, Muse A, Reingold AL, Schaffner W, Sutton M, Talbot HK, Torres SM, Yousey-Hindes K, Holstein R, Cummings C, Brammer L, Hall AJ, Fry AM, Langley GE. Kim L, et al. Clin Infect Dis. 2021 May 4;72(9):e206-e214. doi: 10.1093/cid/ciaa1012. Clin Infect Dis. 2021. PMID: 32674114 Free PMC article.

• Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory-Confirmed Coronavirus Disease 2019 - COVID-NET, 14 States, March 1-30, 2020.

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• Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized with Laboratory-Confirmed COVID-19 - COVID-NET, 14 States, March 1-July 25, 2020.

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• Underlying Medical Conditions Associated With Severe COVID-19 Illness Among Children.

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• Risk Factors for Severe COVID-19 in Children.

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  Bhatia R, Sledge I, Baral S. Bhatia R, et al. PLoS One. 2022 Oct 12;17(10):e0248793. doi: 10.1371/journal.pone.0248793. eCollection 2022. PLoS One. 2022. PMID: 36223335 Free PMC article.

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  Shah PL, Orton CM, Grinsztejn B, Donaldson GC, Crabtree Ramírez B, Tonkin J, Santos BR, Cardoso SW, Ritchie AI, Conway F, Riberio MPD, Wiseman DJ, Tana A, Vijayakumar B, Caneja C, Leaper C, Mann B, Samson A, Bhavsar PK, Boffito M, Johnson MR, Pozniak A, Pelly M; PIONEER trial group. Shah PL, et al. Lancet Respir Med. 2023 May;11(5):415-424. doi: 10.1016/S2213-2600(22)00412-X. Epub 2022 Dec 14. Lancet Respir Med. 2023. PMID: 36528039 Free PMC article. Clinical Trial.

• Risk of SARS-CoV-2 infection in healthcare workers with inflammatory bowel disease: a case-control study.

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