Risk Factors for Intensive Care Unit Admission and In-hospital Mortality among Hospitalized Adults Identified through the U.S. Coronavirus Disease 2019 (COVID-19)-Associated Hospitalization Surveillance Network (COVID-NET).
Identifieur interne : 000093 ( Main/Exploration ); précédent : 000092; suivant : 000094Risk Factors for Intensive Care Unit Admission and In-hospital Mortality among Hospitalized Adults Identified through the U.S. Coronavirus Disease 2019 (COVID-19)-Associated Hospitalization Surveillance Network (COVID-NET).
Auteurs : Lindsay Kim [États-Unis] ; Shikha Garg [États-Unis] ; Alissa O'Halloran [États-Unis] ; Michael Whitaker [États-Unis] ; Huong Pham [États-Unis] ; Evan J. Anderson [États-Unis] ; Isaac Armistead [États-Unis] ; Nancy M. Bennett [États-Unis] ; Laurie Billing [États-Unis] ; Kathryn Como-Sabetti [États-Unis] ; Mary Hill [États-Unis] ; Sue Kim [États-Unis] ; Maya L. Monroe [États-Unis] ; Alison Muse [États-Unis] ; Arthur L. Reingold [États-Unis] ; William Schaffner [États-Unis] ; Melissa Sutton [États-Unis] ; H Keipp Talbot [États-Unis] ; Salina M. Torres [États-Unis] ; Kimberly Yousey-Hindes [États-Unis] ; Rachel Holstein [États-Unis] ; Charisse Cummings [États-Unis] ; Lynette Brammer [États-Unis] ; Aron J. Hall [États-Unis] ; Alicia M. Fry [États-Unis] ; Gayle E. Langley [États-Unis]Source :
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [ 1537-6591 ] ; 2020.
Abstract
BACKGROUND
Currently, the United States has the largest number of reported coronavirus disease 2019 (COVID-19) cases and deaths globally. Using a geographically diverse surveillance network, we describe risk factors for severe outcomes among adults hospitalized with COVID-19.
METHODS
We analyzed data from 2,491 adults hospitalized with laboratory-confirmed COVID-19 during March 1-May 2, 2020 identified through the Coronavirus Disease 2019-Associated Hospitalization Surveillance Network comprising 154 acute care hospitals in 74 counties in 13 states. We used multivariable analyses to assess associations between age, sex, race and ethnicity, and underlying conditions with intensive care unit (ICU) admission and in-hospital mortality.
RESULTS
Ninety-two percent of patients had ≥1 underlying condition; 32% required ICU admission; 19% invasive mechanical ventilation; and 17% died. Independent factors associated with ICU admission included ages 50-64, 65-74, 75-84 and ≥85 years versus 18-39 years (adjusted risk ratio (aRR) 1.53, 1.65, 1.84 and 1.43, respectively); male sex (aRR 1.34); obesity (aRR 1.31); immunosuppression (aRR 1.29); and diabetes (aRR 1.13). Independent factors associated with in-hospital mortality included ages 50-64, 65-74, 75-84 and ≥85 years versus 18-39 years (aRR 3.11, 5.77, 7.67 and 10.98, respectively); male sex (aRR 1.30); immunosuppression (aRR 1.39); renal disease (aRR 1.33); chronic lung disease (aRR 1.31); cardiovascular disease (aRR 1.28); neurologic disorders (aRR 1.25); and diabetes (aRR 1.19).
CONCLUSION
In-hospital mortality increased markedly with increasing age. Aggressive implementation of prevention strategies, including social distancing and rigorous hand hygiene, may benefit the population as a whole, as well as those at highest risk for COVID-19-related complications.
DOI: 10.1093/cid/ciaa1012
PubMed: 32674114
Affiliations:
- États-Unis
- Californie, Colorado, Connecticut, Géorgie (États-Unis), Maryland, Michigan, Minnesota, Nouveau-Mexique, Ohio, Oklahoma, Oregon, Tennessee, Utah, État de New York
Links toward previous steps (curation, corpus...)
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Hall</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Fry, Alicia M" sort="Fry, Alicia M" uniqKey="Fry A" first="Alicia M" last="Fry">Alicia M. Fry</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Langley, Gayle E" sort="Langley, Gayle E" uniqKey="Langley G" first="Gayle E" last="Langley">Gayle E. Langley</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32674114</idno><idno type="pmid">32674114</idno><idno type="doi">10.1093/cid/ciaa1012</idno><idno type="wicri:Area/Main/Corpus">000041</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000041</idno><idno type="wicri:Area/Main/Curation">000041</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000041</idno><idno type="wicri:Area/Main/Exploration">000041</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Risk Factors for Intensive Care Unit Admission and In-hospital Mortality among Hospitalized Adults Identified through the U.S. Coronavirus Disease 2019 (COVID-19)-Associated Hospitalization Surveillance Network (COVID-NET).</title><author><name sortKey="Kim, Lindsay" sort="Kim, Lindsay" uniqKey="Kim L" first="Lindsay" last="Kim">Lindsay Kim</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>US Public Health Service, Rockville, MD, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>US Public Health Service, Rockville, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Garg, Shikha" sort="Garg, Shikha" uniqKey="Garg S" first="Shikha" last="Garg">Shikha Garg</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>US Public Health Service, Rockville, MD, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>US Public Health Service, Rockville, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="O Halloran, Alissa" sort="O Halloran, Alissa" uniqKey="O Halloran A" first="Alissa" last="O'Halloran">Alissa O'Halloran</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Whitaker, Michael" sort="Whitaker, Michael" uniqKey="Whitaker M" first="Michael" last="Whitaker">Michael Whitaker</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Eagle Global Scientific, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Eagle Global Scientific, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Pham, Huong" sort="Pham, Huong" uniqKey="Pham H" first="Huong" last="Pham">Huong Pham</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Anderson, Evan J" sort="Anderson, Evan J" uniqKey="Anderson E" first="Evan J" last="Anderson">Evan J. Anderson</name><affiliation wicri:level="2"><nlm:affiliation>Departments of Medicine and Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Medicine and Pediatrics, Emory University School of Medicine, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Emerging Infections Program, Georgia Department of Health, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Emerging Infections Program, Georgia Department of Health, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Veterans Affairs Medical Center, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Veterans Affairs Medical Center, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Armistead, Isaac" sort="Armistead, Isaac" uniqKey="Armistead I" first="Isaac" last="Armistead">Isaac Armistead</name><affiliation wicri:level="2"><nlm:affiliation>University of Colorado Anschutz Medical Campus, Aurora, CO, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Colorado Anschutz Medical Campus, Aurora, CO</wicri:regionArea><placeName><region type="state">Colorado</region></placeName></affiliation></author><author><name sortKey="Bennett, Nancy M" sort="Bennett, Nancy M" uniqKey="Bennett N" first="Nancy M" last="Bennett">Nancy M. Bennett</name><affiliation wicri:level="2"><nlm:affiliation>University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Rochester School of Medicine and Dentistry, Rochester, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Billing, Laurie" sort="Billing, Laurie" uniqKey="Billing L" first="Laurie" last="Billing">Laurie Billing</name><affiliation wicri:level="2"><nlm:affiliation>Ohio Department of Health, Columbus, OH, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Ohio Department of Health, Columbus, OH</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Como Sabetti, Kathryn" sort="Como Sabetti, Kathryn" uniqKey="Como Sabetti K" first="Kathryn" last="Como-Sabetti">Kathryn Como-Sabetti</name><affiliation wicri:level="2"><nlm:affiliation>Minnesota Department of Health, St. Paul, MN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Minnesota Department of Health, St. Paul, MN</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Hill, Mary" sort="Hill, Mary" uniqKey="Hill M" first="Mary" last="Hill">Mary Hill</name><affiliation wicri:level="2"><nlm:affiliation>Salt Lake County Health Department, Salt Lake City, UT, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Salt Lake County Health Department, Salt Lake City, UT</wicri:regionArea><placeName><region type="state">Utah</region></placeName></affiliation></author><author><name sortKey="Kim, Sue" sort="Kim, Sue" uniqKey="Kim S" first="Sue" last="Kim">Sue Kim</name><affiliation wicri:level="2"><nlm:affiliation>Michigan Department of Health and Human Services, Lansing, MI, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Michigan Department of Health and Human Services, Lansing, MI</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Monroe, Maya L" sort="Monroe, Maya L" uniqKey="Monroe M" first="Maya L" last="Monroe">Maya L. Monroe</name><affiliation wicri:level="2"><nlm:affiliation>Maryland Department of Health, Baltimore, MD, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Maryland Department of Health, Baltimore, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Muse, Alison" sort="Muse, Alison" uniqKey="Muse A" first="Alison" last="Muse">Alison Muse</name><affiliation wicri:level="2"><nlm:affiliation>New York State Department of Health, Albany, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>New York State Department of Health, Albany, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Reingold, Arthur L" sort="Reingold, Arthur L" uniqKey="Reingold A" first="Arthur L" last="Reingold">Arthur L. Reingold</name><affiliation wicri:level="2"><nlm:affiliation>University of California Berkeley, Berkeley, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of California Berkeley, Berkeley, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Schaffner, William" sort="Schaffner, William" uniqKey="Schaffner W" first="William" last="Schaffner">William Schaffner</name><affiliation wicri:level="2"><nlm:affiliation>Vanderbilt University School of Medicine, Nashville, TN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Vanderbilt University School of Medicine, Nashville, TN</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Sutton, Melissa" sort="Sutton, Melissa" uniqKey="Sutton M" first="Melissa" last="Sutton">Melissa Sutton</name><affiliation wicri:level="2"><nlm:affiliation>Oregon Health Authority, Portland, OR, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Oregon Health Authority, Portland, OR</wicri:regionArea><placeName><region type="state">Oregon</region></placeName></affiliation></author><author><name sortKey="Talbot, H Keipp" sort="Talbot, H Keipp" uniqKey="Talbot H" first="H Keipp" last="Talbot">H Keipp Talbot</name><affiliation wicri:level="2"><nlm:affiliation>Vanderbilt University School of Medicine, Nashville, TN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Vanderbilt University School of Medicine, Nashville, TN</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Torres, Salina M" sort="Torres, Salina M" uniqKey="Torres S" first="Salina M" last="Torres">Salina M. Torres</name><affiliation wicri:level="2"><nlm:affiliation>New Mexico Department of Health, Santa Fe, NM, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>New Mexico Department of Health, Santa Fe, NM</wicri:regionArea><placeName><region type="state">Nouveau-Mexique</region></placeName></affiliation></author><author><name sortKey="Yousey Hindes, Kimberly" sort="Yousey Hindes, Kimberly" uniqKey="Yousey Hindes K" first="Kimberly" last="Yousey-Hindes">Kimberly Yousey-Hindes</name><affiliation wicri:level="2"><nlm:affiliation>Connecticut Emerging Infections Program, Yale School of Public Health, New Haven, CT, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Connecticut Emerging Infections Program, Yale School of Public Health, New Haven, CT</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Holstein, Rachel" sort="Holstein, Rachel" uniqKey="Holstein R" first="Rachel" last="Holstein">Rachel Holstein</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Oak Ridge Institute for Science and Education, Oak Ridge, TN</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Cummings, Charisse" sort="Cummings, Charisse" uniqKey="Cummings C" first="Charisse" last="Cummings">Charisse Cummings</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Chickasaw Nation Industries, Norman, OK, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Chickasaw Nation Industries, Norman, OK</wicri:regionArea><placeName><region type="state">Oklahoma</region></placeName></affiliation></author><author><name sortKey="Brammer, Lynette" sort="Brammer, Lynette" uniqKey="Brammer L" first="Lynette" last="Brammer">Lynette Brammer</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Hall, Aron J" sort="Hall, Aron J" uniqKey="Hall A" first="Aron J" last="Hall">Aron J. Hall</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Fry, Alicia M" sort="Fry, Alicia M" uniqKey="Fry A" first="Alicia M" last="Fry">Alicia M. Fry</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Langley, Gayle E" sort="Langley, Gayle E" uniqKey="Langley G" first="Gayle E" last="Langley">Gayle E. Langley</name><affiliation wicri:level="2"><nlm:affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC COVID-NET Team, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></analytic><series><title level="j">Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</title><idno type="eISSN">1537-6591</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Currently, the United States has the largest number of reported coronavirus disease 2019 (COVID-19) cases and deaths globally. Using a geographically diverse surveillance network, we describe risk factors for severe outcomes among adults hospitalized with COVID-19.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We analyzed data from 2,491 adults hospitalized with laboratory-confirmed COVID-19 during March 1-May 2, 2020 identified through the Coronavirus Disease 2019-Associated Hospitalization Surveillance Network comprising 154 acute care hospitals in 74 counties in 13 states. We used multivariable analyses to assess associations between age, sex, race and ethnicity, and underlying conditions with intensive care unit (ICU) admission and in-hospital mortality.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Ninety-two percent of patients had ≥1 underlying condition; 32% required ICU admission; 19% invasive mechanical ventilation; and 17% died. Independent factors associated with ICU admission included ages 50-64, 65-74, 75-84 and ≥85 years versus 18-39 years (adjusted risk ratio (aRR) 1.53, 1.65, 1.84 and 1.43, respectively); male sex (aRR 1.34); obesity (aRR 1.31); immunosuppression (aRR 1.29); and diabetes (aRR 1.13). Independent factors associated with in-hospital mortality included ages 50-64, 65-74, 75-84 and ≥85 years versus 18-39 years (aRR 3.11, 5.77, 7.67 and 10.98, respectively); male sex (aRR 1.30); immunosuppression (aRR 1.39); renal disease (aRR 1.33); chronic lung disease (aRR 1.31); cardiovascular disease (aRR 1.28); neurologic disorders (aRR 1.25); and diabetes (aRR 1.19).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>In-hospital mortality increased markedly with increasing age. Aggressive implementation of prevention strategies, including social distancing and rigorous hand hygiene, may benefit the population as a whole, as well as those at highest risk for COVID-19-related complications.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32674114</PMID><DateRevised><Year>2020</Year><Month>07</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1537-6591</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Jul</Month><Day>16</Day></PubDate></JournalIssue><Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title><ISOAbbreviation>Clin. Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Risk Factors for Intensive Care Unit Admission and In-hospital Mortality among Hospitalized Adults Identified through the U.S. Coronavirus Disease 2019 (COVID-19)-Associated Hospitalization Surveillance Network (COVID-NET).</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">ciaa1012</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1093/cid/ciaa1012</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Currently, the United States has the largest number of reported coronavirus disease 2019 (COVID-19) cases and deaths globally. Using a geographically diverse surveillance network, we describe risk factors for severe outcomes among adults hospitalized with COVID-19.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We analyzed data from 2,491 adults hospitalized with laboratory-confirmed COVID-19 during March 1-May 2, 2020 identified through the Coronavirus Disease 2019-Associated Hospitalization Surveillance Network comprising 154 acute care hospitals in 74 counties in 13 states. We used multivariable analyses to assess associations between age, sex, race and ethnicity, and underlying conditions with intensive care unit (ICU) admission and in-hospital mortality.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Ninety-two percent of patients had ≥1 underlying condition; 32% required ICU admission; 19% invasive mechanical ventilation; and 17% died. Independent factors associated with ICU admission included ages 50-64, 65-74, 75-84 and ≥85 years versus 18-39 years (adjusted risk ratio (aRR) 1.53, 1.65, 1.84 and 1.43, respectively); male sex (aRR 1.34); obesity (aRR 1.31); immunosuppression (aRR 1.29); and diabetes (aRR 1.13). Independent factors associated with in-hospital mortality included ages 50-64, 65-74, 75-84 and ≥85 years versus 18-39 years (aRR 3.11, 5.77, 7.67 and 10.98, respectively); male sex (aRR 1.30); immunosuppression (aRR 1.39); renal disease (aRR 1.33); chronic lung disease (aRR 1.31); cardiovascular disease (aRR 1.28); neurologic disorders (aRR 1.25); and diabetes (aRR 1.19).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In-hospital mortality increased markedly with increasing age. Aggressive implementation of prevention strategies, including social distancing and rigorous hand hygiene, may benefit the population as a whole, as well as those at highest risk for COVID-19-related complications.</AbstractText><CopyrightInformation>Published by Oxford University Press for the Infectious Diseases Society of America 2020.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Lindsay</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>US Public Health Service, Rockville, MD, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Garg</LastName><ForeName>Shikha</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>US Public Health Service, Rockville, MD, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>O'Halloran</LastName><ForeName>Alissa</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Whitaker</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Eagle Global Scientific, Atlanta, GA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pham</LastName><ForeName>Huong</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Anderson</LastName><ForeName>Evan J</ForeName><Initials>EJ</Initials><AffiliationInfo><Affiliation>Departments of Medicine and Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Emerging Infections Program, Georgia Department of Health, Atlanta, GA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Veterans Affairs Medical Center, Atlanta, GA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Armistead</LastName><ForeName>Isaac</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>University of Colorado Anschutz Medical Campus, Aurora, CO, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bennett</LastName><ForeName>Nancy M</ForeName><Initials>NM</Initials><AffiliationInfo><Affiliation>University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Billing</LastName><ForeName>Laurie</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Ohio Department of Health, Columbus, OH, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Como-Sabetti</LastName><ForeName>Kathryn</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Minnesota Department of Health, St. Paul, MN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hill</LastName><ForeName>Mary</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Salt Lake County Health Department, Salt Lake City, UT, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Sue</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Michigan Department of Health and Human Services, Lansing, MI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Monroe</LastName><ForeName>Maya L</ForeName><Initials>ML</Initials><AffiliationInfo><Affiliation>Maryland Department of Health, Baltimore, MD, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Muse</LastName><ForeName>Alison</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>New York State Department of Health, Albany, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Reingold</LastName><ForeName>Arthur L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>University of California Berkeley, Berkeley, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schaffner</LastName><ForeName>William</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Vanderbilt University School of Medicine, Nashville, TN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sutton</LastName><ForeName>Melissa</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Oregon Health Authority, Portland, OR, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Talbot</LastName><ForeName>H Keipp</ForeName><Initials>HK</Initials><AffiliationInfo><Affiliation>Vanderbilt University School of Medicine, Nashville, TN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Torres</LastName><ForeName>Salina M</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>New Mexico Department of Health, Santa Fe, NM, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yousey-Hindes</LastName><ForeName>Kimberly</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Connecticut Emerging Infections Program, Yale School of Public Health, New Haven, CT, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Holstein</LastName><ForeName>Rachel</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cummings</LastName><ForeName>Charisse</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Chickasaw Nation Industries, Norman, OK, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brammer</LastName><ForeName>Lynette</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hall</LastName><ForeName>Aron J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fry</LastName><ForeName>Alicia M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Langley</LastName><ForeName>Gayle E</ForeName><Initials>GE</Initials><AffiliationInfo><Affiliation>CDC COVID-NET Team, Atlanta, GA, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Infect Dis</MedlineTA><NlmUniqueID>9203213</NlmUniqueID><ISSNLinking>1058-4838</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">SARS-CoV-2</Keyword><Keyword MajorTopicYN="N">hospitalization</Keyword><Keyword MajorTopicYN="N">mortality</Keyword><Keyword MajorTopicYN="N">surveillance</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>06</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32674114</ArticleId><ArticleId IdType="pii">5872581</ArticleId><ArticleId IdType="doi">10.1093/cid/ciaa1012</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li><li>Colorado</li><li>Connecticut</li><li>Géorgie (États-Unis)</li><li>Maryland</li><li>Michigan</li><li>Minnesota</li><li>Nouveau-Mexique</li><li>Ohio</li><li>Oklahoma</li><li>Oregon</li><li>Tennessee</li><li>Utah</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Kim, Lindsay" sort="Kim, Lindsay" uniqKey="Kim L" first="Lindsay" last="Kim">Lindsay Kim</name></region><name sortKey="Anderson, Evan J" sort="Anderson, Evan J" uniqKey="Anderson E" first="Evan J" last="Anderson">Evan J. Anderson</name><name sortKey="Anderson, Evan J" sort="Anderson, Evan J" uniqKey="Anderson E" first="Evan J" last="Anderson">Evan J. Anderson</name><name sortKey="Anderson, Evan J" sort="Anderson, Evan J" uniqKey="Anderson E" first="Evan J" last="Anderson">Evan J. Anderson</name><name sortKey="Armistead, Isaac" sort="Armistead, Isaac" uniqKey="Armistead I" first="Isaac" last="Armistead">Isaac Armistead</name><name sortKey="Bennett, Nancy M" sort="Bennett, Nancy M" uniqKey="Bennett N" first="Nancy M" last="Bennett">Nancy M. Bennett</name><name sortKey="Billing, Laurie" sort="Billing, Laurie" uniqKey="Billing L" first="Laurie" last="Billing">Laurie Billing</name><name sortKey="Brammer, Lynette" sort="Brammer, Lynette" uniqKey="Brammer L" first="Lynette" last="Brammer">Lynette Brammer</name><name sortKey="Como Sabetti, Kathryn" sort="Como Sabetti, Kathryn" uniqKey="Como Sabetti K" first="Kathryn" last="Como-Sabetti">Kathryn Como-Sabetti</name><name sortKey="Cummings, Charisse" sort="Cummings, Charisse" uniqKey="Cummings C" first="Charisse" last="Cummings">Charisse Cummings</name><name sortKey="Cummings, Charisse" sort="Cummings, Charisse" uniqKey="Cummings C" first="Charisse" last="Cummings">Charisse Cummings</name><name sortKey="Fry, Alicia M" sort="Fry, Alicia M" uniqKey="Fry A" first="Alicia M" last="Fry">Alicia M. Fry</name><name sortKey="Garg, Shikha" sort="Garg, Shikha" uniqKey="Garg S" first="Shikha" last="Garg">Shikha Garg</name><name sortKey="Garg, Shikha" sort="Garg, Shikha" uniqKey="Garg S" first="Shikha" last="Garg">Shikha Garg</name><name sortKey="Hall, Aron J" sort="Hall, Aron J" uniqKey="Hall A" first="Aron J" last="Hall">Aron J. Hall</name><name sortKey="Hill, Mary" sort="Hill, Mary" uniqKey="Hill M" first="Mary" last="Hill">Mary Hill</name><name sortKey="Holstein, Rachel" sort="Holstein, Rachel" uniqKey="Holstein R" first="Rachel" last="Holstein">Rachel Holstein</name><name sortKey="Holstein, Rachel" sort="Holstein, Rachel" uniqKey="Holstein R" first="Rachel" last="Holstein">Rachel Holstein</name><name sortKey="Kim, Lindsay" sort="Kim, Lindsay" uniqKey="Kim L" first="Lindsay" last="Kim">Lindsay Kim</name><name sortKey="Kim, Sue" sort="Kim, Sue" uniqKey="Kim S" first="Sue" last="Kim">Sue Kim</name><name sortKey="Langley, Gayle E" sort="Langley, Gayle E" uniqKey="Langley G" first="Gayle E" last="Langley">Gayle E. Langley</name><name sortKey="Monroe, Maya L" sort="Monroe, Maya L" uniqKey="Monroe M" first="Maya L" last="Monroe">Maya L. Monroe</name><name sortKey="Muse, Alison" sort="Muse, Alison" uniqKey="Muse A" first="Alison" last="Muse">Alison Muse</name><name sortKey="O Halloran, Alissa" sort="O Halloran, Alissa" uniqKey="O Halloran A" first="Alissa" last="O'Halloran">Alissa O'Halloran</name><name sortKey="Pham, Huong" sort="Pham, Huong" uniqKey="Pham H" first="Huong" last="Pham">Huong Pham</name><name sortKey="Reingold, Arthur L" sort="Reingold, Arthur L" uniqKey="Reingold A" first="Arthur L" last="Reingold">Arthur L. Reingold</name><name sortKey="Schaffner, William" sort="Schaffner, William" uniqKey="Schaffner W" first="William" last="Schaffner">William Schaffner</name><name sortKey="Sutton, Melissa" sort="Sutton, Melissa" uniqKey="Sutton M" first="Melissa" last="Sutton">Melissa Sutton</name><name sortKey="Talbot, H Keipp" sort="Talbot, H Keipp" uniqKey="Talbot H" first="H Keipp" last="Talbot">H Keipp Talbot</name><name sortKey="Torres, Salina M" sort="Torres, Salina M" uniqKey="Torres S" first="Salina M" last="Torres">Salina M. Torres</name><name sortKey="Whitaker, Michael" sort="Whitaker, Michael" uniqKey="Whitaker M" first="Michael" last="Whitaker">Michael Whitaker</name><name sortKey="Whitaker, Michael" sort="Whitaker, Michael" uniqKey="Whitaker M" first="Michael" last="Whitaker">Michael Whitaker</name><name sortKey="Yousey Hindes, Kimberly" sort="Yousey Hindes, Kimberly" uniqKey="Yousey Hindes K" first="Kimberly" last="Yousey-Hindes">Kimberly Yousey-Hindes</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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{{Explor lien
|wiki= Sante
|area= CardioCovidV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:32674114
|texte= Risk Factors for Intensive Care Unit Admission and In-hospital Mortality among Hospitalized Adults Identified through the U.S. Coronavirus Disease 2019 (COVID-19)-Associated Hospitalization Surveillance Network (COVID-NET).
}}
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