A Retrospective Analysis and Comparison of Prisoners and Community-Based Patients with COVID-19 Requiring Intensive Care During the First Phase of the Pandemic in West Texas.
Identifieur interne : 000423 ( Main/Corpus ); précédent : 000422; suivant : 000424A Retrospective Analysis and Comparison of Prisoners and Community-Based Patients with COVID-19 Requiring Intensive Care During the First Phase of the Pandemic in West Texas.
Auteurs : Kiran Ali ; Sanjana Rao ; Gilbert Berdine ; Victor Test ; Kenneth NugentSource :
- Journal of primary care & community health [ 2150-1327 ]
English descriptors
- KwdEn :
- Academic Medical Centers (MeSH), Age Distribution (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Comorbidity (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (mortality), Coronavirus Infections (therapy), Critical Care (statistics & numerical data), Female (MeSH), Hospitalization (MeSH), Humans (MeSH), Intensive Care Units (MeSH), Length of Stay (statistics & numerical data), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Patients (statistics & numerical data), Pneumonia, Viral (epidemiology), Pneumonia, Viral (mortality), Pneumonia, Viral (therapy), Prisoners (statistics & numerical data), Retrospective Studies (MeSH), Texas (epidemiology), Treatment Outcome (MeSH).
- MESH :
- geographic , epidemiology : Texas.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- mortality : Coronavirus Infections, Pneumonia, Viral.
- statistics & numerical data : Critical Care, Length of Stay, Patients, Prisoners.
- therapy : Coronavirus Infections, Pneumonia, Viral.
- Academic Medical Centers, Age Distribution, Aged, Aged, 80 and over, Comorbidity, Female, Hospitalization, Humans, Intensive Care Units, Male, Middle Aged, Pandemics, Retrospective Studies, Treatment Outcome.
Abstract
BACKGROUND
COVID-19 is a highly infectious disease which usually presents with respiratory symptoms. This virus is disseminated through respiratory droplets, and, therefore, individuals residing in close quarters are at a higher risk for the acquisition of infection. The prison population is at a significantly increased risk for infection.
METHODS
Prisoners from the Montford Correctional facility in Lubbock, Texas, hospitalized in the medical intensive care unit at University Medical Center between March 1, 2020 and May 15, 2020 were compared to community-based patients hospitalized in the same medical intensive care unit. Clinical information, laboratory results, radiographic results, management requirements, and outcomes were compared.
RESULTS
A total of 15 community-based patients with a mean age of 67.4 ± 15.5 years were compared to 5 prisoners with a mean age of 56.0 ± 9.0 years. All prisoners were men; 10 community-based patients were men. Prisoners presented with fever, dyspnea, and GI symptoms. The mean number of comorbidities in prisoners was 2.4 compared to 1.8 in community-based patients. Prisoners had significantly lower heart rates and respiratory rates at presentation than community-based patients. The mean length of stay in prisoners was 12.6 ± 8.9 days; the mean length of stay in community-based patients was 8.6 ± 6.5. The case fatality rate was 60% in both groups.
CONCLUSIONS
Prisoners were younger than community-based patients but required longer lengths of stay and had the same mortality rate. This study provides a basis for comparisons with future studies which could involve new treatment options currently under study.
DOI: 10.1177/2150132720954687
PubMed: 32865152
PubMed Central: PMC7457715
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pubmed:32865152Le document en format XML
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USA.</nlm:affiliation></affiliation></author><author><name sortKey="Test, Victor" sort="Test, Victor" uniqKey="Test V" first="Victor" last="Test">Victor Test</name><affiliation><nlm:affiliation>Texas tech University Health Sciences Center, Lubbock, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Nugent, Kenneth" sort="Nugent, Kenneth" uniqKey="Nugent K" first="Kenneth" last="Nugent">Kenneth Nugent</name><affiliation><nlm:affiliation>Texas tech University Health Sciences Center, Lubbock, TX, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020 Jan-Dec</date><idno type="RBID">pubmed:32865152</idno><idno type="pmid">32865152</idno><idno type="doi">10.1177/2150132720954687</idno><idno type="pmc">PMC7457715</idno><idno type="wicri:Area/Main/Corpus">000423</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000423</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A Retrospective Analysis and Comparison of Prisoners and Community-Based Patients with COVID-19 Requiring Intensive Care During the First Phase of the Pandemic in West Texas.</title><author><name sortKey="Ali, Kiran" sort="Ali, Kiran" uniqKey="Ali K" first="Kiran" last="Ali">Kiran Ali</name><affiliation><nlm:affiliation>Texas tech University Health Sciences Center, Lubbock, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Rao, Sanjana" sort="Rao, Sanjana" uniqKey="Rao S" first="Sanjana" last="Rao">Sanjana Rao</name><affiliation><nlm:affiliation>Texas tech University Health Sciences Center, Lubbock, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Berdine, Gilbert" sort="Berdine, Gilbert" uniqKey="Berdine G" first="Gilbert" last="Berdine">Gilbert Berdine</name><affiliation><nlm:affiliation>Texas tech University Health Sciences Center, Lubbock, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Test, Victor" sort="Test, Victor" uniqKey="Test V" first="Victor" last="Test">Victor Test</name><affiliation><nlm:affiliation>Texas tech University Health Sciences Center, Lubbock, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Nugent, Kenneth" sort="Nugent, Kenneth" uniqKey="Nugent K" first="Kenneth" last="Nugent">Kenneth Nugent</name><affiliation><nlm:affiliation>Texas tech University Health Sciences Center, Lubbock, TX, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of primary care & community health</title><idno type="eISSN">2150-1327</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Academic Medical Centers (MeSH)</term><term>Age Distribution (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Comorbidity (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (mortality)</term><term>Coronavirus Infections (therapy)</term><term>Critical Care (statistics & numerical data)</term><term>Female (MeSH)</term><term>Hospitalization (MeSH)</term><term>Humans (MeSH)</term><term>Intensive Care Units (MeSH)</term><term>Length of Stay (statistics & numerical data)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Patients (statistics & numerical data)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (mortality)</term><term>Pneumonia, Viral (therapy)</term><term>Prisoners (statistics & numerical data)</term><term>Retrospective Studies (MeSH)</term><term>Texas (epidemiology)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Texas</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Critical Care</term><term>Length of Stay</term><term>Patients</term><term>Prisoners</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Academic Medical Centers</term><term>Age Distribution</term><term>Aged</term><term>Aged, 80 and over</term><term>Comorbidity</term><term>Female</term><term>Hospitalization</term><term>Humans</term><term>Intensive Care Units</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>COVID-19 is a highly infectious disease which usually presents with respiratory symptoms. This virus is disseminated through respiratory droplets, and, therefore, individuals residing in close quarters are at a higher risk for the acquisition of infection. The prison population is at a significantly increased risk for infection.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Prisoners from the Montford Correctional facility in Lubbock, Texas, hospitalized in the medical intensive care unit at University Medical Center between March 1, 2020 and May 15, 2020 were compared to community-based patients hospitalized in the same medical intensive care unit. Clinical information, laboratory results, radiographic results, management requirements, and outcomes were compared.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 15 community-based patients with a mean age of 67.4 ± 15.5 years were compared to 5 prisoners with a mean age of 56.0 ± 9.0 years. All prisoners were men; 10 community-based patients were men. Prisoners presented with fever, dyspnea, and GI symptoms. The mean number of comorbidities in prisoners was 2.4 compared to 1.8 in community-based patients. Prisoners had significantly lower heart rates and respiratory rates at presentation than community-based patients. The mean length of stay in prisoners was 12.6 ± 8.9 days; the mean length of stay in community-based patients was 8.6 ± 6.5. The case fatality rate was 60% in both groups.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Prisoners were younger than community-based patients but required longer lengths of stay and had the same mortality rate. This study provides a basis for comparisons with future studies which could involve new treatment options currently under study.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32865152</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>03</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">2150-1327</ISSN><JournalIssue CitedMedium="Internet"><Volume>11</Volume><PubDate><MedlineDate>2020 Jan-Dec</MedlineDate></PubDate></JournalIssue><Title>Journal of primary care & community health</Title><ISOAbbreviation>J Prim Care Community Health</ISOAbbreviation></Journal><ArticleTitle>A Retrospective Analysis and Comparison of Prisoners and Community-Based Patients with COVID-19 Requiring Intensive Care During the First Phase of the Pandemic in West Texas.</ArticleTitle><Pagination><MedlinePgn>2150132720954687</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/2150132720954687</ELocationID><Abstract><AbstractText Label="BACKGROUND">COVID-19 is a highly infectious disease which usually presents with respiratory symptoms. This virus is disseminated through respiratory droplets, and, therefore, individuals residing in close quarters are at a higher risk for the acquisition of infection. The prison population is at a significantly increased risk for infection.</AbstractText><AbstractText Label="METHODS">Prisoners from the Montford Correctional facility in Lubbock, Texas, hospitalized in the medical intensive care unit at University Medical Center between March 1, 2020 and May 15, 2020 were compared to community-based patients hospitalized in the same medical intensive care unit. Clinical information, laboratory results, radiographic results, management requirements, and outcomes were compared.</AbstractText><AbstractText Label="RESULTS">A total of 15 community-based patients with a mean age of 67.4 ± 15.5 years were compared to 5 prisoners with a mean age of 56.0 ± 9.0 years. All prisoners were men; 10 community-based patients were men. Prisoners presented with fever, dyspnea, and GI symptoms. The mean number of comorbidities in prisoners was 2.4 compared to 1.8 in community-based patients. Prisoners had significantly lower heart rates and respiratory rates at presentation than community-based patients. The mean length of stay in prisoners was 12.6 ± 8.9 days; the mean length of stay in community-based patients was 8.6 ± 6.5. The case fatality rate was 60% in both groups.</AbstractText><AbstractText Label="CONCLUSIONS">Prisoners were younger than community-based patients but required longer lengths of stay and had the same mortality rate. 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ValidYN="Y"><LastName>Test</LastName><ForeName>Victor</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Texas tech University Health Sciences Center, Lubbock, TX, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nugent</LastName><ForeName>Kenneth</ForeName><Initials>K</Initials><Identifier Source="ORCID">0000-0003-2781-4816</Identifier><AffiliationInfo><Affiliation>Texas tech University Health Sciences Center, Lubbock, TX, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Prim Care Community Health</MedlineTA><NlmUniqueID>101518419</NlmUniqueID><ISSNLinking>2150-1319</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" 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