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10.1001/jamanetworkopen.2020.23934

http://scihub22266oqcxt.onion/10.1001/jamanetworkopen.2020.23934
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33125498!7599467!33125498
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suck abstract from ncbi


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pmid33125498      JAMA+Netw+Open 2020 ; 3 (10): e2023934
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  • Laboratory Findings Associated With Severe Illness and Mortality Among Hospitalized Individuals With Coronavirus Disease 2019 in Eastern Massachusetts #MMPMID33125498
  • Castro VM; McCoy TH; Perlis RH
  • JAMA Netw Open 2020[Oct]; 3 (10): e2023934 PMID33125498show ga
  • IMPORTANCE: The coronavirus disease 2019 (COVID-19) pandemic has placed unprecedented stress on health systems across the world, and reliable estimates of risk for adverse hospital outcomes are needed. OBJECTIVE: To quantify admission laboratory and comorbidity features associated with critical illness and mortality risk across 6 Eastern Massachusetts hospitals. DESIGN, SETTING, AND PARTICIPANTS: Retrospective cohort study of all individuals admitted to the hospital who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by polymerase chain reaction across these 6 hospitals through June 5, 2020, using hospital course, prior diagnoses, and laboratory values in emergency department and inpatient settings from 2 academic medical centers and 4 community hospitals. The data were extracted on June 11, 2020, and the analysis was conducted from June to July 2020. EXPOSURES: SARS-CoV-2. MAIN OUTCOMES AND MEASURES: Severe illness defined by admission to intensive care unit, mechanical ventilation, or death. RESULTS: Of 2511 hospitalized individuals who tested positive for SARS-CoV-2 (of whom 50.9% were male, 53.9% White, and 27.0% Hispanic, with a mean [SD ]age of 62.6 [19.0] years), 215 (8.6%) were admitted to the intensive care unit, 164 (6.5%) required mechanical ventilation, and 292 (11.6%) died. L1-regression models developed in 3 of these hospitals yielded an area under the receiver operating characteristic curve of 0.807 for severe illness and 0.847 for mortality in the 3 held-out hospitals. In total, 212 of 292 deaths (72.6%) occurred in the highest-risk mortality quintile. CONCLUSIONS AND RELEVANCE: In this cohort, specific admission laboratory studies in concert with sociodemographic features and prior diagnosis facilitated risk stratification among individuals hospitalized for COVID-19.
  • |*Critical Illness/epidemiology[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Area Under Curve[MESH]
  • |Betacoronavirus/pathogenicity[MESH]
  • |Blood Urea Nitrogen[MESH]
  • |C-Reactive Protein/analysis[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Clinical Laboratory Techniques[MESH]
  • |Cohort Studies[MESH]
  • |Coronavirus Infections/blood/*complications/diagnosis/epidemiology/physiopathology/urine[MESH]
  • |Creatinine/analysis/blood[MESH]
  • |Eosinophils[MESH]
  • |Erythrocyte Count/methods[MESH]
  • |Female[MESH]
  • |Glucose/analysis[MESH]
  • |Hospital Mortality/*trends[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Hydro-Lyases/analysis/blood[MESH]
  • |Lymphocyte Count/methods[MESH]
  • |Male[MESH]
  • |Massachusetts/epidemiology[MESH]
  • |Middle Aged[MESH]
  • |Monocytes[MESH]
  • |Neutrophils[MESH]
  • |Pandemics[MESH]
  • |Platelet Count/methods[MESH]
  • |Pneumonia, Viral/*complications/epidemiology/physiopathology[MESH]
  • |Polymerase Chain Reaction/methods[MESH]
  • |ROC Curve[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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