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Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Ann+Epidemiol 2021 ; 55 (ä): 10-14 Nephropedia Template TP
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Coronavirus disease 2019 in veterans receiving care at veterans health administration facilities #MMPMID33338646
Luo J; Jeyapalina S; Stoddard GJ; Kwok AC; Agarwal JP
Ann Epidemiol 2021[Mar]; 55 (ä): 10-14 PMID33338646show ga
PURPOSE: Veterans represent a significant proportion of the U.S. population (7%), and the impact of the coronavirus disease 2019 (COVID-19) in this group of vulnerable patients has been largely overlooked. This analysis reports COVID-19 patient demographics, infection, mortality, and case-fatality rates in the veteran population. METHODS: This is a cross-sectional analysis using the Veterans Affairs informatics and computing infrastructure tool to assess the veterans' COVID-19 infections at the Veterans Affairs facilities from March 4th to June 23rd, 2020. RESULTS: Of the 10,621,580 veterans in this analysis, 59.7% were >/=65 yo, 92.5% were men, 68.7% were white, and 14.2% were black. Veterans >/=65 yo comprised 52.1% of cases and 89.9% of deaths. The relative mortality and case-fatality rates of black veterans, when compared with white veterans, were 2.83 (CI 2.56-3.14; P < .001) and 0.75 (CI 0.68-0.82; P < .001), respectively. Among the veterans who died from COVID-19, 87.4% had a history of cardiovascular disease, 56.5% had a history of diabetes, and 33.6% were obese. CONCLUSIONS: Elderly veterans (>/=65yo) and veterans with a history of cardiovascular disease represent a large proportion of the VA COVID-19 cases and deaths. Black veterans had higher mortality rates but lower case fatality rates when than white veterans.
|*Veterans[MESH]
|Adolescent[MESH]
|Adult[MESH]
|Aged[MESH]
|Aged, 80 and over[MESH]
|Black People[MESH]
|COVID-19/*epidemiology/mortality[MESH]
|Cardiovascular Diseases/epidemiology[MESH]
|Cross-Sectional Studies[MESH]
|Female[MESH]
|Humans[MESH]
|Male[MESH]
|Middle Aged[MESH]
|United States Department of Veterans Affairs[MESH]