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Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Hosp+Med 2021 ; 16 (4): 215-218 Nephropedia Template TP
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Variation in COVID-19 Mortality Across 117 US Hospitals in High- and Low-Burden Settings #MMPMID33734977
Block BL; Martin TM; Boscardin WJ; Covinsky KE; Mourad M; Hu LL; Smith AK
J Hosp Med 2021[Apr]; 16 (4): 215-218 PMID33734977show ga
Some hospitals have faced a surge of patients with COVID-19, while others have not. We assessed whether COVID-19 burden (number of patients with COVID-19 admitted during April 2020 divided by hospital certified bed count) was associated with mortality in a large sample of US hospitals. Our study population included 14,226 patients with COVID-19 (median age 66 years, 45.2% women) at 117 hospitals, of whom 20.9% had died at 5 weeks of follow-up. At the hospital level, the observed mortality ranged from 0% to 44.4%. After adjustment for age, sex, and comorbidities, the adjusted odds ratio for in-hospital death in the highest quintile of burden was 1.46 (95% CI, 1.07-2.00) compared to all other quintiles. Still, there was large variability in outcomes, even among hospitals with a similar level of COVID-19 burden and after adjusting for age, sex, and comorbidities.
|Aged[MESH]
|COVID-19/*mortality[MESH]
|Comorbidity/trends[MESH]
|Female[MESH]
|Hospital Bed Capacity/*statistics & numerical data[MESH]