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10.1080/20009666.2021.1926613

http://scihub22266oqcxt.onion/10.1080/20009666.2021.1926613
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34211647!8221131!34211647
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suck abstract from ncbi


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pmid34211647      J+Community+Hosp+Intern+Med+Perspect 2021 ; 11 (4): 450-456
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  • Investigational study of the clinical characteristics of confirmed COVID-19 cases #MMPMID34211647
  • Baoas SD; Rucinski J; Zenilman M
  • J Community Hosp Intern Med Perspect 2021[Jun]; 11 (4): 450-456 PMID34211647show ga
  • Background: The COVID-19 is an emerging infectious disease that impacted HealthCare System worldwide and patients undergoing elective surgical procedures is associated with a high mortality rate and a complicated perioperative course. Methods: A retrospective observational study, the research design was conducted utilizing the RedCap ACS COVID-19 Registry and Cerner EMR. The intent of this design is to create statistical information about confirmed COVID-19 cases admitted in an academic institution in Brooklyn, New York from March to May 2020. Results: A total of 1413 patients were included in the final analysis. Of the 1413 patients, 520 Expired, 40.5% were males, and 33% were females, p = 0.004. Male patients had high mortality at a rate that is statistically significant. For race of those 'Expired', 38.3% white, 34.2% Black, 28.2% Asian, and Unknown 43.6%, showing statistical significance at p = 0.050. The most common co-morbidities for those not-Expired versus Expired: DM, 44.6% expired versus 55.6% not-expired, HTN, 77.1% versus 22.9%, and CAD, 47.9% versus 52.1%. Comparing the data of COVID-19 patients without surgery and with those who had surgery, it was observed that 53% of those who did not have surgery went 'Home' versus 38.6%, of those with surgery who could not. Further examining those without surgery versus those with surgery: 3.4% versus 13.3% discharge to 'Rehab', for 'Other discharge' destinations 5.9% versus 14.5%, and for 'Expired' 37.1% versus 31.3%. Overall, the presence of surgery had a significant impact on COVID-19 patients discharge destinations at p = < 0.001. Conclusions: The implications of change in the setting of our current clinical practice therefore require forbearance, training, preparedness, and education to efficiently maintain our essential surgical services.
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