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10.1136/bmjopen-2021-051588

http://scihub22266oqcxt.onion/10.1136/bmjopen-2021-051588
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suck abstract from ncbi


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pmid34362806      BMJ+Open 2021 ; 11 (8): e051588
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  • Characteristics and outcomes of hospitalised adults with COVID-19 in a Global Health Research Network: a cohort study #MMPMID34362806
  • Zhu J; Wei Z; Suryavanshi M; Chen X; Xia Q; Jiang J; Ayodele O; Bradbury BD; Brooks C; Brown CA; Cheng A; Critchlow CW; Devercelli G; Gandhi V; Gondek K; Londhe AA; Ma J; Jonsson-Funk M; Keenan HA; Manne S; Ren K; Sanders L; Yu P; Zhang J; Zhou L; Bao Y
  • BMJ Open 2021[Aug]; 11 (8): e051588 PMID34362806show ga
  • OBJECTIVE: To examine age, gender, and temporal differences in baseline characteristics and clinical outcomes of adult patients hospitalised with COVID-19. DESIGN: A cohort study using deidentified electronic medical records from a Global Research Network. SETTING/PARTICIPANTS: 67 456 adult patients hospitalised with COVID-19 from the USA; 7306 from Europe, Latin America and Asia-Pacific between February 2020 and January 2021. RESULTS: In the US cohort, compared with patients 18-34 years old, patients >/=65 had a greater risk of intensive care unit (ICU) admission (adjusted HR (aHR) 1.73, 95% CI 1.58 to 1.90), acute respiratory distress syndrome(ARDS)/respiratory failure (aHR 1.86, 95% CI 1.76 to 1.96), invasive mechanical ventilation (IMV, aHR 1.93, 95% CI, 1.73 to 2.15), and all-cause mortality (aHR 5.6, 95% CI 4.36 to 7.18). Men appeared to be at a greater risk for ICU admission (aHR 1.34, 95% CI 1.29 to 1.39), ARDS/respiratory failure (aHR 1.24, 95% CI1.21 to 1.27), IMV (aHR 1.38, 95% CI 1.32 to 1.45), and all-cause mortality (aHR 1.16, 95% CI 1.08 to 1.24) compared with women. Moreover, we observed a greater risk of adverse outcomes during the early pandemic (ie, February-April 2020) compared with later periods. In the ex-US cohort, the age and gender trends were similar; for the temporal trend, the highest proportion of patients with all-cause mortality were also in February-April 2020; however, the highest percentages of patients with IMV and ARDS/respiratory failure were in August-October 2020 followed by February-April 2020. CONCLUSIONS: This study provided valuable information on the temporal trends of characteristics and outcomes of hospitalised adult COVID-19 patients in both USA and ex-USA. It also described the population at a potentially greater risk for worse clinical outcomes by identifying the age and gender differences. Together, the information could inform the prevention and treatment strategies of COVID-19. Furthermore, it can be used to raise public awareness of COVID-19's impact on vulnerable populations.
  • |*COVID-19[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Cohort Studies[MESH]
  • |Female[MESH]
  • |Global Health[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Intensive Care Units[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Respiration, Artificial[MESH]
  • |SARS-CoV-2[MESH]


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