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Variation in COVID-19 Mortality Across 117 US Hospitals in High- and Low-Burden Settings.
Block, Brian L; Martin, Thomas M; Boscardin, W John; Covinsky, Kenneth E; Mourad, Michele; Hu, Lissy L; Smith, Alexander K.
  • Block BL; Division of Pulmonary Allergy, Critical Care and Sleep Medicine, University of California, San Francisco, San Francisco, California.
  • Martin TM; CarePort Health, Boston, MA.
  • Boscardin WJ; Division of Geriatrics, University of California, San Francisco, San Francisco, California.
  • Covinsky KE; Division of Geriatrics, University of California, San Francisco, San Francisco, California.
  • Mourad M; Division of Hospital Medicine, University of California, San Francisco, San Francisco, California.
  • Hu LL; CarePort Health, Boston, MA.
  • Smith AK; Division of Geriatrics, University of California, San Francisco, San Francisco, California.
J Hosp Med ; 16(4): 215-218, 2021 04.
Article in English | MEDLINE | ID: covidwho-1140804
ABSTRACT
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Hospital Mortality / COVID-19 / Hospital Bed Capacity Type of study: Cohort study / Prognostic study Limits: Aged / Female / Humans / Male Country/Region as subject: North America Language: English Journal: J Hosp Med Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Hospital Mortality / COVID-19 / Hospital Bed Capacity Type of study: Cohort study / Prognostic study Limits: Aged / Female / Humans / Male Country/Region as subject: North America Language: English Journal: J Hosp Med Year: 2021 Document Type: Article