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A Retrospective Analysis and Comparison of Prisoners and Community-Based Patients with COVID-19 Requiring Intensive Care During the First Phase of the Pandemic in West Texas.
Ali, Kiran; Rao, Sanjana; Berdine, Gilbert; Test, Victor; Nugent, Kenneth.
  • Ali K; Texas tech University Health Sciences Center, Lubbock, TX, USA.
  • Rao S; Texas tech University Health Sciences Center, Lubbock, TX, USA.
  • Berdine G; Texas tech University Health Sciences Center, Lubbock, TX, USA.
  • Test V; Texas tech University Health Sciences Center, Lubbock, TX, USA.
  • Nugent K; Texas tech University Health Sciences Center, Lubbock, TX, USA.
J Prim Care Community Health ; 11: 2150132720954687, 2020.
Article in English | MEDLINE | ID: covidwho-1318263
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Community
Subject
COVID-19
Predicate
PROCESS_OF
Object
Community
2. COVID-19 PROCESS_OF Prisoners
Subject
COVID-19
Predicate
PROCESS_OF
Object
Prisoners
3. Signs and Symptom PROCESS_OF C0009462
Subject
Signs and Symptom
Predicate
PROCESS_OF
Object
C0009462
4. Signs and Symptom PROCESS_OF C0033167
Subject
Signs and Symptom
Predicate
PROCESS_OF
Object
C0033167
5. Dyspnea PROCESS_OF Prisoners
Subject
Dyspnea
Predicate
PROCESS_OF
Object
Prisoners
6. Fever PROCESS_OF Prisoners
Subject
Fever
Predicate
PROCESS_OF
Object
Prisoners
7. Symptoms PROCESS_OF Prisoners
Subject
Symptoms
Predicate
PROCESS_OF
Object
Prisoners
8. Comorbidity PROCESS_OF Prisoners
Subject
Comorbidity
Predicate
PROCESS_OF
Object
Prisoners
9. Comorbidity PROCESS_OF Patients
Subject
Comorbidity
Predicate
PROCESS_OF
Object
Patients
10. Basis AFFECTS treatment options
Subject
Basis
Predicate
AFFECTS
Object
treatment options
11. COVID-19 PROCESS_OF Community
Subject
COVID-19
Predicate
PROCESS_OF
Object
Community
12. COVID-19 PROCESS_OF Prisoners
Subject
COVID-19
Predicate
PROCESS_OF
Object
Prisoners
13. Signs and Symptoms, Respiratory PROCESS_OF Community
Subject
Signs and Symptoms, Respiratory
Predicate
PROCESS_OF
Object
Community
14. Signs and Symptoms, Respiratory PROCESS_OF Prisoners
Subject
Signs and Symptoms, Respiratory
Predicate
PROCESS_OF
Object
Prisoners
15. Dyspnea PROCESS_OF Prisoners
Subject
Dyspnea
Predicate
PROCESS_OF
Object
Prisoners
16. Fever PROCESS_OF Prisoners
Subject
Fever
Predicate
PROCESS_OF
Object
Prisoners
17. Symptoms PROCESS_OF Prisoners
Subject
Symptoms
Predicate
PROCESS_OF
Object
Prisoners
18. Comorbidity PROCESS_OF Prisoners
Subject
Comorbidity
Predicate
PROCESS_OF
Object
Prisoners
19. Comorbidity PROCESS_OF Patients
Subject
Comorbidity
Predicate
PROCESS_OF
Object
Patients
20. Basis AFFECTS treatment options
Subject
Basis
Predicate
AFFECTS
Object
treatment options
ABSTRACT

BACKGROUND:

COVID-19 is a highly infectious disease which usually presents with respiratory symptoms. This virus is disseminated through respiratory droplets, and, therefore, individuals residing in close quarters are at a higher risk for the acquisition of infection. The prison population is at a significantly increased risk for infection.

METHODS:

Prisoners from the Montford Correctional facility in Lubbock, Texas, hospitalized in the medical intensive care unit at University Medical Center between March 1, 2020 and May 15, 2020 were compared to community-based patients hospitalized in the same medical intensive care unit. Clinical information, laboratory results, radiographic results, management requirements, and outcomes were compared.

RESULTS:

A total of 15 community-based patients with a mean age of 67.4 ± 15.5 years were compared to 5 prisoners with a mean age of 56.0 ± 9.0 years. All prisoners were men; 10 community-based patients were men. Prisoners presented with fever, dyspnea, and GI symptoms. The mean number of comorbidities in prisoners was 2.4 compared to 1.8 in community-based patients. Prisoners had significantly lower heart rates and respiratory rates at presentation than community-based patients. The mean length of stay in prisoners was 12.6 ± 8.9 days; the mean length of stay in community-based patients was 8.6 ± 6.5. The case fatality rate was 60% in both groups.

CONCLUSIONS:

Prisoners were younger than community-based patients but required longer lengths of stay and had the same mortality rate. This study provides a basis for comparisons with future studies which could involve new treatment options currently under study.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Patients / Pneumonia, Viral / Prisoners / Coronavirus Infections / Critical Care / Pandemics Type of study: Observational study / Randomized controlled trials / Risk factors Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Prim Care Community Health Year: 2020 Document Type: Article Affiliation country: 2150132720954687

Full text: Available Collection: International databases Database: MEDLINE Main subject: Patients / Pneumonia, Viral / Prisoners / Coronavirus Infections / Critical Care / Pandemics Type of study: Observational study / Randomized controlled trials / Risk factors Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Prim Care Community Health Year: 2020 Document Type: Article Affiliation country: 2150132720954687