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Kalyanaraman Marcello R, Dolle J, Grami S, et al. Characteristics and Outcomes of COVID-19 Patients in New York City's Public Hospital System. medRxiv. 2020;doi: 10.1101/2020.05.29.20086645.
Kalyanaraman Marcello, R., Dolle, J., Grami, S., Adule, R., Li, Z., Tatem, K., Anyaogu, C., Ayinla, R., Boma, N., Brady, T., Cosme-Thormann, B. F., Ford, K., Gaither, K., Kanter, M., Kessler, S., Kristal, R. B., Lieber, J. J., Mukherjee, V., Rizzo, V., Rowell, M., Stevens, D., Sydney, E., Wallach, A., Chokshi, D. A., & Davis, N. (2020). Characteristics and Outcomes of COVID-19 Patients in New York City's Public Hospital System. medRxiv : the preprint server for health sciences, . https://doi.org/10.1101/2020.05.29.20086645
Kalyanaraman Marcello, Roopa, et al. "Characteristics and Outcomes of COVID-19 Patients in New York City's Public Hospital System." medRxiv : the preprint server for health sciences vol. (2020). doi: https://doi.org/10.1101/2020.05.29.20086645
Kalyanaraman Marcello R, Dolle J, Grami S, Adule R, Li Z, Tatem K, Anyaogu C, Ayinla R, Boma N, Brady T, Cosme-Thormann BF, Ford K, Gaither K, Kanter M, Kessler S, Kristal RB, Lieber JJ, Mukherjee V, Rizzo V, Rowell M, Stevens D, Sydney E, Wallach A, Chokshi DA, Davis N. Characteristics and Outcomes of COVID-19 Patients in New York City's Public Hospital System. medRxiv. 2020 Jun 23; doi: 10.1101/2020.05.29.20086645. PMID: 32577680; PMCID: PMC7302285.
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medRxiv. 2020 Jun 23; doi: 10.1101/2020.05.29.20086645.

Characteristics and Outcomes of COVID-19 Patients in New York City's Public Hospital System.

medRxiv : the preprint server for health sciences

Roopa Kalyanaraman Marcello, Johanna Dolle, Shelia Grami, Richard Adule, Zeyu Li, Kathleen Tatem, Chinyere Anyaogu, Raji Ayinla, Noella Boma, Terence Brady, Braulio F Cosme-Thormann, Kenra Ford, Kecia Gaither, Marc Kanter, Stuart Kessler, Ross B Kristal, Joseph J Lieber, Vikramjit Mukherjee, Vincent Rizzo, Madden Rowell, David Stevens, Elana Sydney, Andrew Wallach, Dave A Chokshi, Nichola Davis

PMID: 32577680 PMCID: PMC7302285 DOI: 10.1101/2020.05.29.20086645

Abstract

Background New York City (NYC) has borne the greatest burden of COVID-19 in the United States, but information about characteristics and outcomes of racially/ethnically diverse individuals tested and hospitalized for COVID-19 remains limited. In this case series, we describe characteristics and outcomes of patients tested for and hospitalized with COVID-19 in New York City's public hospital system. Methods We reviewed the electronic health records of all patients who received a SARS-CoV-2 test between March 5 and April 9, 2020, with follow up through April 16, 2020. The primary outcomes were a positive test, hospitalization, and death. Demographics and comorbidities were also assessed. Results 22254 patients were tested for SARS-CoV-2. 13442 (61%) were positive; among those, the median age was 52.7 years (interquartile range [IQR] 39.5-64.5), 7481 (56%) were male, 3518 (26%) were Black, and 4593 (34%) were Hispanic. Nearly half (4669, 46%) had at least one chronic disease (27% diabetes, 30% hypertension, and 21% cardiovascular disease). Of those testing positive, 6248 (46%) were hospitalized. The median age was 61.6 years (IQR 49.7-72.9); 3851 (62%) were male, 1950 (31%) were Black, and 2102 (34%) were Hispanic. More than half (3269, 53%) had at least one chronic disease (33% diabetes, 37% hypertension, 24% cardiovascular disease, 11% chronic kidney disease). 1724 (28%) hospitalized patients died. The median age was 71.0 years (IQR 60.0, 80.9); 1087 (63%) were male, 506 (29%) were Black, and 528 (31%) were Hispanic. Chronic diseases were common (35% diabetes, 37% hypertension, 28% cardiovascular disease, 15% chronic kidney disease). Male sex, older age, diabetes, cardiac history, and chronic kidney disease were significantly associated with testing positive, hospitalization, and death. Racial/ethnic disparities were observed across all outcomes. Conclusions and Relevance This is the largest and most racially/ethnically diverse case series of patients tested and hospitalized for COVID-19 in the United States to date. Our findings highlight disparities in outcomes that can inform prevention and testing recommendations.

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