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Open Forum Infect Dis. 2021 May 07;8(6):ofab233. doi: 10.1093/ofid/ofab233. eCollection 2021 Jun.

In-Hospital 30-Day Survival Among Young Adults With Coronavirus Disease 2019: A Cohort Study.

Open forum infectious diseases

Safiya Richardson, Jordan Gitlin, Zachary Kozel, Sera Levy, Husneara Rahman, Jamie S Hirsch, Thomas McGinn, Michael A Diefenbach

Affiliations

  1. Institute of Health System Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USA.
  2. Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead, New York, USA.
  3. Biostatistics Unit, Feinstein Institutes for Medical Research, Northwell Health, Great Neck, New York, USA.
  4. Department of Information Services, Northwell Health, New Hyde Park, New York, USA.

PMID: 34183983 PMCID: PMC8135976 DOI: 10.1093/ofid/ofab233

Abstract

BACKGROUND: Our objective was to characterize young adult patients hospitalized with coronavirus disease 2019 (COVID-19) and identify predictors of survival at 30 days.

METHODS: This retrospective cohort study took place at 12 acute care hospitals in the New York City area. Patients aged 18-39 hospitalized with confirmed COVID-19 between March 1 and April 27, 2020 were included in the study. Demographic, clinical, and outcome data were extracted from electronic health record reports.

RESULTS: A total of 1013 patients were included in the study (median age, 33 years; interquartile range [IQR], 28-36; 52% female). At the study end point, 940 (92.8%) patients were discharged alive, 18 (1.8%) remained hospitalized, 5 (0.5%) were transferred to another acute care facility, and 50 (4.9%) died. The most common comorbidities in hospitalized young adult patients were obesity (51.2%), diabetes mellitus (14.8%), and hypertension (13%). Multivariable analysis revealed that obesity (adjusted hazard ratio [aHR], 2.71; 95% confidence interval [CI], 1.28-5.73;

CONCLUSIONS: Obesity was identified as the strongest negative predictor of 30-day in-hospital survival in young adults with COVID-19.

© The Author(s) 2021. Published by Oxford University Press on behalf of Infectious Diseases Society of America.

Keywords: coronavirus disease 2019 (COVID-19); mortality; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); young adults

References

  1. Influenza Other Respir Viruses. 2018 May;12(3):307-313 - PubMed
  2. Pol Arch Intern Med. 2020 Apr 30;130(4):304-309 - PubMed
  3. JAMA. 2020 May 26;323(20):2052-2059 - PubMed
  4. BMJ Open Diabetes Res Care. 2020 Apr;8(1): - PubMed
  5. Lancet. 2020 Apr 25;395(10233):1321-1322 - PubMed
  6. Obesity (Silver Spring). 2020 Sep;28(9):1595-1599 - PubMed
  7. PLoS Curr. 2014 Mar 26;6: - PubMed
  8. Kidney Int. 2020 Jul;98(1):209-218 - PubMed
  9. Obesity (Silver Spring). 2020 Jul;28(7):1195-1199 - PubMed
  10. PLoS One. 2013 Aug 05;8(8):e69586 - PubMed
  11. Eur Respir J. 2020 May 7;55(5): - PubMed
  12. JAMA. 2020 Apr 7;323(13):1239-1242 - PubMed
  13. Clin Infect Dis. 2020 Jul 28;71(15):896-897 - PubMed
  14. Clin Infect Dis. 2020 Nov 19;71(16):2079-2088 - PubMed
  15. Am J Med. 2005 Sep;118(9):948-56 - PubMed
  16. JAMA Intern Med. 2020 Sep 9;: - PubMed
  17. Intensive Care Med. 2020 May;46(5):846-848 - PubMed
  18. J Chronic Dis. 1987;40(5):373-83 - PubMed
  19. JAMA. 2020 Aug 25;324(8):799-801 - PubMed
  20. JAMA. 2020 Apr 14;323(14):1335 - PubMed
  21. BMJ. 2020 May 22;369:m1966 - PubMed
  22. MMWR Morb Mortal Wkly Rep. 2020 Mar 27;69(12):343-346 - PubMed
  23. J Gerontol A Biol Sci Med Sci. 2020 Sep 16;75(9):1788-1795 - PubMed

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