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. 2020 Dec 17;15(12):e0243027.
doi: 10.1371/journal.pone.0243027. eCollection 2020.

Characteristics and outcomes of COVID-19 patients in New York City's public hospital system

Roopa Kalyanaraman Marcello  1 , Johanna Dolle  1 , Sheila Grami  1 , Richard Adule  1 , Zeyu Li  1 , Kathleen Tatem  1 , Chinyere Anyaogu  2 , Stephen Apfelroth  3 , Raji Ayinla  4 , Noella Boma  5 , Terence Brady  6 , Braulio F Cosme-Thormann  7 , Roseann Costarella  8 , Kenra Ford  8 , Kecia Gaither  9 , Jessica Jacobson  10 , Marc Kanter  9 , Stuart Kessler  11 , Ross B Kristal  12 , Joseph J Lieber  11 , Vikramjit Mukherjee  10 , Vincent Rizzo Jr  13 , Madden Rowell  12 , David Stevens  14 , Elana Sydney  3 , Andrew Wallach  12 , Dave A Chokshi  1 , Nichola Davis  1 ; New York City Health + Hospitals COVID-19 Population Health Data Team
Affiliations

Characteristics and outcomes of COVID-19 patients in New York City's public hospital system

Roopa Kalyanaraman Marcello et al. PLoS One. .

Abstract

Background: New York City (NYC) bore the greatest burden of COVID-19 in the United States early in the pandemic. In this case series, we describe characteristics and outcomes of racially and ethnically diverse 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 New York City to date. Our findings highlight disparities in outcomes that can inform prevention and testing recommendations.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Flow diagram of included patients.
Fig 2
Fig 2. Test results by demographic factors.
Fig 3
Fig 3. Hospitalization by demographic factors.
Fig 4
Fig 4. Death by demographic factors.
See this image and copyright information in PMC

Update of

References

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