Largest COVID-19-case study from America published
Even in hospitals with state of the art equipment critical COVID-19-diseases in New York are often fatal. The largest case-analysis from America shows that 39 percent of all intensive care patients, die. The most common complications that lead to death, are pulmonary, circulatory or renal failure.
The largest American COVID-19-case study from New York City, provides clues about how the Coronavirus SARS-CoV-2 affects adult patients in the United States. The analysis shows that 22 percent of hospital-treated cases are critical and that the critical gradients, 39 percent of those Affected die. The study was recently presented in the prestigious scientific journal “The Lancet”.
Results at a Glance
More than one in five COVID-19-case that was treated in a hospital in New York City, is critical. During the critical gradients dies more than any of the third parties Concerned. Four out of five patients with critical gradients had to be artificially ventilated. With the death in hospital-related risk factors according to the study, higher age, and the diseases the presence of chronic heart or lung.
Similar results as in China, Italy, and England
In a detailed report 257 COVID have been documented-19-Affected by the 2. March to 1. April 2020 were included in two hospitals in New York City, USA. The patients were monitored for at least 28 days. The results reflect reports from China, Italy, and England, reports the researchers.
USA is the most affected country in the world
“In the U.S. there were over 1.5 million confirmed cases of COVID-19 and more than 90,000 deaths,” explains Dr. Natalie Yip, one of the authors of the study from the Irving Medical Centre of Columbia University. Although the clinical spectrum of the disease was characterized in Reports from China and Italy already limited the understanding of how the Virus affects severely ill Sufferers in the United States, so far, on small case reports. The current study aims to identify risk factors, the sick COVID-19-patients in a US hospital, with the death of critical in conjunction.
1.150 COVID-19-cases investigated
The study focused on two hospitals in New York City, which are connected to the Irving Medical Center of Columbia University in Northern Manhattan. Between the 2. March and 1. April 2020 were added to 1,150 adults with laboratory-confirmed COVID-19. Of these cases, 257 persons (22 percent) patients who are severely ill and had to be admitted to an intensive care unit.
Up to the 28. April 2020 had died 101 of the critically ill patients and patents (39 percent). In 94 cases, the treatment was not yet completed and 58 of the 257 victims were alive and discharged from the hospital.
Most common symptoms at hospital admission
The most commonly reported symptoms at the hospital of the patients were:
- Shortness of breath,
- Pain in the limbs,
How long the people Concerned have been ventilated?
More than three-quarters (79 percent) of the critically ill COVID-19-Concerned required a mechanical ventilator. The patients spent an average of unit 18 days on a ventilator. This period varied between nine and 28 days. Around a third (31 per cent) of these cases developed during the disease, severe kidney damage, and required additional therapies such as dialysis.
Two-thirds of the critically ill were men
The majority of critically ill patients Affected were men (67%, 171 of 257 cases). The majority of the critical diseases occurred from the age of 62 years. Every fifth person was below 50 years old (22 per cent; 55 of 257 people). More than 80 percent of critically ill patients had at least one chronic disease, with hypertension (63 per cent; 162 of 257 cases) and Diabetes (36 percent; 92 was represented by 257) most of the time. In addition, half of the critical cases was obese.
Five percent of the deaths were in the medical field
The study highlights that people who are in the health sector are exposed to an increased risk. 13 of 257 critical cases of the Employees of a medical field. It was not possible to determine with certainty whether the Affected while the work have been infected. The finding shows, however, that Employees who come up with COVID-19-victims in contact need consistent access to personal protective equipment. (vb)