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Article ; Online: Hospitalization, Mechanical Ventilation, and Mortality After COVID-19 Among Adults With or Without Serious Mental Illness.

Murphy, Karly A / McGinty, Emma E / Daumit, Gail L

Psychiatric services (Washington, D.C.)

2021  Volume 73, Issue 3, Page(s) 335–338

Abstract: ... mortality within 30 days after a COVID-19 diagnosis among persons with or without serious mental illness ... Methods: Adults with and without serious mental illness diagnosed as having COVID-19 in the first year ... persons with serious mental illness were more likely to be hospitalized or to die after COVID-19 diagnosis ...

Abstract Objective: The authors evaluated the likelihood of hospital admission, mechanical ventilation, and mortality within 30 days after a COVID-19 diagnosis among persons with or without serious mental illness.
Methods: Adults with and without serious mental illness diagnosed as having COVID-19 in the first year of the pandemic were identified in the TriNetX database, a network of electronic health records from 49 U.S. health care systems representing 63.5 million individuals. A propensity score approach was used to compare outcomes of unmatched and matched cohorts (N=85,257).
Results: Compared with persons without serious mental illness, persons with serious mental illness were more likely to be hospitalized or to die after COVID-19 diagnosis. No difference in mortality or use of mechanical ventilation was observed among groups admitted to the hospital with COVID-19.
Conclusions: Disparities in overall mortality after COVID-19 for persons with serious mental illness likely were driven by factors outside of acute care settings.
MeSH term(s) Adult ; COVID-19/epidemiology ; COVID-19 Testing ; Hospitalization ; Humans ; Mental Disorders/epidemiology ; Mental Disorders/therapy ; Respiration, Artificial ; SARS-CoV-2
Language English
Publishing date 2021-07-29
Publishing country United States
Document type Journal Article
ZDB-ID 1220173-x
ISSN 1557-9700 ; 1075-2730
ISSN (online) 1557-9700
ISSN 1075-2730
DOI 10.1176/appi.ps.202100151
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