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Article ; Online: Risk Factors for Hospitalization Among Patients with COVID-19 at a Community Ambulatory Clinic in Massachusetts During the Initial Pandemic Surge.

Smati, Hannah / Cohen, Pieter A / Nagda, Dipal V / Saravanan, Yamini / Kalugin, Peter N / Li, Chloe Y / Ranker, Lynsie R

Journal of immigrant and minority health

2021  Volume 23, Issue 5, Page(s) 1110–1115

Abstract: ... clinical factors associated with increased odds of hospitalization among patients with confirmed COVID-19 ... Among patients with COVID-19 evaluated in outpatient settings, factors associated ... among a diverse outpatient cohort of patients with COVID-19. ...

Abstract Among patients with COVID-19 evaluated in outpatient settings, factors associated with hospitalization remain poorly understood. Multivariable regressions were used to assess sociodemographic and clinical factors associated with increased odds of hospitalization among patients with confirmed COVID-19 between March 18, 2020 through April 25, 2020 at a community-based outpatient clinic in Massachusetts. Older age, BMI ≥ 25, self-reported dizziness/lightheadedness, temperature ≥ 99.5°F, tachycardia, and oxygen saturation < 95% were associated with increased odds of hospitalization after adjustment for age, sex, and BMI. There was also an association between speaking Spanish as primary language and increased odds of hospitalization (compared to English, adjusted OR = 2.99 [95% CI 1.39, 6.39]). Speaking Portuguese as primary language was not associated with increased odds of hospitalization (compared to English, adjusted OR = 1.83 [0.78, 4.28]). In addition to several clinical risk factors established among inpatients, our study found that primarily speaking Spanish, but not Portuguese, was a marker of hospitalization risk among a diverse outpatient cohort of patients with COVID-19.
MeSH term(s) Aged ; Ambulatory Care Facilities ; COVID-19 ; Hospitalization ; Humans ; Massachusetts ; Pandemics ; Risk Factors
Language English
Publishing date 2021-03-26
Publishing country United States
Document type Journal Article
ZDB-ID 2220162-2
ISSN 1557-1920 ; 1557-1912
ISSN (online) 1557-1920
ISSN 1557-1912
DOI 10.1007/s10903-021-01189-5
Database MEDical Literature Analysis and Retrieval System OnLINE

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