| Abstract |
SESSION TITLE: Disaster Medicine Posters SESSION TYPE: Original Investigation Posters PRESENTED ON: October 18-21, 2020 PURPOSE: In December 2019, a viral pneumonia associated with a new coronavirus SARS COV-2 emerged in Wuhan, China and quickly spread throughout the world causing high mortality rates As of May 30th,2020, coronavirus disease 2019 (COVID-19) has been confirmed in 56,884 people in Michigan, with case fatality rate of 10% Since very little is known regarding patients with COVID-19 disease, we aim to describe the clinical characteristics and outcomes of patients hospitalized in a Michigan community hospital METHODS: A single centre, retrospective chart review of 163 hospitalized patients with confirmed cases of COVID-19 at a community hospital from March 15 to April 10, 2020 Cases were confirmed by real-time polymerase chain reaction testing of nasopharyngeal samples Epidemiological, demographic, laboratory and overall outcomes were obtained from electronic medical record Data collected was then analysed using SPSS software RESULTS: A total of 163 patients were reviewed and included in the study Median age of patient with confirmed SARS-COV2 infection was 70 years (mean 68, range, 30-101), of which 52 8% were female, 60 7% white and 33 7% African American The most common comorbidities were hypertension (112, 68 7%), obesity (79, 48 6%), and hyperlipidemia (54, 33 1%) Patients presented with shortness of breath (109, 66 9%), cough (107, 65 6%) and fever (99, 60 7%) Gastrointestinal symptoms were found in 81 (49 6%) of patients with the most common symptom being diarrhea in 44 (27%) patients There were 66 (40 5%) patients with fever >100 4F on admission Multilobe infiltrates were found in chest x-ray of 115 (70 6%) patients Within one-month, overall mortality was noted to be 29 5% Mean length of stay of non-intensive care unit (ICU) patients was 6 46 days (range 1-19) when compared 15 5 days (range 3-46) for ICU patients During hospitalization, 55 patients (33 7%) (median age 68 years, 54 5% female, 60 1% white) were treated in the ICU of which 43(78 2%) required mechanical ventilation and 28 (50 9%) died For patients requiring mechanical ventilation, 27 (62 8%) died and 16 (37 2%) were discharged alive CONCLUSIONS: This study provides insight into presenting characteristics, demographics and overall outcome of patients hospitalized with COVID-19 in a Michigan community hospital CLINICAL IMPLICATIONS: In medical emergencies like the COVID pandemic, it is important to analyze patient demographics in order to help identify the population most at risk Knowledge of the most vulnerable population not only allows us to come up with strategies to help control the spread of disease but also helps us risk stratify the patients for better resource allocation It is crucial to learn from an outbreak like this so we can be better prepared for the future DISCLOSURES: No relevant relationships by Verisha Khanam, source=Web Response No relevant relationships by Sarwan Kumar, source=Web Response No relevant relationships by vesna tegeltija, source=Web Response No relevant relationships by Jurgena Tusha, source=Web Response
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