Demographic and clinical characteristics of COVID-19-positive patients (n=1024)
Residence prior to hospitalisation, n (%) | |
Home | 824 (80.5) |
Congregated living facility* | 165 (16.1) |
Subacute rehabilitation facility | 9 (0.9) |
Unknown | 18 (1.8) |
Admission location, n (%) | |
Emergency department | 951 (92.9) |
Transfer from another hospital | 60 (5.9) |
Direct admission | 7 (0.7) |
Median age (years) (IQR) | 63.3 (50.9–74.4) |
Male sex, n (%) | 533 (52.1) |
Race, n (%) | |
Black | 526 (51.4) |
White | 390 (38.1) |
Unknown | 45 (4.4) |
Asian | 30 (2.9) |
Other | 26 (2.5) |
Native | 4 (0.4) |
Islander | 3 (0.3) |
Ethnicity, n (%) | |
Non-Hispanic | 873 (85.3) |
Hispanic | 30 (2.9) |
Unknown | 117 (11.4) |
Insurance, n (%) | |
Medicare | 497 (48.5) |
Commercial | 251 (24.5) |
Medicaid | 128 (12.5) |
Self-pay | 29 (2.8%) |
Other† | 117 (11.4) |
BMI, median (IQR) | 30.6 (25.9–37.1) |
Smoking history, n (%) | |
Never | 615 (60.2) |
Former | 279 (27.3) |
Current | 61 (6.0) |
Unknown | 65 (6.4) |
Vaping history, n (%) | |
Never | 645 (63.2) |
Former | 366 (35.8) |
Current | 6 (0.6) |
Unknown | 3 (0.3) |
Coexisting disorder, n (%) | |
Hypertension | 670 (65.4) |
Diabetes | 377 (36.8) |
Cardiovascular disease | 266 (26.0) |
Moderate/severe kidney disease | 239 (23.3) |
Asthma | 132 (12.9) |
CHF/cardiomyopathy | 131 (12.8) |
Dementia | 123 (12.0) |
COPD | 115 (11.2) |
Cerebrovascular disease/paraplegia | 97 (9.5) |
Cancer‡ | 77 (7.5) |
Peripheral vascular disorders | 41 (4.0) |
Chronic pulmonary disease (non-asthma/COPD) | 35 (3.4) |
Rheumatoid arthritis | 29 (2.8) |
Peptic ulcer disease | 10 (1.0) |
HIV/AIDS | 7 (0.7) |
Organ transplant | 8 (0.8) |
Inflammatory bowel disease | 8 (0.8) |
No reported comorbidities | 152 (14.9) |
Home medications | |
ACE inhibitors | 180 (17.6) |
Steroids/immunosuppressive therapy | 115 (11.3) |
ARBs | 136 (13.3) |
NSAIDs | 182 (17.8) |
Statins | 378 (37.0) |
Beta blockers | 298 (29.2) |
Anticoagulants | 149 (14.6) |
Oral steroids§ | 62 (6.1) |
Inhaled steroids | 43 (4.2) |
Inhaled long-acting beta agonist | 30 (2.9) |
Inhaled long-acting anticholinergic | 5 (0.5) |
Home oxygen therapy | 36 (3.5) |
Duration of symptoms before admission (days), median (IQR) | 6 (3–9) |
Respiratory symptoms, n (%) | |
Cough (new or worsening) | 751 (73.3) |
Fever, n (%) | 735 (71.8) |
Fever (99.0°F–100.4°F) | 151 (14.7) |
Fever (>100.4°F) | 390 (38.1) |
Subjective fever | 194 (18.9) |
Dyspnoea/shortness of breath | 739 (72.2) |
Nausea/vomiting or diarrhoea | 403 (39.4) |
Fatigue | 361 (35.3) |
Myalgias | 264 (25.8) |
Weakness | 253 (24.7) |
Sputum production | 146 (14.3) |
Altered mental status | 144 (14.1) |
Non-pleuritic chest pain | 100 (9.8) |
Generalised malaise | 91 (8.9) |
Rhinorrhoea | 75 (7.3) |
Pleuritic chest pain | 75 (7.3) |
No reported symptoms | 14 (1.4) |
Sick contacts, n (%) | 381 (37.2) |
Known COVID-19 positive | 244 (23.8) |
Unknown COVID-19 status | 236 (23.0) |
Healthcare worker, n (%) | 72 (7.0) |
Service worker, n (%)¶ | 59 (5.8) |
Initial location of admission, n (%) | |
General medical/surgical ward | 608 (59.5) |
ICU | 138 (13.5) |
Step-down unit | 160 (15.7) |
Observation unit | 115 (11.3) |
Missing/uknown | 3 (0.3) |
Admitted to COVID-19-specific (ie, cohorted) unit | 419 (40.9) |
Advanced directives on admission | |
DNR/DNI | 64 (6.3) |
No CPR (intubation OK) | 19 (1.9) |
No intubation (CPR OK) | 3 (0.3) |
*Includes assisted living, group home, skilled nursing facility, homeless shelters, correctional facilities, community living and inpatient psychiatric facilities.
† Includes other payers, Michigan, out-of-state and government.
‡ Includes leukaemia, lymphoma, haematological cancer and any malignancy.
§ Includes oral prednisone, prednisolone, hydrocortisone and dexamethasone.
¶ Service workers include food service, transportation, postal/delivery and other related fields.
ARB, angiotensin receptor blocker; BMI, body mass index; CHF, congestive heart failure; COPD, chronic obstructive pulmonary disease; CPR, cardiopulmonary resuscitation; DNI, do not intubate; DNR, do not resuscitate; ICU, intensive care unit; NSAID, non-steroidal anti-inflammatory drug.