Statistics on Outcomes and Mortality Among Adults Hospitalized With COVID-19 at US Medical Centers

Outcomes and Mortality Among Adults With COVID-19 at US Medical Centers This cohort study assesses characteristics and outcomes among adults hospitalized with coronavirus disease 2019 (COVID-19) at US medical centers as well as COVID-19–related mortality over the initial 6 months of the pandemic. JAMANetworkOpen

...the objectives of our study were to examine the characteristics and outcomes among adults hospitalized with COVID-19 at US medical centers and analyze changes in mortality over the initial 6-month period of the pandemic. ...

Among 192 550 adults hospitalized with COVID-19 who were discharged from 555 US medical centers, 101 089 (52.5%) were men, 83 567 (43.3%) were White, and 125 543 (65.2%) had Medicare or Medicaid insurance. The most common comorbidities included hypertension (118 418 [61.5%]), diabetes (73 939 [38.4%]), and obesity (52 759 [27.4%]). ...

This cohort study of patients with COVID-19 who were admitted to US medical centers revealed high in-hospital mortality of 13.6%. However, over the course of the pandemic, there was a reduction in mortality of more than 15 percentage points between March (22.1%) and August (6.5%). The in-hospital mortality in the current study was similar to that reported in other published US studies (15.3%-24.5%).^2-5 Mortality increased in association with increasing age. Patients 80 years or older represented the age group with the highest mortality. ...

Management of COVID-19 is rapidly changing, and this study did not compare treatment modalities; radiologic and laboratory clinical findings were not available. It is also possible that at the beginning of the pandemic, COVID-19 was underdiagnosed owing to the lack of widespread testing availability in the US; however, we believe that for most of the study period, COVID-19 diagnoses were accurately reflected with increased availability of testing....