In a new study, researchers found that patients admitted to a New York City hospital with COVID-19 faced major morbidity and mortality.
Among them, 78% of those admitted to the intensive care unit (ICU) developing acute kidney injury.
The research was conducted by a team at Columbia University and elsewhere.
The team examined patients with COVID-19 in New York City and described their clinical course.
The first 1,000 patients who presented to the emergency department or were admitted to the hospital at the New York-Presbyterian/Columbia University Irving Medical Center between March 1 and April 5, 2020, were included.
The researchers found that 614 patients were admitted to the hospital and 236 were admitted or transferred to ICUs.
The most common presenting symptoms were cough, fever, and dyspnea.
Chronic health conditions, including high blood pressure, diabetes, and obesity, were often seen in patients in the hospital, especially those treated in ICUs.
The team found that patients admitted to the ICU were older and mainly male and had longer lengths of stay.
In addition, 78% developed acute kidney injury, and 35.2% required dialysis. Six of 136 patients who required mechanical ventilation were first intubated more than 14 days after symptom onset.
The study suggests that in patients with COVID-19 in New York City, a high proportion of developed complications compared with previously studied the U.S. and international populations.
One author of the study is Michael G. Argenziano from Columbia University in New York City.
The study is published in The BMJ.
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