Emerg Infect Dis. 2020 Aug;26(8):1679-1685. doi: 10.3201/eid2608.201776. Epub 2020 May 14.
Limited data are available on the clinical presentation and outcomes of coronavirus disease (COVID-19) patients in the United States hospitalized under normal-caseload or nonsurge conditions. We retrospectively studied 72 consecutive adult patients hospitalized with COVID-19 in 2 hospitals in the San Francisco Bay area, California, USA, during March 13-April 11, 2020. The death rate for all hospitalized COVID-19 patients was 8.3%, and median length of hospitalization was 7.5 days. Of the 21 (29% of total) intensive care unit patients, 3 (14.3% died); median length of intensive care unit stay was 12 days. Of the 72 patients, 43 (59.7%) had underlying cardiovascular disease and 19 (26.4%) had underlying pulmonary disease. In this study, death rates were lower than those reported from regions of the United States experiencing a high volume of COVID-19 patients.
关于美国在正常或非高峰期医疗负荷情况下住院的冠状病毒病(COVID-19)患者的临床表现和结局,数据有限。我们回顾性研究了 2020 年 3 月 13 日至 4 月 11 日期间在美国加利福尼亚州旧金山湾区的 2 家医院收治的 72 例连续成年 COVID-19 住院患者。所有住院 COVID-19 患者的死亡率为 8.3%,中位住院时间为 7.5 天。21 例(占总数的 29%)进入重症监护病房的患者中,有 3 例(14.3%)死亡;重症监护病房的中位停留时间为 12 天。在这 72 名患者中,有 43 名(59.7%)有潜在的心血管疾病,19 名(26.4%)有潜在的肺部疾病。在这项研究中,死亡率低于美国那些经历大量 COVID-19 患者的地区报告的死亡率。