Behavioral and Clinical Surveillance Branch, Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
CDC COVID-19 Response, Homelessness Unit, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
J Infect Dis. 2021 Aug 2;224(3):425-430. doi: 10.1093/infdis/jiab261.
People experiencing homelessness (PEH) are at higher risk for chronic health conditions, but clinical characteristics and outcomes for PEH hospitalized with coronavirus disease 2019 (COVID-19) are not known. We analyzed population-based surveillance data of COVID-19-associated hospitalizations during 1 March to 31 May 2020. Two percent of the people hospitalized with COVID-19 for whom a housing status was recorded were homeless. Of 199 cases in the analytic sample, most were of racial/ethnic minority groups and had underlying health conditions. Clinical outcomes such as ICU admission, respiratory support including mechanical ventilation, and deaths were documented. Hispanic and non-Hispanic black persons accounted for most mechanical ventilation and deaths. Severe illness was common among persons experiencing homelessness who were hospitalized with COVID-19.
无家可归者（PEH）患慢性健康状况的风险更高，但目前尚不清楚患有 2019 年冠状病毒病（COVID-19）的 PEH 的临床特征和结局。我们分析了 2020 年 3 月 1 日至 5 月 31 日期间与 COVID-19 相关的住院治疗的基于人群的监测数据。在记录住房状况的 COVID-19 住院患者中，有 2%的人无家可归。在分析样本中的 199 例病例中，大多数为少数族裔人群，并且存在潜在的健康状况。记录了 ICU 入院、包括机械通气在内的呼吸支持以及死亡等临床结局。西班牙裔和非西班牙裔黑人占大多数机械通气和死亡人数。患有 COVID-19 的无家可归者住院的严重疾病很常见。
