Microbiology Department, Counties-Manukau District Health Board, Auckland, New Zealand.
Department of Medicine, University of Otago, Christchurch, New Zealand.
N Z Med J. 2022 Apr 1;135:120-130.
As New Zealand transitions towards endemic SARS-CoV-2, understanding patient factors predicting severity, as well as hospital resourcing requirements will be essential for future planning.
We retrospectively enrolled patients hospitalised with COVID-19 from 26 February to 5 October 2020 as part of the COVID-19 HospitalisEd Patient SeverIty Observational Study NZ (COHESION). Data on demographics, clinical course and outcomes were collected and analysed as a descriptive case series.
Eighty-four patients were identified across eight district health boards. Forty-one (49%) were male. The median age was 58 years [IQR: 41.7-70.3 years]. By ethnicity, hospitalisations included 38 NZ European (45%), 19 Pasifika (23%), 13 Māori (15%), 12 Asian (14%) and 2 Other (2%). Pre-existing co-morbidities included hypertension (26/82, 32%), obesity (16/66, 24%) and diabetes (18/81, 22%). The median length of stay was four days [IQR: 2-15 days]. Twelve patients (12/83, 14%) were admitted to an intensive care unit or high dependency unit (ICU/HDU). Ten (10/83, 12%) patients died in hospital of whom seven (70%) were not admitted to ICU/HDU; the median age at death was 83 years.
Despite initially low case numbers in New Zealand during 2020, hospitalisation with COVID-19 was associated with a high mortality and hospital resource requirements.
随着新西兰向 SARS-CoV-2 地方性流行过渡，了解预测严重程度的患者因素以及医院资源需求对于未来规划至关重要。
我们回顾性地招募了 2020 年 2 月 26 日至 10 月 5 日期间因 COVID-19 住院的患者，作为 COVID-19 医院患者严重程度观察研究新西兰（COHESION）的一部分。收集并分析了人口统计学、临床过程和结局数据，作为描述性病例系列。
在 8 个地区卫生委员会中确定了 84 名患者。41 名（49%）为男性。中位年龄为 58 岁[四分位距（IQR）：41.7-70.3 岁]。按种族划分，住院患者包括 38 名新西兰欧洲人（45%）、19 名太平洋岛民（23%）、13 名毛利人（15%）、12 名亚洲人（14%）和 2 名其他（2%）。合并存在的合并症包括高血压（26/82，32%）、肥胖症（16/66，24%）和糖尿病（18/81，22%）。中位住院时间为 4 天[IQR：2-15 天]。12 名患者（12/83，14%）被收入重症监护病房或高依赖病房（ICU/HDU）。10 名患者（10/83，12%）在医院死亡，其中 7 名（70%）未收入 ICU/HDU；死亡患者的中位年龄为 83 岁。
尽管 2020 年新西兰最初的病例数量较低，但 COVID-19 住院与高死亡率和医院资源需求相关。
