Abstract
COVID-19 is a novel virus initially reported from Wuhan, Hubei province in December 2019 that has spread globally. As the virus spread, clinicians were trying to assess the populations at risk, how to treat and follow best practice guidelines as they were evolving. We sought to examine our community hospital experience, identify predictors of mortality and establish guidelines that would help the system in the future including EVALUATION of service line effectiveness for those high-risk populations, and how COVID-19 impacted our Family Practice training program.
Highlights
COVID-19 is a novel coronavirus initially reported from Wuhan, Hubei province in December 2019 that has rapidly spread globally [1]
Univariate analysis revealed Caucasian, age > 80, admission from a long-term care facility, symptom of altered mental status, history of arrythmia, peripheral vascular disease, hypertension, hyperlipidemia, smoker, known Chronic Obstructive Lung Disease (COPD), prior Cerebrovascular Accident (CVA) or history of dementia, pre-treatment with antivirals before admission, abnormal EKG, NT-ProBNP, hs-troponin I or any complications, especially use of vasopressors were associated with increased mortality
There was a history of cardiac disease in 26.8%, defined as prior arrhythmia requiring treatment (atrial fibrillation, supraventricular tachycardia (SVT), pacemaker or defibrillator), structural heart disease (patent foramen ovale (PFO) or atrial septal defect (ASD) requiring closure, or more than moderate valve disease in the aortic, mitral or tricuspid positions), a history of heart failure with preserved or reduced ejection fraction (HFpEF or HFrEF), peripheral vascular disease or any history of revascularization, MitraClipTM, or transcatheter aortic valve replacement (TAVR)
Summary
COVID-19 is a novel coronavirus initially reported from Wuhan, Hubei province in December 2019 that has rapidly spread globally [1]. Most of the reports suggest respiratory symptoms with fever, cough, dyspnea, and headache predominating that has, in many cases progressed to severe alveolar damage requiring mechanical ventilation [4]. The elderly and those with significant co-morbidities, especially cardiac disease seem most at risk. COVID-19 is a novel virus initially reported from Wuhan, Hubei province in December 2019 that has spread globally. Clinicians were trying to assess the populations at risk, how to treat and follow best practice guidelines as they were evolving. We sought to examine our community hospital experience, identify predictors of mortality and establish guidelines that would help the system in the future including EVALUATION of service line effectiveness for those high-risk populations, and how COVID-19 impacted our Family Practice training program
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