Christopher A. Taylor, Michael Whitaker, Monica E. Patton, Michael Melgar, Pam Daily Kirley, Breanna Kawasaki, Kimberly Yousey-Hindes, Kyle P. Openo, Patricia A. Ryan, Sue Kim, Kathryn Como-Sabetti, Dominic Solhtalab, Grant Barney, Brenda L. Tesini, Nancy E. Moran, Melissa Sutton, H. Keipp Talbot, Kristen Olsen, Fiona P. Havers
{"title":"2020 年 6 月至 2023 年 9 月经实验室确诊的 SARS-CoV-2-COVID-NET 成人中 COVID-19 导致的住院趋势。","authors":"Christopher A. Taylor, Michael Whitaker, Monica E. Patton, Michael Melgar, Pam Daily Kirley, Breanna Kawasaki, Kimberly Yousey-Hindes, Kyle P. Openo, Patricia A. Ryan, Sue Kim, Kathryn Como-Sabetti, Dominic Solhtalab, Grant Barney, Brenda L. Tesini, Nancy E. Moran, Melissa Sutton, H. Keipp Talbot, Kristen Olsen, Fiona P. Havers","doi":"10.1111/irv.70021","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Screening for SARS-CoV-2 infection among hospital admissions made interpretation of COVID-19 hospitalization data challenging as SARS-CoV-2–positive persons with mild or asymptomatic infection may be incorrectly identified as COVID-19–associated hospitalizations. The study objective is to estimate the proportion of hospitalizations likely attributable to COVID-19 among SARS-CoV-2–positive hospitalized patients.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A sample of laboratory-confirmed SARS-CoV-2–positive hospitalizations from the COVID-19–Associated Hospitalization Surveillance Network (COVID-NET) from June 2020 to September 2023 was analyzed, with a focus on July 2022 to September 2023. Likely COVID-19–attributable hospitalizations were defined as hospitalizations among SARS-CoV-2–positive non-pregnant adults ages ≥ 18 years with COVID-19–related presenting complaint, treatment, or discharge diagnosis.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Among 44,816 sampled hospitalizations, 90% met the definition of likely COVID-19–attributable. Among the 9866 admissions occurring during July 2022 to September 2023, 86% were likely COVID-19–attributable; 87% had a COVID-19–related presenting complaint, 64% received steroids or COVID-19–related treatment, 47% had respiratory- and 10% had coagulopathy-related discharge diagnoses, and 39% had COVID-19 as the principal discharge diagnosis code. More than 70% met ≥ 2 criteria. Compared with likely COVID-19–attributable hospitalizations, SARS-CoV-2–positive patients who did not meet the case definition were more likely to be ages 18–49 years (27% vs. 13%), have no underlying medical conditions (14% vs. 4%), or be asymptomatic for COVID-19 upon admission (46% vs. 10%) (all <i>p</i> < 0.05).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Most hospitalizations among SARS-CoV-2–positive adults in a recent period were likely attributable to COVID-19. COVID-19–attributable hospitalizations are less common among younger SARS-CoV-2–positive hospitalized adults but still account for nearly three quarters of all admissions among SARS-CoV-2–positive adults in this age group.</p>\n </section>\n </div>","PeriodicalId":13544,"journal":{"name":"Influenza and Other Respiratory Viruses","volume":"18 11","pages":""},"PeriodicalIF":4.3000,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/irv.70021","citationCount":"0","resultStr":"{\"title\":\"Trends in COVID-19–Attributable Hospitalizations Among Adults With Laboratory-Confirmed SARS-CoV-2—COVID-NET, June 2020 to September 2023\",\"authors\":\"Christopher A. Taylor, Michael Whitaker, Monica E. Patton, Michael Melgar, Pam Daily Kirley, Breanna Kawasaki, Kimberly Yousey-Hindes, Kyle P. Openo, Patricia A. Ryan, Sue Kim, Kathryn Como-Sabetti, Dominic Solhtalab, Grant Barney, Brenda L. Tesini, Nancy E. Moran, Melissa Sutton, H. Keipp Talbot, Kristen Olsen, Fiona P. Havers\",\"doi\":\"10.1111/irv.70021\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Screening for SARS-CoV-2 infection among hospital admissions made interpretation of COVID-19 hospitalization data challenging as SARS-CoV-2–positive persons with mild or asymptomatic infection may be incorrectly identified as COVID-19–associated hospitalizations. The study objective is to estimate the proportion of hospitalizations likely attributable to COVID-19 among SARS-CoV-2–positive hospitalized patients.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A sample of laboratory-confirmed SARS-CoV-2–positive hospitalizations from the COVID-19–Associated Hospitalization Surveillance Network (COVID-NET) from June 2020 to September 2023 was analyzed, with a focus on July 2022 to September 2023. Likely COVID-19–attributable hospitalizations were defined as hospitalizations among SARS-CoV-2–positive non-pregnant adults ages ≥ 18 years with COVID-19–related presenting complaint, treatment, or discharge diagnosis.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Among 44,816 sampled hospitalizations, 90% met the definition of likely COVID-19–attributable. Among the 9866 admissions occurring during July 2022 to September 2023, 86% were likely COVID-19–attributable; 87% had a COVID-19–related presenting complaint, 64% received steroids or COVID-19–related treatment, 47% had respiratory- and 10% had coagulopathy-related discharge diagnoses, and 39% had COVID-19 as the principal discharge diagnosis code. More than 70% met ≥ 2 criteria. Compared with likely COVID-19–attributable hospitalizations, SARS-CoV-2–positive patients who did not meet the case definition were more likely to be ages 18–49 years (27% vs. 13%), have no underlying medical conditions (14% vs. 4%), or be asymptomatic for COVID-19 upon admission (46% vs. 10%) (all <i>p</i> < 0.05).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Most hospitalizations among SARS-CoV-2–positive adults in a recent period were likely attributable to COVID-19. COVID-19–attributable hospitalizations are less common among younger SARS-CoV-2–positive hospitalized adults but still account for nearly three quarters of all admissions among SARS-CoV-2–positive adults in this age group.</p>\\n </section>\\n </div>\",\"PeriodicalId\":13544,\"journal\":{\"name\":\"Influenza and Other Respiratory Viruses\",\"volume\":\"18 11\",\"pages\":\"\"},\"PeriodicalIF\":4.3000,\"publicationDate\":\"2024-11-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/irv.70021\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Influenza and Other Respiratory Viruses\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/irv.70021\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Influenza and Other Respiratory Viruses","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/irv.70021","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
Trends in COVID-19–Attributable Hospitalizations Among Adults With Laboratory-Confirmed SARS-CoV-2—COVID-NET, June 2020 to September 2023
Background
Screening for SARS-CoV-2 infection among hospital admissions made interpretation of COVID-19 hospitalization data challenging as SARS-CoV-2–positive persons with mild or asymptomatic infection may be incorrectly identified as COVID-19–associated hospitalizations. The study objective is to estimate the proportion of hospitalizations likely attributable to COVID-19 among SARS-CoV-2–positive hospitalized patients.
Methods
A sample of laboratory-confirmed SARS-CoV-2–positive hospitalizations from the COVID-19–Associated Hospitalization Surveillance Network (COVID-NET) from June 2020 to September 2023 was analyzed, with a focus on July 2022 to September 2023. Likely COVID-19–attributable hospitalizations were defined as hospitalizations among SARS-CoV-2–positive non-pregnant adults ages ≥ 18 years with COVID-19–related presenting complaint, treatment, or discharge diagnosis.
Results
Among 44,816 sampled hospitalizations, 90% met the definition of likely COVID-19–attributable. Among the 9866 admissions occurring during July 2022 to September 2023, 86% were likely COVID-19–attributable; 87% had a COVID-19–related presenting complaint, 64% received steroids or COVID-19–related treatment, 47% had respiratory- and 10% had coagulopathy-related discharge diagnoses, and 39% had COVID-19 as the principal discharge diagnosis code. More than 70% met ≥ 2 criteria. Compared with likely COVID-19–attributable hospitalizations, SARS-CoV-2–positive patients who did not meet the case definition were more likely to be ages 18–49 years (27% vs. 13%), have no underlying medical conditions (14% vs. 4%), or be asymptomatic for COVID-19 upon admission (46% vs. 10%) (all p < 0.05).
Conclusions
Most hospitalizations among SARS-CoV-2–positive adults in a recent period were likely attributable to COVID-19. COVID-19–attributable hospitalizations are less common among younger SARS-CoV-2–positive hospitalized adults but still account for nearly three quarters of all admissions among SARS-CoV-2–positive adults in this age group.
期刊介绍：
Influenza and Other Respiratory Viruses is the official journal of the International Society of Influenza and Other Respiratory Virus Diseases - an independent scientific professional society - dedicated to promoting the prevention, detection, treatment, and control of influenza and other respiratory virus diseases.
Influenza and Other Respiratory Viruses is an Open Access journal. Copyright on any research article published by Influenza and Other Respiratory Viruses is retained by the author(s). Authors grant Wiley a license to publish the article and identify itself as the original publisher. Authors also grant any third party the right to use the article freely as long as its integrity is maintained and its original authors, citation details and publisher are identified.
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