Risk Factors for Mortality in Patients with COVID-19 in New York City

Takahisa Mikami1,2, Hirotaka Miyashita1,2, Takayuki Yamada1,2

  • 1Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Insights

Older age, male sex, and certain clinical indicators like low oxygen saturation increase COVID-19 mortality risk. Hydroxychloroquine use was linked to decreased mortality in this large New York City patient study.

Area of Science:

  • Infectious Diseases
  • Epidemiology
  • Clinical Medicine

Background:

  • New York City became a major epicenter for the COVID-19 pandemic.
  • Understanding clinical characteristics and mortality risk factors is crucial.

Purpose of the Study:

  • To identify clinical characteristics and risk factors for mortality in a large COVID-19 patient population in the USA.
  • To analyze outcomes in patients treated in the New York City metropolitan area.

Main Methods:

  • A retrospective cohort study was conducted.
  • Data from 6493 laboratory-confirmed COVID-19 patients were analyzed.
  • Clinical outcomes and mortality were tracked from March 13 to April 17, 2020.

Main Results:

  • The overall in-hospital mortality rate was 13.2% (858/6493).
  • Factors associated with increased mortality included older age (>50 years), hypotension, tachypnea, hypoxia, impaired renal function, elevated IL-6, D-dimer, and troponin.
  • Female sex, African American race, and hydroxychloroquine use were associated with decreased mortality.

Conclusions:

  • Older age, male sex, hypotension, tachypnea, hypoxia, impaired renal function, and elevated biomarkers (D-dimer, troponin) are significant risk factors for in-hospital mortality in COVID-19 patients.
  • Hydroxychloroquine use showed a protective association, reducing in-hospital mortality.
Abstract

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