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http://conacyt.repositorioinstitucional.mx/jspui/handle/1000/7614| Estimated Fraction of Incidental COVID Hospitalizations in a Cohort of 250 High-Volume Hospitals Located in 164 Counties | |
| Jeffrey Harris | |
| Acceso Abierto | |
| Atribución-SinDerivadas | |
| https://doi.org/10.1101/2022.01.22.22269700 | |
| https://www.medrxiv.org/content/10.1101/2022.01.22.22269700v1 | |
| Scattered reports have suggested that as many as one-half of all hospital inpatients identified as COVID-positive are incidental cases who were admitted primarily for reasons other than their viral infections. To date, however, there are no systemic studies of a representative panel of hospitals based on pre-established criteria for determining whether an individual patient was in fact admitted as a result of the disease. To fill this gap, we developed a formula to estimate the fraction of incidental COVID hospitalizations that relies upon measurable, population-based parameters. We applied this approach to a longitudinal panel of 164 counties throughout the United States, covering on a 4-week interval ending in the first week of January 2022. Within this panel, we estimated that COVID incidence has been rising exponentially at a rate of 9.34% per day (95% CI, 8.93-9.87). Assuming that only one-quarter of all recent Omicron infections have been reported by public authorities, we further estimated the aggregate prevalence of active SARS-CoV-2 infection during the first week of January to be 4.89%. During the same week, among 250 high-COVID-volume hospitals within our 164-county panel, an estimated 1 in 4 inpatients was COVID-positive. Among such COVID-positive hospitalized patients, 15.2% were estimated to be incidental infections. Across individual counties, the median fraction of incidental COVID hospitalizations was 13.7%, with an interquartile range of 9.5 to 18.4%. Incidental COVID infections appear to be a nontrivial fraction of all COVID-positive hospitalized patients. In the aggregate, however, the burden of patients admitted for complications of their viral infections appears to be far greater. | |
| medRxiv and bioRxiv | |
| 24-01-2022 | |
| Preimpreso | |
| www.medrxiv.org | |
| Inglés | |
| Epidemia COVID-19 | |
| Público en general | |
| VIRUS RESPIRATORIOS | |
| Versión publicada | |
| publishedVersion - Versión publicada | |
| Aparece en las colecciones: | Artículos científicos |
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| Estimated Fraction of Incidental COVID Hospitalizations in a Cohort of 250 High Volume.pdf | 1.3 MB | Adobe PDF | Visualizar/Abrir |