About: Clinical course and factors associated with outcomes among 1904 patients hospitalized with COVID-19 in Germany: an observational study

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About: Clinical course and factors associated with outcomes among 1904 patients hospitalized with COVID-19 in Germany: an observational study Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Clinical course and factors associated with outcomes among 1904 patients hospitalized with COVID-19 in Germany: an observational study
Creator	Bauer, Torsten Kuhlen, Ralf Meier-Hellmann, Andreas Brederlau, Joerg Dengler, Julius Hauptmann, Michael Jóźwiak, Katarzyna Lenga, Pavlina Nachtigall, Irit Schwegmann, Karin Tebbenjohanns, Juergen Thürmann, Petra
source	Elsevier; Medline; PMC
abstract	OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic situation in Germany is unique among large European countries in that incidence and case fatality rate are distinctly lower. We describe the clinical course and examine factors associated with outcomes among patients hospitalized with COVID-19 in Germany. METHODS: In this retrospective cohort study we included patients with COVID-19 admitted to a national network of German hospitals between February 12, and June 12, 2020. We examined demographic characteristics, comorbidities and clinical outcomes. RESULTS: We included 1904 patients with a median age of 73 years, and 48.5% (924/1904) were female. The mortality rate was 17% (317/1835; 95% confidence interval [CI] 16-19), the rate of admission to the intensive care unit (ICU) 21% (399/1860; 95% CI 20–23), and the rate of invasive mechanical ventilation 14% (250/1850: 95% CI 12–15). The most prominent risk factors for death were male sex (hazard ratio [HR] 1.45; 95% CI 1.2-1.8), preexisting lung disease (HR 1.61; 95% CI 1.20-2.16), and increased patient age (HR 4.1 [95% CI 2.6–6.6] for age >79 years versus <60 years). Among patients admitted to the ICU, the mortality rate was 29% (109/374; 95% CI 25–34) and higher in ventilated (33% [77/235; 95% CI 27-39]) than in non-ventilated ICU patients (23% [32/139; 95% CI 16-30]; p<0.05). CONCLUSIONS: In this nationwide series of patients hospitalized with COVID-19 in Germany, in-hospital and ICU mortality rates were substantial. The most prominent risk factors for death were male sex, preexisting lung disease, and increased patient age.
has issue date	2020-08-18(xsd:dateTime)
bibo:doi	10.1016/j.cmi.2020.08.011
bibo:pmid	32822883
has license	no-cc
sha1sum (hex)	9619f35ea6bf20b44e15da9fad7570f0d4eed794
schema:url	https://doi.org/10.1016/j.cmi.2020.08.011
resource representing a document's title	Clinical course and factors associated with outcomes among 1904 patients hospitalized with COVID-19 in Germany: an observational study
has PubMed Central identifier	PMC7434317
has PubMed identifier	32822883
schema:publication	Clin Microbiol Infect
resource representing a document's body	covid:9619f35ea6bf20b44e15da9fad7570f0d4eed794#body_text
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