HealthDay News – For adults hospitalized with COVID-19, monthly hospitalization rates, intensive care unit admissions (ICU) and deaths peaked in December 2020, according to a study published Aug. 10 in the Annals of Internal Medicine was published online.
Shikha Garg, MD, MPH, of the U.S. Centers for Disease Control and Prevention in Atlanta, and colleagues conducted a pooled cross-sectional study to examine monthly clinical trends in adults living with COVID-19 from 99 counties in 14th district States were hospitalized. Data from 116,743 hospitalized adults with COVID-19 were included.
The researchers found that the peaks in monthly hospitalization rates (105.3 per 100,000 people), intensive care (20.2 per 100,000 people), and deaths (11.7 per 100,000 people) occurred in December 2020. The highest rates of all three endpoints were among adults 65 and over, men, and Hispanic or non-Hispanic blacks. The use of remdesivir and systemic corticosteroids increased from 1.7 and 18.9 percent in March to 53.8 and 74.2 percent in December among 18,508 hospitalized adults. From March to December, the frequency of ICU admission, mechanical ventilation, and vasopressor use decreased from 37.8, 27.8, and 22.7 percent, respectively, to 20.5, 12.3, and 12.8 percent, respectively , while the use of non-invasive ventilators increased.
“The evolving practices of healthcare providers, guided by increased knowledge and experience in dealing with patients with COVID-19, have likely contributed to improved patient outcomes,” the authors write.
Two authors disclosed financial ties to the biopharmaceutical industry.
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