Clinical Experience with COVID-19 at a Specialty Orthopedic Hospital Converted to a Pandemic Overflow Field Hospital |
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Authors: | Miller Andy O Kapadia Milan Kirksey Meghan A Sandhu Milan Jannat-Khah Deanna Bui Trang Boyle K Keely Krez Alexandra Russell Linda ONeill Jennifer Stein Emily M Henry Michael W Antao Vinicius C Padgett Douglas E |
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Institution: | 1.Department of Medicine, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA ;2.Department of Anesthesiology, Critical Care, and Pain Management, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA ;3.Weill Cornell Medicine, New York, NY, 10021, USA ;4.Department of Orthopedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA ;5.Department of Nursing, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA ;6.Department of Value, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA ; |
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Abstract: | Background COVID-19, the illness caused by the novel coronavirus, SARS-CoV-2, has sickened millions and killed hundreds of thousands as of June 2020. New York City was affected gravely. Our hospital, a specialty orthopedic hospital unaccustomed to large volumes of patients with life-threatening respiratory infections, underwent rapid adaptation to care for COVID-19 patients in response to emergency surge conditions at neighboring hospitals. PurposesWe sought to determine the attributes, pharmacologic and other treatments, and clinical course in the cohort of patients with COVID-19 who were admitted to our hospital at the height of the pandemic in April 2020 in New York City. MethodsWe conducted a retrospective observational cohort study of all patients admitted between April 1 and April 21, 2020, who had a diagnosis of COVID-19. Data were gathered from the electronic health record and by manual chart abstraction. ResultsOf the 148 patients admitted with COVID-19 (mean age, 62 years), ten patients died. There were no deaths among non-critically ill patients transferred from other hospitals, while 26% of those with critical illness died. A subset of COVID-19 patients was admitted for orthopedic and medical conditions other than COVID-19, and some of these patients required intensive care and ventilatory support. ConclusionProfessional and organizational flexibility during pandemic conditions allowed a specialty orthopedic hospital to provide excellent care in a global public health emergency. |
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