Corona Virus Disease-19 (COVID-19) in a Veterans Affairs Hospital at Suffolk County, Long Island, New York

{ 'indexed': {'date-parts': [[2023, 5, 16]], 'date-time': '2023-05-16T14:16:57Z', 'timestamp': 1684246617762}, 'reference-count': 0, 'publisher': 'Oxford University Press (OUP)', 'issue': 'Supplement_1', 'license': [ { 'start': { 'date-parts': [[2021, 1, 2]], 'date-time': '2021-01-02T00:00:00Z', 'timestamp': 1609545600000}, 'content-version': 'vor', 'delay-in-days': 93, 'URL': 'http://creativecommons.org/licenses/by-nc-nd/4.0/'}], 'content-domain': {'domain': [], 'crossmark-restriction': False}, 'published-print': {'date-parts': [[2020, 12, 31]]}, 'abstract': '<jats:title>Abstract</jats:title>\n' ' <jats:sec>\n' ' <jats:title>Background</jats:title>\n' ' <jats:p>The area of New York was hit hard by the COVID 19 pandemic with ' 'Suffolk county in Long Island numbering &amp;gt;40 thousand cases and 1900 deaths by the end ' 'of May 2020. The Veterans Affairs Medical Center (VAMC) at Northport NY serves over 30000 ' 'Veterans. We report our institution’s experience during the COVID 19 outbreak</jats:p>\n' ' </jats:sec>\n' ' <jats:sec>\n' ' <jats:title>Methods</jats:title>\n' ' <jats:p>Retrospective chart review of hospitalized Veterans (VETS) with ' 'COVID-19 from March 1st to May 31st 2020 at Northport VAMC</jats:p>\n' ' </jats:sec>\n' ' <jats:sec>\n' ' <jats:title>Results</jats:title>\n' ' <jats:p>A total of 141 VETS had laboratory confirmed SARS-CoV-2 infection, ' '67 got hospitalized, and 20/67 died. The median age of the hospitalized cohort was 73 years ' '(33 to 94). Figure 1 shows the dates of tests, Tables 1 &amp;2 summarize the demographic ' 'characteristics, medical history and laboratory findings. No co-infection with influenza or ' 'other respiratory viruses were identified. The deceased group was older 77.5 vs 71 years P ' '0.007, had lower oxygen saturation and higher respiratory rate on presentation, had longer ' 'length of stay P 0.091, more likely to be in ICU and intubated, had lower bicarbonate levels, ' 'higher SAPS P &amp;lt; 0.001, higher lactate dehydrogenase, blood urea nitrogen, potassium ' 'levels, and higher peak procalcitonin, CRP, ferritin, ESR levels. There was no difference ' 'between recovered and deceased in terms of comorbidities except atrial fibrillation. Also, no ' 'difference in use of ACE inhibitors, statins, famotidine, hydroxychloroquine (HCQ), ' 'azithromycin, doxycycline, steroids. Beta lactam antibiotics and tocilizumab were given more ' 'in the deceased group. HCQ was stopped in 1 patient due to QTc prolongation. No bacteremia ' 'identified in the recovered group contrary to two occasions in the deceased, E. faecalis and ' 'S. mitis. Six pneumonias in intubated deceased patients were identified (3 had received ' 'steroids and one tocilizumab) and 4 in recovered (2 intubated/steroids and 1 tocilizumab). 12 ' 'recovered patients had persistent positive nasopharyngeal PCR for SARS-CoV-2 for average 29 ' 'days (14 to 79 days), and 4 of them were checked and had detectable IgG antibody</jats:p>\n' ' <jats:p>Dates of Tests for Hospitalized Veterans with COVID-19</jats:p>\n' ' <jats:p />\n' ' <jats:p>Comparison of Demographic Data and Comorbidities in Recovered vs ' 'Diseased Hospitalized Veterans with COVID - 19</jats:p>\n' ' <jats:p />\n' ' <jats:p>Comparison of Laboratory Data in Recovered vs Diseased Hospitalized ' 'Veterans with COVID - 19</jats:p>\n' ' <jats:p />\n' ' </jats:sec>\n' ' <jats:sec>\n' ' <jats:title>Conclusion</jats:title>\n' ' <jats:p>The inpatient mortality of hospitalized VETS with COVID-19 in our ' 'institution was 30%. Mortality was associated with older age. Ongoing monitoring of outcomes ' 'in hospitalized patients will be important to understand the evolving epidemiology of ' 'COVID-19 among US VETS.</jats:p>\n' ' </jats:sec>\n' ' <jats:sec>\n' ' <jats:title>Disclosures</jats:title>\n' ' <jats:p>All Authors: No reported disclosures</jats:p>\n' ' </jats:sec>', 'DOI': '10.1093/ofid/ofaa439.721', 'type': 'journal-article', 'created': {'date-parts': [[2021, 1, 2]], 'date-time': '2021-01-02T08:19:41Z', 'timestamp': 1609575581000}, 'page': 'S330-S331', 'source': 'Crossref', 'is-referenced-by-count': 1, 'title': '527. Corona Virus Disease-19 (COVID-19) in a Veterans Affairs Hospital at Suffolk County, Long ' 'Island, New York', 'prefix': '10.1093', 'volume': '7', 'author': [ { 'given': 'George', 'family': 'Psevdos', 'sequence': 'first', 'affiliation': [{'name': 'Northport VA, North Port, New York'}]}, { 'given': 'Aikaterini', 'family': 'Papamanoli', 'sequence': 'additional', 'affiliation': [{'name': 'Stony Brook University Hospital, Port Jefferson, New York'}]}, { 'given': 'Zeena', 'family': 'Lobo', 'sequence': 'additional', 'affiliation': [{'name': 'Northport VA, North Port, New York'}]}], 'member': '286', 'published-online': {'date-parts': [[2020, 12, 31]]}, 'container-title': 'Open Forum Infectious Diseases', 'original-title': [], 'language': 'en', 'link': [ { 'URL': 'http://academic.oup.com/ofid/article-pdf/7/Supplement_1/S330/35338131/ofaa439.721.pdf', 'content-type': 'application/pdf', 'content-version': 'vor', 'intended-application': 'syndication'}, { 'URL': 'http://academic.oup.com/ofid/article-pdf/7/Supplement_1/S330/35338131/ofaa439.721.pdf', 'content-type': 'unspecified', 'content-version': 'vor', 'intended-application': 'similarity-checking'}], 'deposited': { 'date-parts': [[2021, 1, 2]], 'date-time': '2021-01-02T08:19:41Z', 'timestamp': 1609575581000}, 'score': 1, 'resource': {'primary': {'URL': 'https://academic.oup.com/ofid/article/7/Supplement_1/S330/6057008'}}, 'subtitle': [], 'short-title': [], 'issued': {'date-parts': [[2020, 10, 1]]}, 'references-count': 0, 'journal-issue': {'issue': 'Supplement_1', 'published-print': {'date-parts': [[2020, 12, 31]]}}, 'URL': 'http://dx.doi.org/10.1093/ofid/ofaa439.721', 'relation': {}, 'ISSN': ['2328-8957'], 'subject': ['Infectious Diseases', 'Oncology'], 'published-other': {'date-parts': [[2020, 10, 1]]}, 'published': {'date-parts': [[2020, 10, 1]]}}