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Characterization of persons with reported SARS-CoV-2 infection in the Oklahoma City tri-county area: Evidence from the first 12 months of transmission - 18/06/22

Doi : 10.1016/j.ajic.2022.03.007 
Katrin Gaardbo Kuhn, PhD a, , Kapil Khadka, PhD b, Kunle Adesigbin, MPH b, Barbara Altidort, MPH b, Kavya Boyina, MS a, Eddie Withers, MPH b, Phil Maytubby, PhD b, Aaron Wendelboe, PhD a
a Department of Biostatistics & Epidemiology, Hudson College of Public Health, Oklahoma University Health Sciences Center, Oklahoma City, OK 
b Oklahoma City-County Health Department, Oklahoma City, OK 

Address correspondence to Katrin Gaardbo Kuhn, PhD, Department of Biostatistics & Epidemiology, Hudson College of Public Health, Oklahoma University Health Sciences Center, 801 NE 13th St, Oklahoma City, OK.Department of Biostatistics & Epidemiology, Hudson College of Public Health, Oklahoma University Health Sciences Center801 NE 13th StOklahoma CityOK

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Abstract

Background

To describe characteristics, hospitalization, and death for reported cases of SARS-CoV-2 infection in the Oklahoma City tri-county area.

Methods

We extracted notified cases of SARS-CoV-2 infection for our study area and used descriptive statistics and modeling to examine case characteristics and calculate the odds of hospitalization and death in relation to a range of explanatory variables.

Results

Between March 12th, 2020 and February 28th, 2021, 124,925 cases of SARS-CoV-2 infection were reported from the study region. Being male, White or Black/African American, aged 50 years or older, presenting with apnea, cough, and shortness of breath, and having diabetes was associated with increased odds of hospitalization. The odds of dying were significantly associated with being Black/African American, presenting with cough and fever, having kidney disease and diabetes and being aged 70 years or older.

Conclusions

The first cohort analysis of SARS-CoV-2 positive individuals in the Oklahoma City tri-county area confirms comorbidities and age as important predictors of COVID-19 hospitalization or death. As a novel aspect, we show that early symptoms of breathing difficulties in particular are associated with hospitalization and death. Initial case assessment and SARS-CoV-2 guidelines should continue to focus on age, comorbidities, and early symptoms.

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Key words : COVID, SARS-CoV-2, Oklahoma city, Demography, Hospitalization, Death, Comorbidities, Symptoms


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 Funding/support: This work was funded by the City of Oklahoma City through the Oklahoma City County Health Department.
 Conflicts of interest: The authors have no conflicts of interest to declare.
 Author contributions: KGK and AW designed the project. KGK, KA, KB, and AW conducted the analysis and wrote the manuscript. KK, KA, BA, EW, and PM provided, processed and interpreted data. All authors interpreted the analysis results and revised the manuscript.


© 2022  Association for Professionals in Infection Control and Epidemiology, Inc.. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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Vol 50 - N° 7

P. 729-734 - juillet 2022 Regresar al número
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