Page 22 - Delaware Medical Journal - July/August 2020

Figure 3
Figure 4
by acute respiratory distress syndrome (ARDS), fever, and/or hypotension in such as ferritin, D-dimer, CRP, and/or IL-6 when available, were also treated with the IL-6 receptor antagonist tocilizumab.9,10,11 Remdisivir was not readily available at this time.
Discharge Status
Forty-eight percent of patients were discharged home without services
and 20% of patients were sent home with home-health nursing support (see Figure 4). Eighteen percent of patients expired and 4% were discharged on hospice. Ten percent of patients were discharged to an inpatient rehabilitation facility (IRF) or skilled nursing facility this study, SNFs were not accepting any COVID-19 positive patients, so SNF-appropriate patients were often discharged to IRFs.
CONCLUSION
Findings at our community hospital largely corresponded to other early studies of COVID-19. We had an increased incidence of Hispanic patients in our patient cohort, likely related to the geographical move of the disease after an outbreak of COVID-19 in that community.
Unlike other studies, which have shown increased mortality in Black/African American patients, this was not seen in our cohort, albeit the number was small in size. There was an increased number of Black/African American patients in our study relative to the county population.
Elderly patients, men, and patients with comorbidities had a more prolonged length of stay and greater mortality. Patients from skilled nursing facilities and assisted living facilities fared more poorly compared to the general population.
As the pandemic persists, our elderly, unhealthy, and institutionalized patients will likely be at an increased risk of complications and severity from this disease.
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Del Med J | July/August 2020 | Vol. 92 | No. 4