HIV Diagnosis and the Clinical Course of COVID-19 Among Patients Seeking Care Within the New York City Public Hospital System During the Initial Pandemic Peak

2021 ◽  
Author(s):  
Emma Kaplan-Lewis ◽  
Jaspreet Banga ◽  
Maria Khan ◽  
Eunice Casey ◽  
Medha Mazumdar ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Public Hospital ◽  
Clinical Course ◽  
Hiv Diagnosis ◽  
Hospital System ◽  
Public Hospital System

scholarly journals Impact of a Novel Emergency Department Forward Treatment Area During the New York City COVID-19 Surge

2021 ◽  
Vol 22 (4) ◽  
pp. 871-877
Author(s):  
Joshua Moskovitz ◽  
Kaushal Khambhati ◽  
Comilla Sasson ◽  
Jason D’Amore ◽  
Michael Jones ◽  
...  
Keyword(s):  
Emergency Department ◽  
New York ◽  
New York City ◽  
York City ◽  
Treatment Area ◽  
Hospital System ◽  
Number Of Patients ◽  
Lower Oxygen ◽  
Disproportionate Number ◽  
Public Hospital System

Introduction: Coronavirus disease 2019 (COVID-19) caused a disproportionate number of patients to seek emergency care at hospitals in New York City (NYC) during the initial crisis. Our urban emergency department (ED), a member of the NYC public hospital system had to process the increased volume while also differentiating our patients’ critical needs. We established a forward treatment area (FTA) directly in front of the ED to accomplish these goals from March 23–April 16, 2020. Methods: A clinical greeter evaluated patients 18 years and older who presented to the walk-in entrance of the ED where they were screened for COVID-19-like complaints. If they did not appear critically ill and could ambulate they were directed into the FTA. Clinical and non-clinical staff worked in concert to register, evaluate, and process patients with either a disposition of directly home or into the ED for further care. Results: A total of 634 patients were seen in the FTA from March 23–April 16, 2020. Of the 634 patients evaluated, 135 (21%) were referred into the ED for further evaluation, of whom 81 (12.7% of the total) were admitted. These patients were disproportionately male (91 into the ED and 63 admitted) and tended to have a higher heart rate (105.4 vs 93.7), a higher respiratory rate (21.5 vs 18.1), and lower oxygen saturation (93.9% vs 97.8%). Conclusion: A forward treatment area is an effective method to rapidly screen and process an increased volume of COVID-19 patients when resources are limited. This treatment area helped decompress the ED by being rapidly deployable and effectively screening patients for safe discharge home.

scholarly journals Characteristics and outcomes of COVID-19 patients in New York City’s public hospital system

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243027
Author(s):  
Roopa Kalyanaraman Marcello ◽  
Johanna Dolle ◽  
Sheila Grami ◽  
Richard Adule ◽  
Zeyu Li ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Chronic Kidney Disease ◽  
New York ◽  
New York City ◽  
Kidney Disease ◽  
Public Hospital ◽  
Case Series ◽  
Ethnically Diverse ◽  
Hospital System ◽  
Public Hospital System

Background New York City (NYC) bore the greatest burden of COVID-19 in the United States early in the pandemic. In this case series, we describe characteristics and outcomes of racially and ethnically diverse patients tested for and hospitalized with COVID-19 in New York City’s public hospital system. Methods We reviewed the electronic health records of all patients who received a SARS-CoV-2 test between March 5 and April 9, 2020, with follow up through April 16, 2020. The primary outcomes were a positive test, hospitalization, and death. Demographics and comorbidities were also assessed. Results 22254 patients were tested for SARS-CoV-2. 13442 (61%) were positive; among those, the median age was 52.7 years (interquartile range [IQR] 39.5–64.5), 7481 (56%) were male, 3518 (26%) were Black, and 4593 (34%) were Hispanic. Nearly half (4669, 46%) had at least one chronic disease (27% diabetes, 30% hypertension, and 21% cardiovascular disease). Of those testing positive, 6248 (46%) were hospitalized. The median age was 61.6 years (IQR 49.7–72.9); 3851 (62%) were male, 1950 (31%) were Black, and 2102 (34%) were Hispanic. More than half (3269, 53%) had at least one chronic disease (33% diabetes, 37% hypertension, 24% cardiovascular disease, 11% chronic kidney disease). 1724 (28%) hospitalized patients died. The median age was 71.0 years (IQR 60.0, 80.9); 1087 (63%) were male, 506 (29%) were Black, and 528 (31%) were Hispanic. Chronic diseases were common (35% diabetes, 37% hypertension, 28% cardiovascular disease, 15% chronic kidney disease). Male sex, older age, diabetes, cardiac history, and chronic kidney disease were significantly associated with testing positive, hospitalization, and death. Racial/ethnic disparities were observed across all outcomes. Conclusions and relevance This is the largest and most racially/ethnically diverse case series of patients tested and hospitalized for COVID-19 in New York City to date. Our findings highlight disparities in outcomes that can inform prevention and testing recommendations.

Staffing Up For The Surge: Expanding The New York City Public Hospital Workforce During The COVID-19 Pandemic

2020 ◽  
Vol 39 (8) ◽  
pp. 1426-1430 ◽  
Author(s):  
Chris Keeley ◽  
Jonathan Jimenez ◽  
Hannah Jackson ◽  
Leon Boudourakis ◽  
R. James Salway ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Public Hospital

Linkage to Care After HIV Diagnosis in New York City

2017 ◽  
Vol 76 (1) ◽  
pp. e18-e21 ◽  
Author(s):  
Qiang Xia ◽  
Yaoyu Zhong ◽  
Ellen W. Wiewel ◽  
Sarah L. Braunstein ◽  
Lucia V. Torian
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Linkage To Care ◽  
Hiv Diagnosis

Years Since Diagnosis Among People Living With Diagnosed HIV in New York City

2021 ◽  
pp. 003335492110613
Author(s):  
Qiang Xia ◽  
Lucia V. Torian ◽  
Sarah L. Braunstein ◽  
Oni J. Blackstock
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Race And Ethnicity ◽  
Median Number ◽  
Transmission Risk ◽  
Hiv Diagnosis ◽  
Hiv Surveillance ◽  
Asian Pacific ◽  
Time Since Diagnosis

Antiretroviral treatment has greatly improved the survival of people living with diagnosed HIV (PLWDH), but little information is available on the time since diagnosis among them. Using New York City HIV surveillance data, we described the trend in the number of years since diagnosis among PLWDH during 2010-2019 and reported the mean, median, and interquartile range (IQR) of years since diagnosis among PLWDH in New York City in 2019, overall and by gender, race and ethnicity, and transmission risk. The median number of years since diagnosis among PLWDH in New York City increased from 10.5 years (IQR, 6.3-15.6) in 2010 to 16.3 years (IQR, 8.9-22.1) in 2019. By gender, transgender people had the shortest time since diagnosis, with a median of 11.4 years (IQR, 5.6-17.9), compared with men (median = 15.2 years; IQR, 8.1-21.6) and women (median, 18.5 years; IQR, 12.0-23.0). By race and ethnicity, non-Hispanic White people had been living with the diagnosis for the longest time (median = 17.4 years; IQR, 9.5-23.5), and Asian/Pacific Islander people had been living with the diagnosis for the shortest time (median = 10.1 years; IQR, 4.7-17.0). With an expected and continuing increase in the number of years since HIV diagnosis among PLWDH, programs that provide treatment and support services will need to be expanded, updated, and improved.

scholarly journals “Like a ticking time bomb”: the persistence of trauma in the HIV diagnosis experience among black men who have sex with men in New York City

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ofole Mgbako ◽  
Ellen Benoit ◽  
Nishanth S. Iyengar ◽  
Christopher Kuhner ◽  
Dustin Brinker ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Black Men ◽  
York City ◽  
Hiv Diagnosis ◽  
Sex With Men

scholarly journals Disaggregating Asian Race Reveals COVID-19 Disparities among Asian Americans at New York City’s Public Hospital System

2020 ◽  
Author(s):  
Roopa Kalyanaraman Marcello ◽  
Johanna Dolle ◽  
Areeba Tariq ◽  
Sharanjit Kaur ◽  
Linda Wong ◽  
...  
Keyword(s):  
New York ◽  
Asian Americans ◽  
Public Hospital ◽  
South Asians ◽  
Chinese Americans ◽  
Chinese Patients ◽  
Hospital System ◽  
Ethnic Subgroups ◽  
Public Hospital System ◽  
Racial Ethnic

AbstractThere is growing recognition of the burden of COVID-19 among Asian Americans, but data on outcomes among Asian ethnic subgroups remain extremely limited. We conducted a retrospective analysis of 85,328 patients tested for COVID-19 at New York City’s public hospital system between March 1 and May 31, 2020, to describe characteristics and COVID-19 outcomes of Asian ethnic subgroups compared to Asians overall and other racial/ethnic groups. South Asians had the highest rates of positivity and hospitalization among Asians, second only to Hispanics for positivity and Blacks for hospitalization. Chinese patients had the highest mortality rate of all groups and were nearly 1.5 times more likely to die than Whites. The high burden of COVID-19 among South Asian and Chinese Americans underscores the urgent needs for improved data collection and reporting as well as public health program and policy efforts to mitigate the disparate impact of COVID-19 among these communities.

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