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Other, smaller reports have indicated that patients who need ventilation are unlikely to survive.
But this study, published in the Journal of the American Medical Association, shows how dire the outlook is for patients with severe Covid-19 disease.
The team examined the electronic health records of 5,700 coronavirus disease patients hospitalized at Northwell Health. The final results were known to 2,634 of them.
“Of the patients who died, those with diabetes were more likely to have received invasive mechanical ventilation or ICU care compared to those without diabetes,” the researchers wrote.
They also confirmed that men were more likely to die than women, and that no one under the age of 18 died.
The symptoms of infection were far from clear. About a third of all patients presented with fever, 17% were breathing too fast, and just under 30% required additional oxygen. On average, patients were sent home after four days.
But 14% were treated in intensive care, 3% needed intensive dialysis, and 21% died.
“This study reported mortality rates only for patients with defined outcomes (discharge or death), and a longer-term study may find different mortality rates as different segments of the population are infected,” the Northwell Health team wrote. .