1/ THREAD: Healthcare Professionals continue to care for patients every day without adequate protection and put themselves, families, coworkers, patients, & communities at risk of death or significant injury from #COVID19. So, what is this new CDC DATA?
https://www.cdc.gov/mmwr/volumes/69/wr/pdfs/mm6943e3-H.pdf https://twitter.com/arghavan_salles/status/1320941628178067456

2/ #COVID19 Associated Hospitalization Surveillance Network (COVID-NET) Database Analysis

Where: 13 states CA, CO, CT, GA, MD, MI, MN, NM, NY, OH, OR, TN, UT

When: March 1 – May 31, 2020

N = 28,972 hospitalized adult patients
→ 8,515 sampled for complete chart abstraction

3/ → 6,760 sampled cases w/ HCP status

438 = HCP identified in this sample of hospitalized adults

Inclusion criteria: ≥18 yo, +SARS-CoV-2 test result during their hospitalization OR within 14 days before admission, & hospitalized with COVID-19 during 3/1-5/31

4/ **Important to note that due to age stratified sampling, unweighted case counts as well as weighted percentages are presented**

PATIENT DATA:
49 yo = Median age
278 (46.4%) = 18-49 yrs
139 (46.1%) = 50-64 yrs
21 (7.5%) = >65 yrs

71.9% (307) = Female
28.1% (131) = Male

5/ MORE PATIENT DATA:

52% (184) = Black
27.4% (142) = White
8.6% (48) = Hispanic or Latino
6.8% (39) = American Indian or Alaska Native
3.2% (12) = Asian or Pacific Islander

@uche_blackstock @DrOniBee @gradydoctor @Theresa_Chapple @DrFNA @DrAyanaJordan @mclemoremr @iamn0tthe1

6/ 36.3% of HCP hospitalized with COVID-19 worked in nursing-related occupations, representing the largest proportion of HCP hospitalized with COVID-19

115 (27.8%) = Nurses
50 (8.5%) = CNA/nursing assistants/nurse aide

#NurseTwitter

7/ 25 (6.6%) = Patient aide/care aide/caregiver/patient care assistant
17 = Home health personnel
16 = Phlebotomist/technician
16 = Social work/behavioral health/counseling
15 = Physicians
9 = Physical therapist/occupational therapist/chiropractor
7 = Dentist/dental hygienist

8/ 7 = EMS personnel/paramedic
6 = Medical assistant
3 = Nursing home/long-term care/assisted living staff members
3 = Respiratory therapist

22 = HR/Admin staff members
13 = Housekeeping/maintenance staff members
12= Nursing home/long-term care/assisted living staff members

9/ 7 = Food service
6 = Pharmacist/pharmacy staff members, role unspecified
3 = Environmental services
1 = Laboratory staff members, role unspecified
1 = Security

10/ CARE:

4 days = Median length of hospital stay [range 3-9 days]

116 (27.5%) = Admitted to ICU

6 days = Median length of ICU stay [range 3-20]

65 (15.8%) = Mechanical Ventilation
→2 pregnant patients were admitted to the ICU, & 1 required vent [34 preg]

5 (1.9%) = ECMO

11/ CLINICAL DIAGNOSES:

213 (56.7%) = Pneumonia
170 (42.9%) = Acute Respiratory Failure
63 (13.2%) = Sepsis
46 (9.7%)= Acute Renal Failure
38 (9.0%) = ARDS
16 (4.2%) = DECEASED

12/ Our government, institutions, & the #American public have taken the morality of Healthcare Professionals & used it to exploit necessary skills without regard to personal safety, or the safety their families, coworkers, patients, or communities.

Integral & yet replaceable.

13/ These work associated infections and subsequent hospitalizations were preventable.

The CDC recommendations of PPE in this report are inadequate based on the existing science.

Clinicians are STILL reusing PPE and STILL gathering their own #getusPPE @meganranney @erictopol

14/ At what point do we say enough, our deaths are PREVENTABLE?

How many healthcare professionals have to get sick?

How many of us have to needlessly die?

The loss of a healer is the loss of all the people that person may have also helped.

15/ America,

When will we listen to, hear, and respect healthcare professionals?

When will we listen to, hear, and respect nurses?

When will we listen to, hear, and respect women?

When will we listen to, hear, and respect Black women?

16/ The realization of being viewed as so interchangeable, coupled with bearing witness to the magnitude of suffering & death from #COVID & feelings of futility in fighting a novel pathogen with little to no national support will traumatize healthcare professionals for years.

@threadreaderapp please unroll

Also, for anyone who wants to know the details of the age stratification (and representation of pregnant and 18+ patients) in the sampling: