Publications by authors named "Julie Hollberg"

Article Synopsis
  • Multisystem inflammatory syndrome in adults (MIS-A) is a serious condition linked to SARS-CoV-2 infection that was examined in a study involving four hospitals in Atlanta from April 2020 to January 2021.
  • The study identified 11 cases of MIS-A, none diagnosed during initial treatment, compared to 5,755 COVID-19 hospitalizations, revealing a significant age difference with most MIS-A patients being under 50 years and predominantly non-Hispanic Black.
  • The findings indicate that MIS-A often leads to severe complications requiring intensive care, highlighting the need for better awareness and recognition of this condition in healthcare settings.*
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We compared the characteristics of hospitalized and nonhospitalized patients who had coronavirus disease in Atlanta, Georgia, USA. We found that risk for hospitalization increased with a patient's age and number of concurrent conditions. We also found a potential association between hospitalization and high hemoglobin A1c levels in persons with diabetes.

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Background: The epidemiological features and outcomes of hospitalized adults with coronavirus disease 2019 (COVID-19) have been described; however, the temporal progression and medical complications of disease among hospitalized patients require further study. Detailed descriptions of the natural history of COVID-19 among hospitalized patients are paramount to optimize health care resource utilization, and the detection of different clinical phenotypes may allow tailored clinical management strategies.

Methods: This was a retrospective cohort study of 305 adult patients hospitalized with COVID-19 in 8 academic and community hospitals.

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Article Synopsis
  • The study examined predictors of poor outcomes from COVID-19 among 297 hospitalized adults in Georgia, highlighting the importance of data collected during admission.
  • Older age significantly increased the risk of invasive mechanical ventilation and death, with those aged 65 and older at the highest risk.
  • Comorbidities like end-stage renal disease and coronary artery disease were linked to higher mortality, while certain antihypertensive medications showed unexpected associations with death.
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Article Synopsis
  • * High hospitalization rates for COVID-19 are particularly seen in older adults, black individuals, and those with underlying health issues like diabetes and obesity.
  • * A study in Atlanta identified key risk factors for hospitalization, including age, race, pre-existing conditions, and factors like lack of insurance; preventive measures and support for high-risk groups are crucial.
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SARS-CoV-2, the novel coronavirus that causes coronavirus disease 2019 (COVID-19), was first detected in the United States during January 2020 (1). Since then, >980,000 cases have been reported in the United States, including >55,000 associated deaths as of April 28, 2020 (2). Detailed data on demographic characteristics, underlying medical conditions, and clinical outcomes for persons hospitalized with COVID-19 are needed to inform prevention strategies and community-specific intervention messages.

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Research examining whether and how adolescent patients should gain access to their electronic health records is gaining momentum. We conducted a survey to explore diversity in adolescent privacy policies and identify common approaches in health information technology management for adolescent patients. Through descriptive analyses of survey data, we found a wide range of institutional policies regarding adolescent patient privacy, and large variations in health IT executives' baseline knowledge of access policies.

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