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SARS-CoV-2 pandemic in New York metropolitan area: the view from a major urgent care provider.

Publication ,  Journal Article
Rane, MS; Profeta, A; Poehlein, E; Kulkarni, S; Robertson, M; Gainus, C; Parikh, A; LeBenger, K; Frogel, D; Nash, D
Published in: Annals of epidemiology
October 2022

Tracking severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing and positivity trends is crucial for understanding the trajectory of the pandemic. We describe demographic and clinical characteristics, testing, and positivity rates for SARS-CoV-2 among 2.8 million patients evaluated at an urgent care provider.We conducted a retrospective study of patients receiving a diagnostic or serologic test for SARS-CoV-2 between March 1, 2020 and July 20, 2021 at 115 CityMD locations in the New York metropolitan area. Temporal trends in SARS-CoV-2 positivity by diagnostic and serologic tests stratified by age, sex, race/ethnicity, and borough of residence were assessed.During the study period, 6.1 million COVID diagnostic and serological tests were performed on 2.8 million individuals. Testing levels were higher among 20-29-year-old, non-Hispanic White, and female patients compared with other groups. About 35% were repeat testers. Reverse transcriptase polymerase chain reaction positivity was higher in non-Hispanic Black (7.9%), Hispanic (8.2%), and Native American (8.2%) compared to non-Hispanic White (5.7%) patients. Overall seropositivity was estimated to be 22.1% (95% confidence interval: 22.0-22.2) and was highest among 10-14 year olds (27.9%), and non-Hispanic Black (26.0%) and Hispanic (31.0%) testers.Urgent care centers can provide broad access to diagnostic testing and critical evaluation for ambulatory patients during pandemics, especially in population-dense, urban epicenters.  Urgent care center electronic medical records data can provide in-depth surveillance during pandemics complementary to citywide health department data sources.

Duke Scholars

Published In

Annals of epidemiology

DOI

EISSN

1873-2585

ISSN

1047-2797

Publication Date

October 2022

Volume

74

Start / End Page

31 / 40

Related Subject Headings

  • Young Adult
  • SARS-CoV-2
  • Retrospective Studies
  • Pandemics
  • New York
  • Humans
  • Female
  • Epidemiology
  • COVID-19
  • Ambulatory Care
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Rane, M. S., Profeta, A., Poehlein, E., Kulkarni, S., Robertson, M., Gainus, C., … Nash, D. (2022). SARS-CoV-2 pandemic in New York metropolitan area: the view from a major urgent care provider. Annals of Epidemiology, 74, 31–40. https://doi.org/10.1016/j.annepidem.2022.05.006
Rane, Madhura S., Angela Profeta, Emily Poehlein, Sarah Kulkarni, McKaylee Robertson, Chris Gainus, Ashish Parikh, Kerry LeBenger, Daniel Frogel, and Denis Nash. “SARS-CoV-2 pandemic in New York metropolitan area: the view from a major urgent care provider.Annals of Epidemiology 74 (October 2022): 31–40. https://doi.org/10.1016/j.annepidem.2022.05.006.
Rane MS, Profeta A, Poehlein E, Kulkarni S, Robertson M, Gainus C, et al. SARS-CoV-2 pandemic in New York metropolitan area: the view from a major urgent care provider. Annals of epidemiology. 2022 Oct;74:31–40.
Rane, Madhura S., et al. “SARS-CoV-2 pandemic in New York metropolitan area: the view from a major urgent care provider.Annals of Epidemiology, vol. 74, Oct. 2022, pp. 31–40. Epmc, doi:10.1016/j.annepidem.2022.05.006.
Rane MS, Profeta A, Poehlein E, Kulkarni S, Robertson M, Gainus C, Parikh A, LeBenger K, Frogel D, Nash D. SARS-CoV-2 pandemic in New York metropolitan area: the view from a major urgent care provider. Annals of epidemiology. 2022 Oct;74:31–40.
Journal cover image

Published In

Annals of epidemiology

DOI

EISSN

1873-2585

ISSN

1047-2797

Publication Date

October 2022

Volume

74

Start / End Page

31 / 40

Related Subject Headings

  • Young Adult
  • SARS-CoV-2
  • Retrospective Studies
  • Pandemics
  • New York
  • Humans
  • Female
  • Epidemiology
  • COVID-19
  • Ambulatory Care