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43-3.14] had a higher odd of hospitalization. Fifty percent of inpatients were hospitalized more than 7 days. Median length of hospitalization was 13 days [IQR 8-29] among individuals aged 19-44 years, and 17 days [IQR 11-24.6] among those aged 45-69. Forty-two percent of the fatal cases occurred among adults under 60 years old. Our findings show that a high proportion of COVID-19 cases in Honduras occurred among younger adults, who also constituted a significant proportion of severe and fatal cases. Pre-existing conditions were associa