Effect of Race and Ethnicity on In-Hospital Mortality in Patients with COVID-19.
Ethn Dis
; 31(3): 389-398, 2021.
Article
in English
| MEDLINE | ID: covidwho-1502975
ABSTRACT
Objective:
To identify differences in short-term outcomes of patients with coronavirus disease 2019 (COVID-19) according to various racial/ethnic groups.Design:
Analysis of Cerner de-identified COVID-19 dataset.Setting:
A total of 62 health care facilities.Participants:
The cohort included 49,277 adult COVID-19 patients who were hospitalized from December 1, 2019 to November 13, 2020. Main OutcomeMeasures:
The primary outcome of interest was in-hospital mortality. The secondary outcome was non-routine discharge (discharge to destinations other than home, such as short-term hospitals or other facilities including intermediate care and skilled nursing homes).Methods:
We compared patients' age, gender, individual components of Charlson and Elixhauser comorbidities, medical complications, use of do-not-resuscitate, use of palliative care, and socioeconomic status between various racial and/or ethnic groups. We further compared the rates of in-hospital mortality and non-routine discharges between various racial and/or ethnic groups.Results:
Compared with White patients, in-hospital mortality was significantly higher among African American (OR 1.5; 95%CI1.3-1.6, P<.001), Hispanic (OR1.4; 95%CI1.3-1.6, P<.001), and Asian or Pacific Islander (OR 1.5; 95%CI 1.1-1.9, P=.002) patients after adjustment for age and gender, Elixhauser comorbidities, do-not-resuscitate status, palliative care use, and socioeconomic status.Conclusions:
Our study found that, among hospitalized patients with COVID-2019, African American, Hispanic, and Asian or Pacific Islander patients had increased mortality compared with White patients after adjusting for sociodemographic factors, comorbidities, and do-not-resuscitate/palliative care status. Our findings add additional perspective to other recent studies.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Ethnicity
/
COVID-19
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Adult
/
Humans
Country/Region as subject:
North America
Language:
English
Journal:
Ethn Dis
Journal subject:
Social Sciences
/
Public Health
Year:
2021
Document Type:
Article
Affiliation country:
Ed.31.3.389
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