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Racial Disparities in 30-Day Outcomes Following Index Admission for COVID-19.
Nimgaonkar, Vivek; Thompson, Jeffrey C; Pantalone, Lauren; Cook, Tessa; Kontos, Despina; McCarthy, Anne Marie; Carpenter, Erica L.
  • Nimgaonkar V; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
  • Thompson JC; Division of Pulmonary, Allergy, and Critical Care Medicine, Thoracic Oncology Group, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.
  • Pantalone L; Department of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.
  • Cook T; Department of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.
  • Kontos D; Department of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.
  • McCarthy AM; Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.
  • Carpenter EL; Division of Hematology-Oncology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.
Front Med (Lausanne) ; 8: 750650, 2021.
Article in English | MEDLINE | ID: covidwho-1526771
ABSTRACT
We investigated racial disparities in a 30-day composite outcome of readmission and death among patients admitted across a 5-hospital health system following an index COVID-19 admission. A dataset of 1,174 patients admitted between March 1, 2020 and August 21, 2020 for COVID-19 was retrospectively analyzed for odds of readmission among Black patients compared to all other patients, with sequential adjustment for demographics, index admission characteristics, type of post-acute care, and comorbidities. Tabulated results demonstrated a significantly greater odds of 30-day readmission or death among Black patients (18.0% of Black patients vs. 11.3% of all other patients; Univariate Odds Ratio 1.71, p = 0.002). Sequential adjustment via logistic regression revealed that the odds of 30-day readmission or death were significantly greater among Black patients after adjustment for demographics, index admission characteristics, and type of post-acute care, but not comorbidities. Stratification by type of post-acute care received on discharge revealed that the same disparity in odds of 30-day readmission or death existed among patients discharged home without home services, but not those discharged to home with home services or to a skilled nursing facility or acute rehab facility. Collectively, the findings suggest that weighing comorbidity burdens in post-acute care decisions may be relevant in addressing racial disparities in 30-day outcomes following discharge from an index COVID-19 admission.
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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Type of study: Equity and inequality / Prognostic study Language: English Journal: Front Med (Lausanne) Year: 2021

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Type of study: Equity and inequality / Prognostic study Language: English Journal: Front Med (Lausanne) Year: 2021
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