COVID-19 clinical outcomes by patient disability status: A retrospective cohort study.
Disabil Health J
; 16(2): 101441, 2023 04.
Article
in English
| MEDLINE | ID: covidwho-2178007
ABSTRACT
BACKGROUND:
People with disabilities might experience worse clinical outcomes of SARS-CoV-2 infection, but evidence is limited.OBJECTIVE:
To investigate if people with disabilities requiring assistance are more likely to experience severe COVID-19 or death.METHODS:
Data from the Johns Hopkins COVID-19 Precision Medicine Analytics Platform Registry (JH-CROWN) included 6494 adult patients diagnosed with COVID-19 and admitted between March 4, 2020-October 29, 2021. Severe COVID-19 and death were defined using the occurrence and timing of clinical events. Assistive needs due to disabilities were reported by patients or their proxies upon admission. Multivariable-adjusted Cox proportional hazards models were used to examine the associations between disability status and severe COVID-19 or death. Primary models adjusted for demographics and secondary models additionally adjusted for clinical covariates.RESULTS:
In this clinical cohort (47-73 years, 49% female, 39% Black), patients with disabilities requiring assistance had 1.35 times (95% confidence interval [CI]1.01, 1.81) the hazard of severe COVID-19 among patients <65 years, but not among those ≥65 years, equating to an additional 17.5 severe COVID-19 cases (95% CI7.7, 28.2) per 100 patients. A lower risk of mortality was found among patients <65 years, but this finding was not robust due to the small number of deaths.CONCLUSIONS:
People with disabilities requiring assistance aged <65 years are more likely to develop severe COVID-19. Although our study is limited by using a medical model of disability, these analyses intend to further our understanding of COVID-19 outcomes among people with disabilities. Also, standardized disability data collection within electronic health records is needed.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Disabled Persons
/
COVID-19
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Disabil Health J
Journal subject:
Rehabilitation
/
Public Health
/
Health Services
Year:
2023
Document Type:
Article
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