Racial Disparities in COVID-19 Hospitalization and In-hospital Mortality at the Height of the New York City Pandemic.

Autor: Renelus BD; Division of Gastroenterology and Hepatology, Morehouse School of Medicine, Atlanta, GA, USA., Khoury NC; Department of Internal Medicine, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA., Chandrasekaran K; Department of Internal Medicine, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA., Bekele E; Department of Internal Medicine, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA., Briggs WM; Department of Biostatistics, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA., Ivanov A; Division of Cardiology, Wake Forest School of Medicine, Winston-Salem, NC, USA., Mohanty SR; Division of Gastroenterology and Hepatology, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA., Jamorabo DS; Division of Gastroenterology and Hepatology, Stony Brook Medicine, 101 Nicolls Road, HSC T17-060, Stony Brook, NY, 11794, USA. djambo85@gmail.com.
Jazyk: angličtina
Zdroj: Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2021 Oct; Vol. 8 (5), pp. 1161-1167. Date of Electronic Publication: 2020 Sep 18.
DOI: 10.1007/s40615-020-00872-x
Abstrakt: Objectives: Investigate whether or not race is associated with differences in hospitalization and survival to discharge among patients with coronavirus disease-2019 (COVID-19) at the height of the pandemic in New York City (NYC).
Methods: Single-center retrospective cohort study of COVID-19 patients hospitalized at our university-affiliated NYC hospital from 3/10/20 through 4/13/20 with follow-up to 5/1/20. Our primary endpoint was hospitalization rate among patients with confirmed COVID-19 compared with the regional population based on race. Our secondary endpoint survival to discharge among hospitalized COVID-19 patients. NYC Department of Health data were used to calculate hospitalization odds ratios. Chi-square and t tests were used to compare categorial and continuous variables, respectively. Cox proportional hazards regression and predictive analysis were used to investigate our endpoints further.
Results: Our cohort of 734 patients included 355 women (48.4%), 372 Blacks (50.7%), 214 Whites (29.2%), and 92 Hispanics (12.5%) in our analysis. Blacks were nearly twice as likely as Whites to require hospitalization for COVID-19 (OR 1.89, 95% CI, 1.59-2.24, p < 0.001). Hispanics were also more likely to suffer in-hospital mortality from COVID-19 compared with Whites (HR 1.84; 95% CI 1.21-2.80; p = 0.005). There was a non-significant increased hazard of in-hospital mortality among Blacks when compared with Whites (HR, 1.30; 95% CI, 0.95-1.78; p = 0.09).
Conclusions and Relevance: Blacks were more likely than Whites to require hospitalization for COVID-19 while Hispanics were more likely to experience in-hospital mortality. Further investigation into the socioeconomic factors underlying racial disparities in COVID-19 survival and severity requiring hospitalization is needed on a national scale.
(© 2020. W. Montague Cobb-NMA Health Institute.)
Databáze: MEDLINE
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