Characteristics and outcomes of Hispanic/Latinx patients with coronavirus disease 19 (COVID-19) requiring hospitalization in Rhode Island: a retrospective cohort study.

Autor: Macias Gil R; Department of Infectious Diseases, Kaiser Permanente Northern California, Vallejo, CA., Touzard-Romo F; Division of Infectious Diseases, Alpert Medical School of Brown University, Providence, RI., Sanchez MC; Division of Infectious Diseases, Alpert Medical School of Brown University, Providence, RI., Pandita A; Department of Medicine, University of Colorado- Anschutz Medical Campus., Kalligeros M; Division of Infectious Diseases, Alpert Medical School of Brown University, Providence, RI., Mylona EK; Division of Infectious Diseases, Alpert Medical School of Brown University, Providence, RI., Shehadeh F; Division of Infectious Diseases, Alpert Medical School of Brown University, Providence, RI., Mylonakis E; Division of Infectious Diseases, Alpert Medical School of Brown University, Providence, RI. Electronic address: emylonakis@lifespan.org.
Jazyk: angličtina
Zdroj: Annals of epidemiology [Ann Epidemiol] 2021 Jun; Vol. 58, pp. 64-68. Date of Electronic Publication: 2021 Mar 16.
DOI: 10.1016/j.annepidem.2021.03.003
Abstrakt: Objective: Explore potential racial/ethnic differences, describe general clinical characteristic, and severe outcomes (intensive care unit [ICU] admission, mechanical ventilation [intubation], and death) between Hispanic/Latinx (hereafter: Hispanics or Latinx community) and non-Hispanic patients hospitalized with COVID-19.
Methods: Retrospective cohort of 326 patients hospitalized with COVID-19 through April 19, 2020. Sociodemographic and hospital course data were collected and analyzed. A multivariate logistic regression analysis was implemented to examine associations.
Results: Compared with non-Hispanic Whites (NHW), Hispanics were younger (53 years, median age) and had higher rates of Medicaid and less commercial/HMO/PPO coverage (P < .001). Similarly, in the age sub-grouped multivariate analysis for outcomes, Hispanics ≥65-year-old were 2.66 times more likely to be admitted to ICU (95% CI: 1.07-6.61; P = .03), and 3.67 times more likely to get intubated (95% CI: 1.29-10.36; P = .01).
Conclusions: Hospitalized Hispanic patients of ≥65-year-old with COVID-19 were more likely to have higher risk of more severe outcomes (ICU admission and intubation) compared with NHW. Hispanic patient's social determinants of health and underlying medical conditions may explain the heightened risk for severe outcomes. Further studies are necessary to more accurately identify and address health disparities in Hispanics and other vulnerable populations amidst COVID-19 and future pandemics.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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