| Autor: |
Ko, Jean Y, Pham, Huong, Anglin, Onika, Chai, Shua J, Alden, Nisha B, Meek, James, Anderson, Evan J, Weigel, Andy, Kohrman, Alexander, Lynfield, Ruth, Rudin, Dominic, Barney, Grant, Bennett, Nancy M, Billing, Laurie M, Sutton, Melissa, Talbot, H Keipp, Swain, Ashley, Havers, Fiona P, Taylor, Christopher A, Team, COVID-NET Surveillance |
| Předmět: |
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| Zdroj: |
Clinical Infectious Diseases; Sep2023, Vol. 77 Issue 6, p827-838, 12p |
| Abstrakt: |
Background We sought to determine whether race/ethnicity disparities in severe coronavirus disease 2019 (COVID-19) outcomes persist in the era of vaccination. Methods Population-based age-adjusted monthly rate ratios (RRs) of laboratory-confirmed COVID-19–associated hospitalizations were calculated among adult patients from the COVID-19–Associated Hospitalization Surveillance Network, March 2020 - August 2022 by race/ethnicity. Among randomly sampled patients July 2021 - August 2022, RRs for hospitalization, intensive care unit (ICU) admission, and in-hospital mortality were calculated for Hispanic, Black, American Indian/Alaskan Native (AI/AN), and Asian/Pacific Islander (API) persons vs White persons. Results Based on data from 353 807 patients, hospitalization rates were higher among Hispanic, Black, and AI/AN vs White persons March 2020 - August 2022, yet the magnitude declined over time (for Hispanic persons, RR = 6.7; 95% confidence interval [CI], 6.5–7.1 in June 2020 vs RR < 2.0 after July 2021; for AI/AN persons, RR = 8.4; 95% CI, 8.2–8.7 in May 2020 vs RR < 2.0 after March 2022; and for Black persons RR = 5.3; 95% CI, 4.6–4.9 in July 2020 vs RR < 2.0 after February 2022; all P ≤.001). Among 8706 sampled patients July 2021 - August 2022, hospitalization and ICU admission RRs were higher for Hispanic, Black, and AI/AN patients (range for both, 1.4–2.4) and lower for API (range for both, 0.6–0.9) vs White patients. All other race and ethnicity groups had higher in-hospital mortality rates vs White persons (RR range, 1.4–2.9). Conclusions Race/ethnicity disparities in COVID-19–associated hospitalizations declined but persist in the era of vaccination. Developing strategies to ensure equitable access to vaccination and treatment remains important. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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