Racial disparities in the SOFA score among patients hospitalized with COVID-19

Autor: Rebeca Vergara Greeno, Mary Showstark, Max Jordan Nguemeni Tiako, Karen Jubanyik, Jennifer Bonito, Deron Galusha, Nancy Kim, Katherine A. Nash, Nitu Kashyap, Carol R. Oladele, Benjamin Tolchin, Shireen Roy, Michelle C. Salazar, Steve Martino, Jennifer L. Herbst
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Viral Diseases
Critical Care and Emergency Medicine
Epidemiology
Organ Dysfunction Scores
Cardiovascular Medicine
Vascular Medicine
Medical Conditions
Medicine and Health Sciences
Ethnicities
Coronary Heart Disease
Medicine
Public and Occupational Health
Hospital Mortality
Young adult
Hispanic People
Multidisciplinary
Middle Aged
Socioeconomic Aspects of Health
Infectious Diseases
Cardiovascular Diseases
Engineering and Technology
Population study
Female
SOFA score
Management Engineering
Research Article
Adult
medicine.medical_specialty
Adolescent
Science
Cardiology
Odds
Insurance
Young Adult
Humans
Social determinants of health
Pandemics
Retrospective Studies
Risk Management
business.industry
COVID-19
Covid 19
Retrospective cohort study
Triage
Health Care
Connecticut
People and Places
Emergency medicine
Population Groupings
business
Zdroj: PLoS ONE, Vol 16, Iss 9, p e0257608 (2021)
PLoS ONE
ISSN: 1932-6203
Popis: BackgroundSequential Organ Failure Assessment (SOFA) score predicts probability of in-hospital mortality. Many crisis standards of care suggest the use of SOFA scores to allocate medical resources during the COVID-19 pandemic.Research questionAre SOFA scores elevated among Non-Hispanic Black and Hispanic patients hospitalized with COVID-19, compared to Non-Hispanic White patients?Study design and methodsRetrospective cohort study conducted in Yale New Haven Health System, including 5 hospitals with total of 2681 beds. Study population drawn from consecutive patients aged ≥18 admitted with COVID-19 from March 29thto August 1st, 2020. Patients excluded from the analysis if not their first admission with COVID-19, if they did not have SOFA score recorded within 24 hours of admission, if race and ethnicity data were not Non-Hispanic Black, Non-Hispanic White, or Hispanic, or if they had other missing data. The primary outcome was SOFA score, with peak score within 24 hours of admission dichotomized as ResultsOf 2982 patients admitted with COVID-19, 2320 met inclusion criteria and were analyzed, of whom 1058 (45.6%) were Non-Hispanic White, 645 (27.8%) were Hispanic, and 617 (26.6%) were Non-Hispanic Black. Median age was 65.0 and 1226 (52.8%) were female. In univariate logistic screen and in full multivariate model, Non-Hispanic Black patients but not Hispanic patients had greater odds of an elevated SOFA score ≥6 when compared to Non-Hispanic White patients (OR 1.49, 95%CI 1.11–1.99).InterpretationGiven current unequal patterns in social determinants of health, US crisis standards of care utilizing the SOFA score to allocate medical resources would be more likely to deny these resources to Non-Hispanic Black patients.
Databáze: OpenAIRE
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