Ethnic variation in outcome of people hospitalised during the first COVID-19 epidemic wave in Wales (UK): an analysis of national surveillance data using Onomap, a name-based ethnicity classification tool
| Autor: | Ananda Giri Shankar, Meirion Rhys Evans, Christopher Williams, Paul A. Longley, Daniel Rh Thomas, Janusz Janiec, George Karani, Oghogho Orife, Amy Plimmer, Roiyah Saltus |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Epidemiology Ethnic group law.invention Cohort Studies law Intensive care medicine Ethnicity Humans Epidemics Minority Groups Aged Wales Descriptive statistics business.industry SARS-CoV-2 Public health public health COVID-19 General Medicine Middle Aged Intensive care unit United Kingdom Hospitalization Medicine business Demography Cohort study |
| Zdroj: | BMJ Open BMJ Open, Vol 11, Iss 8 (2021) |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveTo identify ethnic differences in proportion positive for SARS-CoV-2, and proportion hospitalised, proportion admitted to intensive care and proportion died in hospital with COVID-19 during the first epidemic wave in Wales.DesignDescriptive analysis of 76 503 SARS-CoV-2 tests carried out in Wales to 31 May 2020. Cohort study of 4046 individuals hospitalised with confirmed COVID-19 between 1 March and 31 May. In both analyses, ethnicity was assigned using a name-based classifier.SettingWales (UK).Primary and secondary outcomesAdmission to an intensive care unit following hospitalisation with a positive SARS-CoV-2 PCR test. Death within 28 days of a positive SARS-CoV-2 PCR test.ResultsUsing a name-based ethnicity classifier, we found a higher proportion of black, Asian and ethnic minority people tested for SARS-CoV-2 by PCR tested positive, compared with those classified as white. Hospitalised black, Asian and minority ethnic cases were younger (median age 53 compared with 76 years; pConclusionsThis study adds to the growing evidence that ethnic minorities are disproportionately affected by COVID-19. During the first COVID-19 epidemic wave in Wales, although ethnic minority populations were less likely to be tested and less likely to be hospitalised, those that did attend hospital were younger and more likely to be admitted to intensive care. Primary, secondary and tertiary COVID-19 prevention should target ethnic minority communities in Wales. |
| Databáze: | OpenAIRE |
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