Coronavirus disease 19 in minority populations of Newark, New Jersey

Autor: Corinne Raczek, Sameer A. Hirji, Eliahu Bishburg, Charles Cathcart, Alexis K. Okoh, Christoph Sossou, Marc Cohen, Sherin Meledathu, Sandhya Nagarakanti, Christian Engell, Nathan Kang, Michael Patti, Neha S. Dangayach, Oluwakemi Phillips, Harpreet Singh Grewal
Rok vydání: 2020
Předmět:
Male
medicine.medical_treatment
030204 cardiovascular system & hematology
Logistic regression
law.invention
Hospitals
Urban
0302 clinical medicine
law
Hospital Mortality
030212 general & internal medicine
African American
Minority Groups
education.field_of_study
New Jersey
Incidence
lcsh:Public aspects of medicine
Health Policy
Incidence (epidemiology)
Hispanic or Latino
Middle Aged
Intensive care unit
Hospitalization
Intensive Care Units
Treatment Outcome
Quartile
Female
Hemodialysis
Coronavirus Infections
medicine.medical_specialty
Pneumonia
Viral
Population
Risk Assessment
03 medical and health sciences
Internal medicine
medicine
Humans
education
Pandemics
Aged
Retrospective Studies
Hispanic
mortality
morbidity
Minority
business.industry
Septic shock
Research
Public Health
Environmental and Occupational Health
COVID-19
lcsh:RA1-1270
Retrospective cohort study
medicine.disease
Black or African American
business
Zdroj: International Journal for Equity in Health, Vol 19, Iss 1, Pp 1-8 (2020)
International Journal for Equity in Health
ISSN: 1475-9276
Popis: BackgroundThe purpose of this study is to report the clinical features and outcomes of Black/African American (AA) and Latino Hispanic patients with Coronavirus disease 2019 (COVID-19) hospitalized in an inter-city hospital in the state of New Jersey.MethodsThis is a retrospective cohort study of AA and Latino Hispanic patients with COVID-19 admitted to a 665-bed quaternary care, teaching hospital located in Newark, New Jersey. The study included patients who had completed hospitalization between March 10, 2020, and April 10, 2020. We reviewed demographics, socioeconomic variables and incidence of in-hospital mortality and morbidity. Logistic regression was used to identify predictor of in-hospital death.ResultsOut of 416 patients, 251 (60%) had completed hospitalization as of April 10, 2020. The incidence of In-hospital mortality was 38.6% (n = 97). Most common symptoms at initial presentation were dyspnea 39% (n = 162) followed by cough 38%(n = 156) and fever 34% (n = 143). Patients were in the highest quartile for population’s density, number of housing units and disproportionately fell into the lowest median income quartile for the state of New Jersey. The incidence of septic shock, acute kidney injury (AKI) requiring hemodialysis and admission to an intensive care unit (ICU) was 24% (n = 59), 21% (n = 52), 33% (n = 82) respectively. Independent predictors of in-hospital mortality were older age, lower serum Hemoglobin 1200 U/L and > 1000 U/L.ConclusionsFindings from an inter-city hospital’s experience with COVID-19 among underserved minority populations showed that, more than one of every three patients were at risk for in-hospital death or morbidity. Older age and elevated inflammatory markers at presentation were associated with in-hospital death.
Databáze: OpenAIRE
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