Effect of Race and Ethnicity on In-Hospital Mortality in Patients with COVID-19.

To identify differences in short-term outcomes of patients with coronavirus disease 2019 (COVID-19) according to various racial/ethnic groups. Analysis of Cerner de-identified COVID-19 dataset. A total of 62 health care facilities. The cohort included 49,277 adult COVID-19 patients who were hospitalized from December 1, 2019 to November 13, 2020. The primary outcome of interest was in-hospital mortality. The secondary outcome was non-routine discharge (discharge to destinations other than home, such as short-term hospitals or other facilities including intermediate care and skilled nursing homes). We compared patients' age, gender, individual components of Charlson and Elixhauser comorbidities, medical complications, use of do-not-resuscitate, use of palliative care, and socioeconomic status between various racial and/or ethnic groups. We further compared the rates of in-hospital mortality and non-routine discharges between various racial and/or ethnic groups. Compared with White patients, in-hospital mortality was significantly higher among African American (OR 1.5; 95%CI:1.3-1.6, P<.001), Hispanic (OR1.4; 95%CI:1.3-1.6, P<.001), and Asian or Pacific Islander (OR 1.5; 95%CI: 1.1-1.9, P=.002) patients after adjustment for age and gender, Elixhauser comorbidities, do-not-resuscitate status, palliative care use, and socioeconomic status. Our study found that, among hospitalized patients with COVID-2019, African American, Hispanic, and Asian or Pacific Islander patients had increased mortality compared with White patients after adjusting for sociodemographic factors, comorbidities, and do-not-resuscitate/palliative care status. Our findings add additional perspective to other recent studies. Copyright © 2021, Ethnicity & Disease, Inc.

Citation

Adnan I Qureshi, William I Baskett, Wei Huang, Daniel Shyu, Danny Myers, Iryna Lobanova, S Hasan Naqvi, Vetta S Thompson, Chi-Ren Shyu. Effect of Race and Ethnicity on In-Hospital Mortality in Patients with COVID-19. Ethnicity & disease. 2021;31(3):389-398

Mesh Tags

PMID: 34295125

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