Race, ethnicity, and utilization of outpatient rehabilitation for treatment of post COVID-19 condition.
Race, ethnicity, and utilization of outpatient rehabilitation for treatment of post COVID-19 condition.
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DOI：
10.1002/pmrj.12869
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发表时间：
2022-11
期刊：
影响因子：
--
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中科院分区：
文献类型：
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在治疗COVID-19后的病症时，建议进行门诊康复。虽然COVID-19的发病率和严重程度存在种族和民族差异，但人们对COVID-19后患者使用门诊康复的情况知之甚少。研究与COVID-19后门诊康复使用相关的因素，并确定后遗症的不同发生率是否可以解释不同种族和民族的COVID后康复使用的差异。病例对照研究。社区TriNet X数据库中的2020年美国成年人COVID-19。N/A在COVID-19诊断和COVID-19后症状（虚弱、疲劳、疼痛、认知障碍、行动困难和呼吸困难）发生后6个月内接受门诊康复服务。从406，630例实验室确诊的COVID-19病例中，我们确定了8，724名接受门诊康复的个体，并匹配了28，719名对照。在康复使用者中，43.3%为40岁或以下，54.8%为女性，58.2%为白色，17.9%为非洲裔美国人/黑人，2.1%为亚洲人，13.0%为西班牙裔，39.2%无合并症，40.3%因COVID-19住院。呼吸困难（20.4%）、疲劳（12.4%）和虚弱（8.2%）是最常见的症状。虽然在考虑的6种COVID-19后病症症状的发生率方面没有种族差异，但非洲裔美国人/黑人个体接受门诊康复的可能性显著低于其白色同行（OR=0.89; 95% CI：0.84-0.96; p=0.003）。西班牙裔个体的门诊康复利用率较高（OR=1.22; 95%CI：1.11-1.33; p<0.001），COVID后疲劳的发生率显著较高。在这项具有全国代表性的大型研究中，非洲裔美国人/黑人与门诊康复服务的利用率较低相关，尽管COVID-19后病症症状的发生率相似。需要进一步研究，以更好地了解COVID-19后康复护理的康复服务障碍，并解决接受护理方面的种族不平等问题。
Outpatient rehabilitation is recommended in the treatment of post COVID-19 condition. While racial and ethnic disparities in the incidence and severity of COVID-19 have been well documented, little is known about the use of outpatient rehabilitation among patients with post COVID-19 condition. To examine factors associated with outpatient rehabilitation use following COVID-19 and to ascertain whether differential incidence of sequelae explain variation in post-COVID rehabilitation utilization by race and ethnicity. Case-control study. Community. U.S. adults with COVID-19 during 2020 in the TriNet X database. N/A Receipt of outpatient rehabilitation services within 6 months of COVID-19 diagnosis and incidence of post COVID-19 condition symptoms (weakness, fatigue, pain, cognitive impairment, mobility difficulties, and dyspnea). From 406,630 laboratory-confirmed COVID-19 cases, we identified 8,724 individuals who received outpatient rehabilitation and matched 28,719 controls. Of rehabilitation users, 43.3% were 40 years old or younger, 54.8% were female, 58.2% were white, 17.9% were African American/Black, 2.1% were Asian, 13.0% were Hispanic, 39.2% had no comorbidities, and 40.3% had been hospitalized for COVID-19. Dyspnea (20.4%), fatigue (12.4%), and weakness (8.2%) were the most frequently identified symptoms. Although there were no racial differences in the incidence of the 6 post COVID-19 condition symptoms considered, African American/Black individuals were significantly less likely to receive outpatient rehabilitation (OR=0.89; 95% CI: 0.84–0.96; p=0.003) than their white counterparts. Hispanic individuals had higher outpatient rehabilitation utilization (OR=1.22; 95% CI: 1.11–1.33; p<0.001) and a significantly higher incidence of post-COVID fatigue. In this large nationally representative study, African American/Black race was associated with lower utilization of outpatient rehabilitation services despite a similar incidence of post COVID-19 condition symptoms. Further research is needed to better understand access barriers to rehabilitation services for post COVID-19 condition recovery care and address racial inequalities in receipt of care.
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影响因子：
6.3
作者：
Keeney T;Jette AM;Freedman VA;Cabral H
通讯作者：
Cabral H
DOI：
10.1016/s2213-2600(21)00383-0
发表时间：
2021-11
期刊：
The Lancet. Respiratory medicine
影响因子：
--
作者：
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通讯作者：
PHOSP-COVID Collaborative Group
影响因子：
13.8
作者：
Muñoz-Price LS;Nattinger AB;Rivera F;Hanson R;Gmehlin CG;Perez A;Singh S;Buchan BW;Ledeboer NA;Pezzin LE
通讯作者：
Pezzin LE
影响因子：
33.9
作者：
Killerby, Marie E.;Link-Gelles, Ruth;Tate, Jacqueline E.
通讯作者：
Tate, Jacqueline E.
影响因子：
13.8
作者：
Groff D;Sun A;Ssentongo AE;Ba DM;Parsons N;Poudel GR;Lekoubou A;Oh JS;Ericson JE;Ssentongo P;Chinchilli VM
通讯作者：
Chinchilli VM