EFFECT OF RACE AND ETHNICITY ON IN-HOSPITAL MORTALITY IN PATIENTS WITH COVID-19
EFFECT OF RACE AND ETHNICITY ON IN-HOSPITAL MORTALITY IN PATIENTS WITH COVID-19
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DOI：
10.18865/ed.31.3.389
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发表时间：
2021-06-01
影响因子：
3.2
通讯作者：
Shyu, Chi-Ren
中科院分区：
文献类型：
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作者：
Qureshi, Adnan, I;Baskett, William, I;Shyu, Chi-Ren
目的：确定2019年冠状病毒病患者短期结局的差异（COVID-19）。设计：分析Cerner去识别COVID-19数据集。设置：共62家医疗机构。参与者：该队列包括2019年12月1日至2020年11月13日期间住院的49，277名成年COVID-19患者。我们比较了不同种族和/或民族患者的年龄、性别、Charlson和Elixhauser合并症的各个组成部分、医疗并发症、不复苏的使用、姑息治疗的使用以及社会经济状况。我们进一步比较了不同种族和/或种族组之间的住院死亡率和非常规出院率。主要结果测量：主要结果是住院死亡率。次要结局是非常规出院（出院到家庭以外的目的地，如短期医院或其他设施，包括中级护理和专业护理之家）。
Objective: To identify differences in short-term outcomes of patients with coronavirus disease 2019 (COVID-19) according to various racial/ethnic groups.Design: Analysis of Cerner de-identified COVID-19 dataset.Setting: A total of 62 health care facilities.Participants: The cohort included 49,277 adult COVID-19 patients who were hospitalized from December 1, 2019 to November 13, 2020.Methods: 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.Main Outcome Measures: 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).Results: Compared with White patients, in-hospital mortality was significantly higher among African American (OR 1.5; 95%CI:1.3-1.6, P