Race, Ethnicity, and 60-Day Outcomes After Hospitalization With COVID-19.
Race, Ethnicity, and 60-Day Outcomes After Hospitalization With COVID-19.
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DOI：
10.1016/j.jamda.2021.08.023
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发表时间：
2021-11
影响因子：
7.6
通讯作者：
Chopra V
中科院分区：
文献类型：
--
作者：
Robinson-Lane SG;Sutton NR;Chubb H;Yeow RY;Mazzara N;DeMarco K;Kim T;Chopra V
在出院后60天内，对住院的新冠肺炎阳性患者进行不同样本的临床、经济和心理健康结果的种族和民族差异调查。一项横断面研究。共有2,217名住院的成年患者，他们的新冠肺炎检测呈阳性，经检测(逆转录聚合酶链式反应)、新冠肺炎出院诊断(ICD-10代码U07.1)或有强烈证据的临床怀疑新冠肺炎，但由于后勤限制没有完成或记录的检测(n=24)。患者记录被提取用于Mi-COVID19数据登记，包括2020年3月16日至2020年7月1日期间从密歇根州38家参与医院之一出院的患者的医院和保险公司数据。登记数据还包括患者对出院后就业、心理和情绪健康、新冠肺炎相关症状持续时间以及医疗随访的简短电话调查的反应。描述性统计用于汇总数据；方差分析和皮尔逊卡方检验用于评估患者结局和调查反应之间的种族和民族差异。黑人患者出院后医生随访率最低(n=65，60.2%)，重返工作岗位延误时间最长(平均35.5天)。在出院后60天内，超过一半的再次住院患者是非白人患者(n=144，55%)。出院后死亡大多发生在白人患者中(n=153，21.5%)，其中大多数人已出院接受姑息治疗(n=103)。在出院后60天内，不到四分之一的出院患者返回辅助生活、熟练护理设施或亚急性康复设施(n=48)。加强对出院后护理协调的关注对于减少新冠肺炎相关住院后的负面健康后果至关重要。
To examine racial and ethnic disparities in clinical, financial, and mental health outcomes within a diverse sample of hospitalized COVID-19–positive patients in the 60 days postdischarge. A cross-sectional study. A total of 2217 adult patients who were hospitalized with a COVID-19–positive diagnosis as evidenced by test (reverse-transcriptase polymerase chain reaction), a discharge diagnosis of COVID-19 (ICD-10 code U07.1), or strong documented clinical suspicion of COVID-19 but no testing completed or recorded owing to logistical constraints (n=24). Patient records were abstracted for the Mi-COVID19 data registry, including the hospital and insurer data of patients discharged from one of 38 participating hospitals in Michigan between March 16, 2020, and July 1, 2020. Registry data also included patient responses to a brief telephone survey on postdischarge employment, mental and emotional health, persistence of COVID-19–related symptoms, and medical follow-up. Descriptive statistics were used to summarize data; analysis of variance and Pearson chi-squared test were used to evaluate racial and ethnic variances among patient outcomes and survey responses. Black patients experienced the lowest physician follow-up postdischarge (n = 65, 60.2%) and the longest delays in returning to work (average 35.5 days). More than half of hospital readmissions within the 60 days following discharge were among nonwhite patients (n = 144, 55%). The majority of postdischarge deaths were among white patients (n = 153, 21.5%), most of whom were discharged on palliative care (n = 103). Less than a quarter of patients discharged back to assisted living, skilled nursing facilities, or subacute rehabilitation facilities remained at those locations in the 60 days following discharge (n = 48). Increased attention to postdischarge care coordination is critical to reducing negative health outcomes following a COVID-19–related hospitalization.
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影响因子：
4.2
作者：
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通讯作者：
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影响因子：
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影响因子：
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影响因子：
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作者：
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通讯作者：
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DOI：
10.1093/jamia/ocz113
发表时间：
2019-08-01
影响因子：
6.4
作者：
Polubriaginof, Fernanda C. G.;Ryan, Patrick;Vawdrey, David K.
通讯作者：
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