Demographic and Socioeconomic Characteristics of COVID-19 Patients Treated in the Emergency Department of a New York City Hospital.
Demographic and Socioeconomic Characteristics of COVID-19 Patients Treated in the Emergency Department of a New York City Hospital.
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DOI：
10.1007/s10900-020-00937-2
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发表时间：
2021-08
影响因子：
5.9
通讯作者：
Lee SW
中科院分区：
文献类型：
--
作者：
James MK;Kishore M;Lee SW
人口和社会经济因素可能会导致 COVID-19 的社区传播。本研究的目的是描述与从急诊室 (ED) 出院返回社区的 COVID-19 患者地理位置相关的人口统计和社会经济因素。这项回顾性研究在纽约市的一个城市成人一级创伤中心进行了为期 7 周的研究。从电子病历中提取了从急诊室出院的 COVID-19 患者的人口统计、社会经济因素和地理位置。按性别对患者进行分层以进行数据分析。该研究共纳入 634 名患者，其中 376 名（59.3%）为男性，205 名（32.3%）为西班牙裔白人。患者的中位年龄为 50 岁（IQR：38、60，最小：15，最大：96）。我们人口的失业率为 41.2%，75.5% 的人通过社区传播感染了病毒。 ED死亡率为11.8%；其中大多数为男性 (N = 50, 66.7%)，中位年龄为 70 岁 (IQR: 59, 82)。与女性相比，没有保险的黑人男性多出 9.4%（95% CI 2.9-12.4），男性多出 5.4%（95% CI 0.4-10.4）。与男性相比，在医疗保健领域工作的女性多 26.8% (95% CI 14.5–39)，通过初次接触感染的女性多 7.1% (95% CI 0.3–13.9)。 COVID-19 对少数族裔和男性的影响尤为严重。在制定预防病毒传播的策略时，应考虑社会经济因素，特别是对于需要自我隔离的个人。
Demographic and socioeconomic factors can contribute to community spread of COVID-19. The aim of this study is to describe the demographics and socioeconomic factors in relation to geolocation of COVID-19 patients who were discharged from the emergency department (ED) back into the community. This retrospective study was conducted over a 7-week period, at an urban, adult, level 1 trauma center in New York City. Demographics, socioeconomic factors, and geolocation of COVID-19 patients discharged from the ED were extracted from the electronic medical records. Patients were stratified by gender for data analysis. A total of 634 patients were included in the study, 376 (59.3%) were male and 205 (32.3%) were Hispanic White. The median age of patients was 50 years (IQR: 38, 60, Min:15, Max:96). The unemployment rate in our population was 41.2% and 75.5% reported contracting the virus via community spread. ED mortality rate was 11.8%; the majority of which were male (N = 50, 66.7%) and the median age was 70 years (IQR: 59, 82). There were 9.4% (95% CI 2.9–12.4) more Black males and 5.4% (95% CI 0.4–10.4) more males who had no insurance coverage compared to females. 26.8% (95% CI 14.5–39) more females worked in the healthcare field and 7.1% (95% CI 0.3–13.9) more were infected via primary contact compared to males. COVID-19 disproportionately affected minorities and males. Socioeconomic factors should be taken into consideration when preparing strategies for preventing the spread of the virus, especially for individuals who are expected to self-isolate.
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影响因子：
158.5
作者：
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通讯作者：
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DOI：
10.1016/s0140-6736(03)13077-2
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期刊：
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发表时间：
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影响因子：
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DOI：
10.1001/jama.2020.6775
发表时间：
2020-01-01
期刊：
JAMA, Journal of the American Medical Association
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作者：
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