Racial Disparities in 30-Day Outcomes Following Index Admission for COVID-19.
Racial Disparities in 30-Day Outcomes Following Index Admission for COVID-19.
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DOI：
10.3389/fmed.2021.750650
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发表时间：
2021
影响因子：
3.9
通讯作者：
Carpenter EL
中科院分区：
文献类型：
--
作者：
Nimgaonkar V;Thompson JC;Pantalone L;Cook T;Kontos D;McCarthy AM;Carpenter EL
We investigated racial disparities in a 30-day composite outcome of readmission and death among patients admitted across a 5-hospital health system following an index COVID-19 admission. A dataset of 1,174 patients admitted between March 1, 2020 and August 21, 2020 for COVID-19 was retrospectively analyzed for odds of readmission among Black patients compared to all other patients, with sequential adjustment for demographics, index admission characteristics, type of post-acute care, and comorbidities. Tabulated results demonstrated a significantly greater odds of 30-day readmission or death among Black patients (18.0% of Black patients vs. 11.3% of all other patients; Univariate Odds Ratio: 1.71, p = 0.002). Sequential adjustment via logistic regression revealed that the odds of 30-day readmission or death were significantly greater among Black patients after adjustment for demographics, index admission characteristics, and type of post-acute care, but not comorbidities. Stratification by type of post-acute care received on discharge revealed that the same disparity in odds of 30-day readmission or death existed among patients discharged home without home services, but not those discharged to home with home services or to a skilled nursing facility or acute rehab facility. Collectively, the findings suggest that weighing comorbidity burdens in post-acute care decisions may be relevant in addressing racial disparities in 30-day outcomes following discharge from an index COVID-19 admission.
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DOI：
10.15585/mmwr.mm6945e2
发表时间：
2020-11-13
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Lavery AM;Preston LE;Ko JY;Chevinsky JR;DeSisto CL;Pennington AF;Kompaniyets L;Datta SD;Click ES;Golden T;Goodman AB;Mac Kenzie WR;Boehmer TK;Gundlapalli AV
通讯作者：
Gundlapalli AV
影响因子：
11.1
作者：
Yeo, I;Baek, S.;Goldbarg, S.
通讯作者：
Goldbarg, S.
影响因子：
13.8
作者：
Rodriguez-Gutierrez, Rene;Herrin, Jeph;McCoy, Rozalina G.
通讯作者：
McCoy, Rozalina G.
影响因子：
5.7
作者：
Rushovich T;Boulicault M;Chen JT;Danielsen AC;Tarrant A;Richardson SS;Shattuck-Heidorn H
通讯作者：
Shattuck-Heidorn H
影响因子：
120.7
作者：
Joynt, Karen E.;Orav, E. John;Jha, Ashish K.
通讯作者：
Jha, Ashish K.