About: Disparities in COVID-19 Hospitalizations and Mortality among Black and Hispanic Patients: Cross-Sectional Analysis from the Greater Houston Metropolitan Area

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About: Disparities in COVID-19 Hospitalizations and Mortality among Black and Hispanic Patients: Cross-Sectional Analysis from the Greater Houston Metropolitan Area Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Disparities in COVID-19 Hospitalizations and Mortality among Black and Hispanic Patients: Cross-Sectional Analysis from the Greater Houston Metropolitan Area
Creator	Phillips, Robert Mph, Mbbs Andrieni, Julia Boom, Marc Kash, Bita Khan Bs, Osman Masud, Faisal Meeks, Jennifer Mphil, Yordanos Pan, Alan Roberts, Josie Vahidy, Farhaan
source	MedRxiv
abstract	Disparate racial and ethnic burdens of the Coronavirus Disease 2019 (COVID-19) pandemic may be attributable to higher susceptibility to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) or to factors such as differences in hospitalization and care provision. In our cross-sectional analysis of lab-confirmed COVID-19 cases from a tertiary, eight-hospital healthcare system (Houston Methodist) across greater Houston, multivariable logistic regression models were fitted to evaluate the odds of hospitalization and mortality for non-Hispanic Blacks (NHBs) vs. non-Hispanic Whites (NHWs) and Hispanics vs. non-Hispanics. Between March 3rd and July 18th, 2020, 70,496 individuals were tested for SARS-CoV-2; 12,084 (17.1%) tested positive, of whom 3,536 (29.3%) were hospitalized. Among positive cases, NHBs and Hispanics were significantly younger than NHWs and Hispanics, respectively (mean age NHBs vs. NHWs: 46.0 vs. 51.7 year and Hispanic vs. non-Hispanic: 44.0 vs. 48.7 years). Despite younger age, NHBs (vs. NHWs) had a higher prevalence of diabetes (25.2%), hypertension (47.7%), and chronic kidney disease (5.0%). Both minority groups resided in lower median income and higher population density areas. In fully adjusted models, NHBs and Hispanics had higher likelihoods of hospitalization, aOR (CI): 1.42 (1.24-1.63) and 1.61 (1.46-1.78), respectively. No differences were observed in intensive care unit (ICU) utilization or treatment parameters. Models adjusted for demographics, vital signs, laboratory parameters, hospital complications, and ICU admission demonstrated non-significantly lower likelihoods of in-hospital mortality among NHBs and Hispanics, aOR (CI): 0.65 (0.40-1.03) and 0.89 (0.59-1.31), respectively. Our data did not demonstrate racial and ethnic differences in care provision and hospital outcomes. Higher susceptibility of racial and ethnic minorities to SARS-CoV-2 and subsequent hospitalization may be driven primarily by social determinants.
has issue date	2020-08-22(xsd:dateTime)
bibo:doi	10.1101/2020.08.19.20177956
has license	medrxiv
sha1sum (hex)	67cb6a1d1be72119974deb5a438ee8d893636c3b
schema:url	https://doi.org/10.1101/2020.08.19.20177956
resource representing a document's title	Disparities in COVID-19 Hospitalizations and Mortality among Black and Hispanic Patients: Cross-Sectional Analysis from the Greater Houston Metropolitan Area
resource representing a document's body	covid:67cb6a1d1be72119974deb5a438ee8d893636c3b#body_text
is schema:about of	named entity 'Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)' named entity 'COVID-19' named entity 'provision' named entity 'HIGHER' named entity 'ATTRIBUTABLE' named entity 'HOSPITALIZATION' covid:arg/67cb6a1d1be72119974deb5a438ee8d893636c3b named entity 'hospitalization' named entity 'Hispanic' named entity 'SARS-CoV-2' named entity 'Louisiana' named entity 'Houston' named entity 'Azithromycin' named entity 'white blood cell' named entity 'Hispanic' named entity 'U.S. Census Bureau' named entity 'infection' named entity 'standard deviations' named entity 'medRxiv' named entity 'alanine aminotransferase' named entity 'obesity' named entity 'tertiary care' named entity 'preprint' named entity 'Hispanic' named entity 'peer review' named entity 'medRxiv' named entity 'R Foundation' named entity 'greater Houston' named entity 'mechanical ventilation' named entity 'minority populations' named entity 'SARS-CoV-2' named entity 'comorbidity' named entity 'medRxiv' named entity 'Hispanic' named entity 'respiratory rate' named entity 'population density' named entity 'respiratory rate' named entity 'SARS-CoV-2' named entity 'ferritin' named entity 'Black race' named entity 'Hispanic' named entity 'Latino' named entity 'comorbidity' named entity 'COVID' named entity 'determinants of health' named entity 'oxygen saturation' named entity 'healthcare systems' named entity 'infection' named entity 'race and ethnicity' named entity 'socioeconomic status' named entity 'race and ethnicity' named entity 'population density' named entity 'Hispanic' named entity 'infection' named entity 'medRxiv' named entity 'population density' named entity 'medRxiv' named entity 'NHW' named entity 'SARS-CoV-2' named entity 'non-Hispanic Whites' named entity 'comorbidity' named entity 'Hispanic' named entity 'diverse populations' named entity 'SARS-CoV-2' named entity 'comorbidity' named entity 'public health' named entity 'global healthcare' named entity 'infection' named entity 'White race' named entity 'preprint' named entity 'peer review' named entity 'Remdesivir' named entity 'COVID-19 pandemic' named entity 'Blacks'

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