About: The association of race and COVID-19 mortality

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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	The association of race and COVID-19 mortality
Creator	Bellin, Eran Billett, Henny Coco, Maria Fisher, Molly Gil, Reyes Golestaneh, Ladan Johns, Tanya Kim, Ryung Mokrzycki, Michele Neugarten, Joel Norris, Keith Perez, Hector Scott, Shani Yunes, Milagros
source	Elsevier; Medline; PMC
abstract	BACKGROUND: COVID-19 mortality disproportionately affects the Black population in the United States (US). To explore this association a cohort study was undertaken. METHODS: We assembled a cohort of 505,992 patients receiving ambulatory care at Bronx Montefiore Health System (BMHS) between 1/1/18 and 1/1/20 to evaluate the relative risk of hospitalization and death in two time-periods, the pre-COVID time-period (1/1/20–2/15/20) and COVID time-period (3/1/20–4/15/20). COVID testing, hospitalization and mortality were determined with the Black and Hispanic patient population compared separately to the White population using logistic modeling. Evaluation of the interaction of pre-COVID and COVID time periods and race, with respect to mortality was completed. FINDINGS: A total of 9,286/505,992 (1.8%) patients were hospitalized during either or both pre-COVID or COVID periods. Compared to Whites the relative risk of hospitalization of Black patients did not increase in the COVID period (p for interaction=0.12). In the pre- COVID period, compared to Whites, the odds of death for Blacks and Hispanics adjusted for comorbidity was statistically equivalent. In the COVID period compared to Whites the adjusted odds of death for Blacks was 1.6 (95% CI 1.2–2.0, p = 0.001). There was a significant increase in Black mortality risk from pre-COVID to COVID periods (p for interaction=0.02). Adjustment for relevant clinical and social indices attenuated but did not fully explain the observed difference in Black mortality. INTERPRETATION: The BMHS COVID experience demonstrates that Blacks do have a higher mortality with COVID incompletely explained by age, multiple reported comorbidities and available metrics of sociodemographic disparity. FUNDING: N/A
has issue date	2020-07-15(xsd:dateTime)
bibo:doi	10.1016/j.eclinm.2020.100455
bibo:pmid	32838233
has license	no-cc
sha1sum (hex)	88254c9cfebd2db58bceaaa1e2fb1ac4e7a86623
schema:url	https://doi.org/10.1016/j.eclinm.2020.100455
resource representing a document's title	The association of race and COVID-19 mortality
has PubMed Central identifier	PMC7361093
has PubMed identifier	32838233
schema:publication	EClinicalMedicine
resource representing a document's body	covid:88254c9cfebd2db58bceaaa1e2fb1ac4e7a86623#body_text
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