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Association of race/ethnicity with mortality in patients hospitalized with COVID-19

Author

Listed:
  • Safiya Richardson
  • Johanna Martinez
  • Jamie S Hirsch
  • Jane Cerise
  • Martin Lesser
  • Robert O Roswell
  • Karina W Davidson
  • the Northwell Health COVID-19 Research Consortium

Abstract

Objective: To evaluate racial and ethnic differences in mortality among patients hospitalized with coronavirus disease 2019 (COVID-19) after adjusting for baseline characteristics and comorbidities. Methods: This retrospective cohort study at 13 acute care facilities in the New York City metropolitan area included sequentially hospitalized patients between March 1, 2020, and April 27, 2020. Last day of follow up was July 31, 2020. Patient demographic information, including race/ethnicity and comorbidities, were collected. The primary outcome was in-hospital mortality. Results: A total of 10 869 patients were included in the study (median age, 65 years [interquartile range (IQR) 54–77; range, 18–107 years]; 40.5% female). In adjusted time-to-event analysis, increased age, male sex, insurance type (Medicare and Self-Pay), unknown smoking status, and a higher score on the Charlson Comorbidity Index were significantly associated with higher in-hospital mortality. Adjusted risk of hospital mortality for Black, Asian, Hispanic, multiracial/other, and unknown race/ethnicity patients were similar to risk for White patients. Conclusions: In a large diverse cohort of patients hospitalized with COVID-19, patients from racial/ethnic minorities experienced similar mortality risk as White patients.

Suggested Citation

  • Safiya Richardson & Johanna Martinez & Jamie S Hirsch & Jane Cerise & Martin Lesser & Robert O Roswell & Karina W Davidson & the Northwell Health COVID-19 Research Consortium, 2022. "Association of race/ethnicity with mortality in patients hospitalized with COVID-19," PLOS ONE, Public Library of Science, vol. 17(8), pages 1-10, August.
    • Handle: RePEc:plo:pone00:0267505
    DOI: 10.1371/journal.pone.0267505
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    References listed on IDEAS

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    1. repec:plo:pmed00:1003402 is not listed on IDEAS
    2. Feagin, Joe & Bennefield, Zinobia, 2014. "Systemic racism and U.S. health care," Social Science & Medicine, Elsevier, vol. 103(C), pages 7-14.
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