1. Association of race/ethnicity and socioeconomic status with COVID‐19 30‐day mortality at a Philadelphia medical center using a retrospective cohort study.
- Author
-
Cheney‐Peters, Dianna R., Lee, Crystal Y., Mitsuhashi, Shuji, Zaret, Dina S., Riley, Joshua M., Venkataraman, Chantel M., Schaefer, Joseph W., George, Brandon J., Li, Chris J., Smaltz, Christa M., Bradley, Conor G., Fitzpatrick, Danielle M., Ney, David B., Chalikonda, Divya M., Mairose, Joshua D., Chauhan, Kashyap, Szot, Margaret V., Jones, Robert B., Bashir‐Hamidu, Rukaiya, and Kubey, Alan A.
- Subjects
SOCIOECONOMIC status ,COVID-19 ,COHORT analysis ,ETHNICITY ,MEDICAL centers - Abstract
COVID‐19 has disproportionately affected low‐income communities and people of color. Previous studies demonstrated that race/ethnicity and socioeconomic status (SES) are not independently correlated with COVID‐19 mortality. The purpose of our study is to determine the effect of race/ethnicity and SES on COVID‐19 30‐day mortality in a diverse, Philadelphian population. This is a retrospective cohort study in a single‐center tertiary care hospital in Philadelphia, PA. The study includes adult patients hospitalized with polymerase‐chain‐reaction‐confirmed COVID‐19 between March 1, 2020 and June 6, 2020. The primary outcome was a composite of COVID‐19 death or hospice discharge within 30 days of discharge. The secondary outcome was intensive care unit (ICU) admission. The study included 426 patients: 16.7% died, 3.3% were discharged to hospice, and 20.0% were admitted to the ICU. Using multivariable analysis, race/ethnicity was not associated with the primary nor secondary outcome. In Model 4, age greater than 75 (odds ratio [OR]: 11.01; 95% confidence interval [CI]: 1.96–61.97) and renal disease (OR: 2.78; 95% CI: 1.31–5.90) were associated with higher odds of the composite primary outcome. Living in a "very‐low‐income area" (OR: 0.29; 95% CI: 0.12–0.71) and body mass index (BMI) 30–35 (OR: 0.24; 95% CI: 0.08–0.69) were associated with lower odds of the primary outcome. When controlling for demographics, SES, and comorbidities, race/ethnicity was not independently associated with the composite primary outcome. Very‐low SES, as extrapolated from census‐tract‐level income data, was associated with lower odds of the composite primary outcome. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF