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The Critically Ill Without COVID-19 Infection During the COVID-19 Pandemic: an Analysis of Race and Ethnicity at an Urban Safety-Net Hospital
- Source :
- Journal of Racial and Ethnic Health Disparities; August 2023, Vol. 10 Issue: 4 p1776-1782, 7p
- Publication Year :
- 2023
-
Abstract
- Purpose: This investigation sought to compare admissions, length of stay, and mortality among medical intensive care unit (MICU) patients without coronavirus disease 2019 (COVID-19) infection admitted to an urban safety-net hospital during the pandemic by patients’ self-identified race and ethnicity. Materials and Methods: We conducted a retrospective observational study comparing MICU admissions before and during the first surge of COVID-19 illness at an urban, safety-net hospital in Minneapolis, Minnesota. Results: MICU admissions declined from a pre-pandemic average of 968 to 761 during the first COVID surge, including 627 patients (82%) without COVID-19 infection. MICU mortality among patients without COVID-19 infection during the pandemic was 12.8% compared to 9.6% in the pre-pandemic period (p= 0.045). However, rates of non-COVID-19 MICU admissions, mortality, volume, and length of stay did not differ by race and ethnicity between time periods. Of the 131 MICU admissions with COVID-19 infection, patients were more frequently Hispanic ethnicity (24%) or Black (40%), and less frequently White (22%) compared to the pre-pandemic cohort (7%, 30%, and 48%, respectively [p< 0.001]). Conclusions: During the first COVID-19 surge, MICU admissions for non-COVID-19 disease decreased from pre-pandemic levels, but these patients experienced greater mortality. Unlike critically ill patients admitted with COVID-19 infection, admissions and hospital mortality did not differ by race and ethnicity compared to the pre-pandemic period.
Details
- Language :
- English
- ISSN :
- 21973792 and 21968837
- Volume :
- 10
- Issue :
- 4
- Database :
- Supplemental Index
- Journal :
- Journal of Racial and Ethnic Health Disparities
- Publication Type :
- Periodical
- Accession number :
- ejs63471320
- Full Text :
- https://doi.org/10.1007/s40615-022-01361-z