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August 19, 2020
Black was not found to contribute to mortality in patients hospitalized with Covid-19 after monitoring sociodemographic aspects in a recently reported retrospective cohort analysis.
Researchers traced deaths among more than 11,000 patients hospitalized by Covid-19 in 92 hospitals in 12 states, and found no statistically significant difference in the threat of mortality among black and white patients after adjusting for age, sex, insurance, comorities, community deprivation, and physical care. (threat rate, 0.93; 95% CI, 0.80 to 1.09).
Black patients had a higher prevalence of morbid situations and were more likely to have Medicaid insurance and live in economically disadvantaged neighborhoods, and had a higher threat of death in the unre adjusted test.
As other studies have shown, complex and male age was particularly related to a greater threat of death in patients hospitalized by Covid-19, researcher Baligh Yehia, MD, of Ascension Health, St. Louis, Missouri, and their colleagues wrote in August Factor 18 of JAMA Network Open.
Hospital mortality from all causes 20.3% among patients in the study and 38.1% among those who gained mechanical ventilation.
Researchers noted that several previous studies, one of a Louisiana and one Georgia fitness formula (Atlanta and southern Georgia), also failed to show differences in race mortality among patients hospitalized by Covid-19.
“Taken together, these findings recommend that while black U.S. citizens would possibly be at increased risk of covid-19 and represent a disproportionate percentage of Covid-19 deaths, other people’s mortality in accessing hospital care is unlike that of white patients,” they wrote.
Of the 11,210 covid-19 patients who went to the hospital, 4,180 (37.3%) were black and 5,583 (49.8%) they were men. The median age is 61 years (range 46 to 74 years).
Compared to white patients, black patients were younger (median age [interquartile range], 66 [50 to 80] years compared to 61 [46 to 72] years), were more likely women (2259 [49.0%] as opposed to 2,293 [54.9]). %]), were more likely to purchase Medicaid insurance (611 [13.3%] versus 1,031 [24.7%]) and had higher average scores (interval between quarters) in the neighborhood deprivation rate (-0.1 1 0.70 to 0.56] versus 0.82 [0.08 to 1.76]) and the Comority Index of Elixhauser (21 [0-44] vs. 22 [0-46]).
Among the effects of the study:
Male patients had 1.23 (95% CI 1.11-1.36) times the death threat for women and patients with Medicare insurance (HR, 1.47; IC 95%, 1.08-2.00) and patients with unknown insurance policy (HR, 2.17; 95%). % CI, 1.32 to 3.57) had a higher mortality threat than those with advertising insurance.
Chronic kidney disease or coronary center disease are also linked to an increased threat of death.
In an editorial published with the study, Professor of Medicine and Researcher at Duke University L.Ebony Boulware, MD, wrote that Covid-19 “is another unwanted addition to the long list of fitness disorders that disproportionately the lives of blacks and maroons in the United States.Array »
Much of Boulware’s studies have focused on racial disparities in health care, with an organ donation.
She wrote that if the effects of the test are due to residual confusion, which is an option with any observational examination, they recommend that sociodemographic and non-biological differences between white and black patients hospitalized by Covid-19 explained the worst effects prior to adjustment. . among.
The absence of racial differences in mortality among patients treated in hospitals “provides an argument that opposes potentially misguided calls from new studies to identify and address biological differences in race that have not yet been identified as explanations for Covid-19 disparities,” he wrote.
“On the contrary, it strongly supports the case of eliminating disparities through policies designed for social and environmental situations that lead to poor physical fitness and to ensure that black American citizens and others have equitable access to physical care.”
He noted that the argument applies “as emerging reports that millions of other people at risk of Covid-19 have recently lost their fitness insurance due to pandemic-related unemployment, with the threat of potentially exacerbating Covid-19 and other fitness disparities due to lack of access to physical care.”
Salynn Boyles, contributing writer, BreakingMED ™
Researchers identified investment resources or conflicts of interest similar to this study.
Publisher L. Ebony Boulware made no applicable disclosure.
Cat number: 190
Subject ID: 79,190,254,930,585,728,791,932,730,933,190,926,192,927,151,928,925,934
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