Association of race/ethnicity and socioeconomic status with COVID‐19 30‐day mortality at a Philadelphia medical center using a retrospective cohort study
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..
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:94 |
|---|---|
| Enthalten in: |
Journal of Medical Virology - 94(2022), 3, Seite 906-917 |
| Beteiligte Personen: |
Cheney‐Peters, Dianna R. [VerfasserIn] |
|---|
| BKL: |
|---|
| Anmerkungen: |
© 2022 Wiley Periodicals LLC |
|---|
| Umfang: |
12 |
|---|
| doi: |
10.1002/jmv.27365 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
WLY009001883 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | WLY009001883 | ||
| 003 | DE-627 | ||
| 005 | 20230307183102.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 230217s2022 xx |||||o 00| ||und c | ||
| 024 | 7 | |a 10.1002/jmv.27365 |2 doi | |
| 028 | 5 | 2 | |a JMV_JMV27365.xml |
| 035 | |a (DE-627)WLY009001883 | ||
| 035 | |a (WILEY)JMV27365 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 082 | 0 | 4 | |a 610 |q ASE |
| 084 | |a 44.43 |2 bkl | ||
| 100 | 1 | |a Cheney‐Peters, Dianna R. |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Association of race/ethnicity and socioeconomic status with COVID‐19 30‐day mortality at a Philadelphia medical center using a retrospective cohort study |
| 264 | 1 | |c 2022 | |
| 300 | |a 12 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a © 2022 Wiley Periodicals LLC | ||
| 520 | |a 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. | ||
| 700 | 1 | |a Lee, Crystal Y. |4 aut | |
| 700 | 1 | |a Mitsuhashi, Shuji |4 aut | |
| 700 | 1 | |a Zaret, Dina S. |4 aut | |
| 700 | 1 | |a Riley, Joshua M. |4 aut | |
| 700 | 1 | |a Venkataraman, Chantel M. |4 aut | |
| 700 | 1 | |a Schaefer, Joseph W. |4 aut | |
| 700 | 1 | |a George, Brandon J. |4 aut | |
| 700 | 1 | |a Li, Chris J. |4 aut | |
| 700 | 1 | |a Smaltz, Christa M. |4 aut | |
| 700 | 1 | |a Bradley, Conor G. |4 aut | |
| 700 | 1 | |a Fitzpatrick, Danielle M. |4 aut | |
| 700 | 1 | |a Ney, David B. |4 aut | |
| 700 | 1 | |a Chalikonda, Divya M. |4 aut | |
| 700 | 1 | |a Mairose, Joshua D. |4 aut | |
| 700 | 1 | |a Chauhan, Kashyap |4 aut | |
| 700 | 1 | |a Szot, Margaret V. |4 aut | |
| 700 | 1 | |a Jones, Robert B. |4 aut | |
| 700 | 1 | |a Bashir‐Hamidu, Rukaiya |4 aut | |
| 700 | 1 | |a Kubey, Alan A. |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of Medical Virology |g 94(2022), 3, Seite 906-917 |w (DE-627)WLY008980918 |x 10969071 |7 nnns |
| 773 | 1 | 8 | |g volume:94 |g year:2022 |g number:3 |g pages:906-917 |g extent:12 |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_WLY | ||
| 936 | b | k | |a 44.43 |q ASE |
| 951 | |a AR | ||
| 952 | |d 94 |j 2022 |e 3 |h 906-917 |g 12 | ||