Racial and Regional Disparities Surrounding In-Hospital Mortality among Patients with 2019 Novel Coronavirus Disease (COVID-19): Evidence from NIS Sample in 2020
DC Field | Value | Language |
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dc.contributor.author | Kim, Sun Jung | - |
dc.contributor.author | Medina, Mar | - |
dc.contributor.author | Park, Jeong-Hui | - |
dc.contributor.author | Chang, Jongwha | - |
dc.date.accessioned | 2023-12-14T06:01:30Z | - |
dc.date.available | 2023-12-14T06:01:30Z | - |
dc.date.issued | 2023-07 | - |
dc.identifier.issn | 2197-3792 | - |
dc.identifier.issn | 2196-8837 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/25303 | - |
dc.description.abstract | ObjectiveThis study explores differences in COVID-19 in-hospital mortality rates by patient and geographic factors to identify at-risk populations and analyze how strained health disparities were exacerbated during the pandemic.MethodsThe latest 2020 United States National Inpatient Sample (NIS) data was used to obtain a population-based estimate for patients with COVID-19. We conducted a cross-sectional retrospective data analysis, and sampling weights were used for all statistical analyses to represent nationwide in-hospital mortality of patients with COVID-19. We used multivariate logistic regression models to identify predictors for how patients with COVID-19 are associated with in-hospital death.ResultsOf 200,531 patients, 88.9% did not have an in-hospital death (n=178,369), and 11.1% had in-hospital death (n=22,162). Patients older than 70 were 10 times more likely to have an in-hospital death than patients younger than 40 (p<0.001). Male patients were 37% more likely to have an in-hospital death than female patients (p<0.001). Hispanic patients were 25% more likely to have in-hospital deaths than White patients (p<0.001). In the sub-analysis, Hispanic patients in the 50-60, 60-70, and 70 age groups were 32%, 34%, and 24%, respectively, more likely to have in-hospital death than White patients (p<0.001). Patients with hypertension and diabetes were 69% and 29%, respectively, more likely to have in-hospital death than patients without hypertension and diabetes.ConclusionHealth disparities in the COVID-19 pandemic occurred across races and regions and must be addressed to prevent future deaths. Age and comorbidities like diabetes have a well-established link to increased disease severity, and we have linked both to higher mortality risk. Low-income patients had a significantly increased risk of in-hospital death starting at over 40 years old. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | SPRINGER INTERNATIONAL PUBLISHING AG | - |
dc.title | Racial and Regional Disparities Surrounding In-Hospital Mortality among Patients with 2019 Novel Coronavirus Disease (COVID-19): Evidence from NIS Sample in 2020 | - |
dc.type | Article | - |
dc.publisher.location | 스위스 | - |
dc.identifier.doi | 10.1007/s40615-023-01707-1 | - |
dc.identifier.scopusid | 2-s2.0-85164146145 | - |
dc.identifier.wosid | 001023962900002 | - |
dc.identifier.bibliographicCitation | JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES | - |
dc.citation.title | JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES | - |
dc.type.docType | Article; Early Access | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Public, Environmental & Occupational Health | - |
dc.relation.journalWebOfScienceCategory | Public, Environmental & Occupational Health | - |
dc.subject.keywordAuthor | Health disparities | - |
dc.subject.keywordAuthor | Hospital mortality | - |
dc.subject.keywordAuthor | COVID-19 | - |
dc.subject.keywordAuthor | NIS | - |
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