Frontiers in Medicine | |
Racial Disparities in 30-Day Outcomes Following Index Admission for COVID-19 | |
Anne Marie McCarthy1  Lauren Pantalone2  Tessa Cook2  Despina Kontos2  Erica L. Carpenter3  Jeffrey C. Thompson4  Vivek Nimgaonkar5  | |
[1] Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States;Department of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States;Division of Hematology-Oncology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States;Division of Pulmonary, Allergy, and Critical Care Medicine, Thoracic Oncology Group, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States;Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States; | |
关键词: readmission; COVID-19; racial disparity; comorbidity; post-acute care; | |
DOI : 10.3389/fmed.2021.750650 | |
来源: DOAJ |
【 摘 要 】
We investigated racial disparities in a 30-day composite outcome of readmission and death among patients admitted across a 5-hospital health system following an index COVID-19 admission. A dataset of 1,174 patients admitted between March 1, 2020 and August 21, 2020 for COVID-19 was retrospectively analyzed for odds of readmission among Black patients compared to all other patients, with sequential adjustment for demographics, index admission characteristics, type of post-acute care, and comorbidities. Tabulated results demonstrated a significantly greater odds of 30-day readmission or death among Black patients (18.0% of Black patients vs. 11.3% of all other patients; Univariate Odds Ratio: 1.71, p = 0.002). Sequential adjustment via logistic regression revealed that the odds of 30-day readmission or death were significantly greater among Black patients after adjustment for demographics, index admission characteristics, and type of post-acute care, but not comorbidities. Stratification by type of post-acute care received on discharge revealed that the same disparity in odds of 30-day readmission or death existed among patients discharged home without home services, but not those discharged to home with home services or to a skilled nursing facility or acute rehab facility. Collectively, the findings suggest that weighing comorbidity burdens in post-acute care decisions may be relevant in addressing racial disparities in 30-day outcomes following discharge from an index COVID-19 admission.
【 授权许可】
Unknown