Effect of Race and Ethnicity on In-Hospital Mortality in Patients with COVID-19

• Published in: Ethnicity & disease 2021, Vol.31 (3), p.389-398
• Main Authors: Qureshi, Adnan I, Baskett, William I., Huang, Wei, Shyu, Daniel, Myers, Danny, Lobanova, Iryna, Naqvi, S. Hasan, Thompson, Vetta S., Shyu, Chi-Ren
• Format: Article
• Language: English
• Subjects: Adult; Black or African American; COVID-19; Ethnicity; Hispanic or Latino; Hospital Mortality; Humans; Original Report: COVID-19; SARS-CoV-2; United States
• ISSN: 1049-510X; 1945-0826
• DOI: 10.18865/ed.31.3.389

To identify differences in short-term outcomes of patients with coronavirus disease 2019 (COVID-19) according to various racial/ethnic groups. Analysis of Cerner de-identified COVID-19 dataset. A total of 62 health care facilities. The cohort included 49,277 adult COVID-19 patients who were hospitalized from December 1, 2019 to November 13, 2020. The primary outcome of interest was in-hospital mortality. The secondary outcome was non-routine discharge (discharge to destinations other than home, such as short-term hospitals or other facilities including intermediate care and skilled nursing homes). We compared patients' age, gender, individual components of Charlson and Elixhauser comorbidities, medical complications, use of do-not-resuscitate, use of palliative care, and socioeconomic status between various racial and/or ethnic groups. We further compared the rates of in-hospital mortality and non-routine discharges between various racial and/or ethnic groups. Compared with White patients, in-hospital mortality was significantly higher among African American (OR 1.5; 95%CI:1.3-1.6, P