Emergency Department Visits for COVID-19 by Race and Ethnicity - 13 States, October-December 2020

• Published in: MMWR. Morbidity and mortality weekly report 2021-04, Vol.70 (15), p.566-569
• Main Authors: Smith, Amanda R, DeVies, Jourdan, Caruso, Elise, Radhakrishnan, Lakshmi, Sheppard, Michael, Stein, Zachary, Calanan, Renee M, Hartnett, Kathleen P, Kite-Powell, Aaron, Rodgers, Loren, Adjemian, Jennifer
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; African Americans; Age groups; Aged; Black people; Child; Child, Preschool; Codes; Continental Population Groups - statistics & numerical data; Coronaviruses; COVID-19; COVID-19 - ethnology; COVID-19 - mortality; COVID-19 - therapy; COVID-19 vaccines; Cultural differences; Emergency medical care; Emergency medicine; Emergency service; Emergency Service, Hospital - statistics & numerical data; Ethnic Groups - statistics & numerical data; Ethnicity; Full Report; Health care; Health disparities; Health risk assessment; Health risks; Health Status Disparities; Hispanic Americans; Hospitalization - statistics & numerical data; Hospitals; Humans; Immunization; Infant; Infant, Newborn; Middle Aged; Minority & ethnic groups; Morbidity; Native Americans; Pacific Islander people; Public health; Race; Racism; Severe acute respiratory syndrome coronavirus 2; United States - epidemiology; White people; Young Adult
• ISSN: 0149-2195; 1545-861X
• DOI: 10.15585/mmwr.mm7015e3

Hispanic or Latino (Hispanic), non-Hispanic Black or African American (Black), and non-Hispanic American Indian or Alaska Native (AI/AN) persons have experienced disproportionately higher rates of hospitalization and death attributable to COVID-19 than have non-Hispanic White (White) persons (1-4). Emergency care data offer insight into COVID-19 incidence; however, differences in use of emergency department (ED) services for COVID-19 by racial and ethnic groups are not well understood. These data, most of which are recorded within 24 hours of the visit, might be an early indicator of changing patterns in disparities. Using ED visit data from 13 states obtained from the National Syndromic Surveillance Program (NSSP), CDC assessed the number of ED visits with a COVID-19 discharge diagnosis code per 100,000 population during October-December 2020 by age and race/ethnicity. Among 5,794,050 total ED visits during this period, 282,220 (4.9%) were for COVID-19. Racial/ethnic disparities in COVID-19 ED visit rates were observed across age groups. Compared with White persons, Hispanic, AI/AN, and Black persons had significantly more COVID-19-related ED visits overall (rate ratio [RR] range = 1.39-1.77) and in all age groups through age 74 years; compared with White persons aged ≥75 years, Hispanic and AI/AN persons also had more COVID-19-related ED visits (RR = 1.91 and 1.22, respectively). These differences in ED visit rates suggest ongoing racial/ethnic disparities in COVID-19 incidence and can be used to prioritize prevention resources, including COVID-19 vaccination, to reach disproportionately affected communities and reduce the need for emergency care for COVID-19.