SHM Converge Scientific Abstract ePoster Gallery-Disproportionate Covid-19 Severity in Diverse Hospitalized Patients in New Mexico

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This retrospective study examined 1,425 adults hospitalized with symptomatic, PCR-confirmed COVID-19 at the University of New Mexico Hospital from March 2020 to March 2021. Patients were grouped by self-reported race/ethnicity: American Indian/Alaskan Native (AI/AN), Hispanic, and non-Hispanic White (NHW), with other groups excluded from analysis.<br /><br />The study found clear disparities in outcomes. Although AI/AN patients were younger and had comorbidity profiles broadly similar to the other groups, they experienced more severe disease, longer hospital stays, more complications, and higher in-hospital mortality. In contrast, NHW patients had the highest rates of several pre-existing conditions such as hypertension, COPD, hyperlipidemia, hypothyroidism, and stroke.<br /><br />AI/AN ancestry was an independent predictor of both severe COVID-19 and death. Other predictors of severe illness included male sex, secondary bacterial pneumonia, ARDS, shock, cardiac failure, myocardial infarction, encephalopathy, and acute kidney injury. Predictors of mortality included AI/AN ancestry, ARDS, shock, cardiac failure, myocardial infarction, and acute kidney injury.<br /><br />The authors conclude that AI/AN hospitalized patients in New Mexico suffered disproportionate COVID-19 severity and mortality despite being younger and having comparable comorbidities, highlighting the need for targeted interventions to reduce racial and ethnic health disparities in COVID-19 outcomes.

Asset Subtitle

Jordan West

Meta Tag

Author List Alexandra Do, Dominic Lundquist, Douglas Perkins, Gaelan Montoya, Ivy Hurwitz, Jens Langsjoen, Jordan West, Marshall Reviere, Molly Biggs, Samuel Anyona

Category Research

Concept COVID-19

Concept Disease Severity

Concept Severe COVID-19

Concept Complication

Concept Mortality

Distinguished Non-Finalist

Presenter Organization University of New Mexico School of Medicine

Presenting Author Jordan West

Track Outcomes Research

Keywords

COVID-19

hospitalized patients

American Indian/Alaskan Native

racial disparities

mortality

severe disease

retrospective study

New Mexico

comorbidities

health inequities

COVID-19

Disease Severity

Severe COVID-19

Complication

Mortality