SHM Converge Scientific Abstract ePoster Gallery-Racial Disparities in Covid-19 Admissions. A Nationwide Observational Study

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This nationwide observational study examined racial disparities in COVID-19 hospital admissions using the 2020 National Inpatient Sample database. Researchers analyzed more than 1 million adult hospitalizations for COVID-19, comparing outcomes between non-Hispanic White patients and African American patients after adjusting for age, sex, income, insurance, and comorbidity burden.<br /><br />African American patients made up 18.5% of COVID-19 hospitalizations, while non-Hispanic White patients accounted for 52.7%. White patients were older on average than African American patients. The overall inpatient mortality rate for COVID-19 admissions was 11.2%.<br /><br />After adjustment, there was no statistically significant difference in mortality between White and African American patients (adjusted OR 1.05, p=0.053). There was also no significant difference in septic shock.<br /><br />However, non-Hispanic White patients had lower odds of requiring invasive mechanical ventilation and experiencing cardiac arrest compared with African American patients. White patients also had a slightly shorter average hospital stay, but there was no significant difference in total hospital charges between the two groups.<br /><br />In summary, the study found no meaningful difference in inpatient mortality for COVID-19 between White and African American patients, but African American patients experienced higher rates of severe complications, including mechanical ventilation and cardiac arrest, and longer hospital stays.

Asset Subtitle

Rahul Zain

Meta Tag

Author List Chee Yao Lim, Faridat Abdulkarim, Kemar O. Barrett, Lavina Khemani, Maryam Yusuf, Michael Imeh, Mubarak H. Yusuf, Rabia Ashraf, Rahul Zain, Tasnim Sholi

Category Research

Concept COVID-19 Hospitalization

Concept Inpatient Mortality

Concept HCUP-NIS

Concept Racial Disparity

Concept Adjusted Analysis

Distinguished Non-Finalist

Presenter Organization Lincoln Medical Center

Presenting Author Rahul Zain

Track Outcomes Research

Keywords

COVID-19

hospital admissions

racial disparities

African American

non-Hispanic White

inpatient mortality

mechanical ventilation

cardiac arrest

hospital stay

National Inpatient Sample

COVID-19 Hospitalization

Inpatient Mortality

HCUP-NIS

Racial Disparity

Adjusted Analysis