在纽约郊区，西班牙裔新冠肺炎患者的结局与白种人患者相似。
Outcomes in Hispanics With COVID-19 Are Similar to Those of Caucasian Patients in Suburban New York.
机构信息
From the, Department of Emergency Medicine, Stony Brook University Hospital, Stony Brook, NY, USA.
and the, Department of Medicine, Stony Brook University Hospital, Stony Brook, NY, USA.
出版信息
Acad Emerg Med. 2020 Dec;27(12):1260-1269. doi: 10.1111/acem.14146. Epub 2020 Oct 30.
BACKGROUND
Despite reported higher rates and worse outcomes due to COVID-19 in certain racial and ethnic groups, much remains unknown. We explored the association between Hispanic ethnicity and outcomes in COVID-19 patients in Long Island, New York.
METHODS
We conducted a retrospective cohort study of 2,039 Hispanic and non-Hispanic Caucasian patients testing positive for SARS-CoV-2 between March 7 and May 23, 2020, at a large suburban academic tertiary care hospital near New York City. We explored the association of ethnicity with need for intensive care unit (ICU), invasive mechanical ventilation (IMV), and mortality.
RESULTS
Of all patients, 1,079 (53%) were non-Hispanic Caucasians and 960 (47%) were Hispanic. Hispanic patients presented in higher numbers than expected for our catchment area. Compared with Caucasians, Hispanics were younger (45 years vs. 59 years), had fewer comorbidities (66% with no comorbidities vs. 40%), were less likely to have commercial insurance (35% vs. 59%), or were less likely to come from a nursing home (2% vs. 10%). In univariate comparisons, Hispanics were less likely to be admitted (37% vs. 59%) or to die (3% vs. 10%). Age, shortness of breath, congestive heart failure (CHF), coronary artery disease (CAD), hypoxemia, and presentation from nursing homes were associated with admission. Male sex and hypoxemia were associated with ICU admission. Male sex, chronic obstructive pulmonary disease, and hypoxemia were associated with IMV. Male sex, CHF, CAD, and hypoxemia were associated with mortality. After other factors were adjusted for, Hispanics were less likely to be admitted (odds ratio = 0.62, 95% confidence interval = 0.52 to 0.92) but Hispanic ethnicity was not associated with ICU admission, IMV, or mortality.
CONCLUSIONS
Hispanics presented at higher rates than average for our population but outcomes among Hispanic patients with COVID-19 were similar to those of Caucasian patients.
背景
尽管某些种族和族裔群体 COVID-19 的发病率和预后更差，但仍有许多未知因素。我们探讨了纽约长岛 COVID-19 患者中西班牙裔种族与结局之间的关系。
方法
我们对 2020 年 3 月 7 日至 5 月 23 日期间在纽约市附近一家大型郊区学术三级保健医院检测出 SARS-CoV-2 呈阳性的 2039 名西班牙裔和非西班牙裔白种人患者进行了回顾性队列研究。我们探讨了种族与需要重症监护病房（ICU）、有创机械通气（IMV）和死亡率之间的关系。
结果
在所有患者中，1079 名（53%）是非西班牙裔白种人，960 名（47%）是西班牙裔。西班牙裔患者的就诊人数高于我们的就诊地区预期。与白种人相比，西班牙裔患者更年轻（45 岁 vs. 59 岁），合并症较少（66%无合并症 vs. 40%），商业保险的可能性较小（35% vs. 59%），来自疗养院的可能性较小（2% vs. 10%）。在单变量比较中，西班牙裔患者入院率较低（37% vs. 59%）或死亡率较低（3% vs. 10%）。年龄、呼吸急促、充血性心力衰竭（CHF）、冠状动脉疾病（CAD）、低氧血症和疗养院就诊与入院相关。男性和低氧血症与 ICU 入院相关。男性、慢性阻塞性肺疾病和低氧血症与 IMV 相关。男性、CHF、CAD 和低氧血症与死亡率相关。在调整其他因素后，西班牙裔患者入院的可能性较低（比值比=0.62，95%置信区间=0.52 至 0.92），但西班牙裔种族与 ICU 入院、IMV 或死亡率无关。
结论
西班牙裔患者的就诊率高于我们人群的平均水平，但 COVID-19 西班牙裔患者的结局与白种人患者相似。
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