Harvard Medical School, Cambridge Health Alliance, Somerville, 236 Highland Ave, Somerville, Boston, MA, 02143, USA.
Department of Medicine, Cambridge Health Alliance, Somerville, Harvard Medical School, Boston, MA, USA.
J Immigr Minor Health. 2021 Oct;23(5):1110-1115. doi: 10.1007/s10903-021-01189-5. Epub 2021 Mar 26.
Among patients with COVID-19 evaluated in outpatient settings, factors associated with hospitalization remain poorly understood. Multivariable regressions were used to assess sociodemographic and clinical factors associated with increased odds of hospitalization among patients with confirmed COVID-19 between March 18, 2020 through April 25, 2020 at a community-based outpatient clinic in Massachusetts. Older age, BMI ≥ 25, self-reported dizziness/lightheadedness, temperature ≥ 99.5°F, tachycardia, and oxygen saturation < 95% were associated with increased odds of hospitalization after adjustment for age, sex, and BMI. There was also an association between speaking Spanish as primary language and increased odds of hospitalization (compared to English, adjusted OR = 2.99 [95% CI 1.39, 6.39]). Speaking Portuguese as primary language was not associated with increased odds of hospitalization (compared to English, adjusted OR = 1.83 [0.78, 4.28]). In addition to several clinical risk factors established among inpatients, our study found that primarily speaking Spanish, but not Portuguese, was a marker of hospitalization risk among a diverse outpatient cohort of patients with COVID-19.
在门诊环境中评估的 COVID-19 患者中，与住院相关的因素仍了解甚少。多变量回归用于评估 2020 年 3 月 18 日至 4 月 25 日在马萨诸塞州一家社区门诊诊所中确诊 COVID-19 患者的社会人口统计学和临床因素与住院几率增加之间的关联。在调整年龄、性别和 BMI 后，年龄较大、BMI≥25、自述头晕/头晕、体温≥99.5°F、心动过速和血氧饱和度<95%与住院几率增加相关。主要讲西班牙语也与住院几率增加相关（与英语相比，调整后的 OR = 2.99[95%CI 1.39,6.39]）。主要讲葡萄牙语与住院几率增加无关（与英语相比，调整后的 OR = 1.83[0.78,4.28]）。除了在住院患者中确定的几个临床危险因素外，我们的研究还发现，主要讲西班牙语，而不是葡萄牙语，是 COVID-19 门诊患者多样化队列中住院风险的标志。
