Harvey Rachel, Hermez Maryan, Schanz Luke, Karabon Patrick, Wunderlich-Barillas Tracy, Halalau Alexandra
Oakland University William Beaumont School of Medicine, Rochester, MI, USA.
Internal Medicine Department, Beaumont Health, Royal Oak, MI, USA.
Int J Gen Med. 2021 Sep 14;14:5593-5596. doi: 10.2147/IJGM.S326338. eCollection 2021.
Increasing age, male gender, African American race, and medical comorbidities have been reported as risk factors for COVID-19 mortality. We aimed to identify health-care disparities associated with increased mortality in COVID-19 patients.
We performed an observational study of all hospitalized patients with SARS-CoV2 infection from within the largest multicenter healthcare system in Southeast Michigan, from February to December, 2020.
From 11,304 hospitalized patients, 1295 died, representing an in-hospital mortality rate of 11.5%. The mean age of hospitalized patients was 63.77 years-old, with 49.96% being males. Older age (AOR = 1.05, p < 0.0001), male gender (AOR = 1.43, p < 0.0001), divorced status (AOR = 1.25, p = 0.0256), disabled status (AOR = 1.42, p = 0.0091), and homemakers (AOR = 1.96, p = 0.0216) were significantly associated with in-hospital mortality.
Older age, male gender, divorced and disabled status and homemakers were significantly associated with in-hospital mortality if they developed COVID-19. Further research should aim to identify the underlying factors driving these disparities in COVID-19 in-hospital mortality.
据报道，年龄增长、男性、非裔美国人种族以及合并症是新冠病毒疾病（COVID-19）死亡的风险因素。我们旨在确定与COVID-19患者死亡率增加相关的医疗保健差异。
我们对2020年2月至12月密歇根州东南部最大的多中心医疗系统内所有住院的严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染患者进行了一项观察性研究。
在11304名住院患者中，1295人死亡，住院死亡率为11.5%。住院患者的平均年龄为63.77岁，男性占49.96%。年龄较大（调整后比值比[AOR]=1.05，p<0.0001）、男性（AOR=1.43，p<0.0001）、离婚状态（AOR=1.25，p=0.0256）、残疾状态（AOR=1.42，p=0.0091）和家庭主妇（AOR=1.96，p=0.0216）与住院死亡率显著相关。
年龄较大、男性、离婚和残疾状态以及家庭主妇如果感染了COVID-19，与住院死亡率显著相关。进一步的研究应旨在确定导致COVID-19住院死亡率这些差异的潜在因素。
