Department of Medicine, Johns Hopkins School of Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Baltimore, MD 21224, United States.
Department of Medicine, Johns Hopkins School of Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Baltimore, MD 21224, United States.
J Natl Med Assoc. 2023 Apr;115(2):157-163. doi: 10.1016/j.jnma.2023.01.001. Epub 2023 Jan 21.
Comparisons between Black and White patients with obesity hospitalized with COVID-19 have not been fully studied. We sought to determine outcomes differences between these two groups.
National Inpatient Sample database year 2020 was studied using multivariable regression to compare Black and White patients with obesity and COVID-19 infection. Outcomes were in-hospital mortality, length of stay, and hospital charges.
205,365 Black and White patients with obesity were hospitalized for COVID-19. 141,010 (68.6%) were White and 64,355 (31.3%) were Black. Black patients were younger (mean age [± standard error] 55.5 ± 0.14 vs. 62.1± 0.11; p < 0.01), more likely female (63.2% vs 50.9%; p < 0.01), and had lower mean comorbidity (Elixhauser score means [± standard error] 4.4 ± 0.02 vs. 4.6 ± 0.01; p < 0.01) than White patients. Black patients had lower odds of in-hospital mortality (adjusted Odds Ratio {aOR}=0.86 CI [0.77-0.97]; p = 0.01), longer hospital stays (adjusted Mean Difference {aMD}=0.32 days CI [0.14-0.51]; p < 0.01) and incurred higher, though non-significant hospital charges (aMD = $2,144 CI [-2270-+6560]; p = 0.34) than White patients.
During the first year of the pandemic, Black patients with obesity and COVID-19 were less likely to die during the incident hospitalization but used greater hospital resources compared to White patients.
对比肥胖的黑人和白人 COVID-19 住院患者的研究尚未完全展开。本研究旨在确定这两组患者的结局差异。
利用多变量回归分析 2020 年国家住院患者样本数据库，比较肥胖合并 COVID-19 感染的黑人和白人患者。结局指标包括院内死亡率、住院时间和住院费用。
205365 例肥胖合并 COVID-19 的黑人和白人患者住院治疗。其中白人患者 141010 例（68.6%），黑人患者 64355 例（31.3%）。黑人患者更年轻（平均年龄[±标准误]55.5±0.14 岁比 62.1±0.11 岁；p<0.01）、更可能为女性（63.2%比 50.9%；p<0.01）、合并症评分（Elixhauser 评分均值[±标准误]4.4±0.02 分比 4.6±0.01 分；p<0.01）更低。黑人患者院内死亡率较低（校正比值比[aOR]=0.86，95%可信区间[0.77-0.97]；p=0.01）、住院时间更长（校正平均差[aMD]=0.32 天，95%可信区间[0.14-0.51]；p<0.01）、住院费用更高（校正平均差[aMD]=2144 美元，95%可信区间[-2270 美元至+6560 美元]；p=0.34），尽管差异无统计学意义。
在大流行的第一年，肥胖合并 COVID-19 的黑人患者住院期间死亡风险较白人患者低，但住院资源使用更多。
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