Moussa Amar Ali, Mohammad Marwa, Eiset Andreas Halgreen, Freja Storgaard Signe, Wejse Christian
The Research Unit for Global Health, Department of Public Health, Aarhus University, 8000 Aarhus, Denmark.
Department of Infectious Diseases, Aarhus University Hospital, 8000 Aarhus, Denmark.
Int J Environ Res Public Health. 2025 Mar 3;22(3):367. doi: 10.3390/ijerph22030367.
Vulnerable groups, including certain immigrant populations, have faced higher COVID-19 incidence rates in several countries. This study addresses the gap in knowledge regarding disease severity and readmission odds among refugees, other immigrant groups, and native Danes. Using clinical data from 159 COVID-19-positive patients admitted to hospitals in the Central Denmark Region in 2020, this cross-sectional analysis compared clinical parameters at admission and 30-day readmission odds. The findings revealed no significant differences in clinical status upon admission between groups. Refugees (51.8%) and Others (41.7%) had fewer comorbidities than native Danes (61.2%). Native Danes were more frequently categorized with the highest Charlson Comorbidity Index (CCI) scores. Readmission prevalence was highest among Refugees (23.1%), followed by native Danes (17.0%) and Others (8.3%). After adjusting for age, sex, and CCI, Refugees had a readmission odds ratio (OR) of 1.88 (95% CI, 0.61-5.74) and Others had an OR of 0.61 (95% CI, 0.07-5.41) for readmission compared to native Danes, although this was not statistically significant. This study's significance lies in highlighting the distinct healthcare challenges faced by refugees during the pandemic. Its findings are beneficial for public health policymakers and healthcare professionals seeking to reduce readmission risks and improve COVID-19 outcomes for immigrant populations.
包括某些移民群体在内的弱势群体,在一些国家面临着更高的新冠肺炎发病率。本研究填补了难民、其他移民群体和丹麦本土居民在疾病严重程度和再入院几率方面的知识空白。利用2020年丹麦中部地区159名新冠肺炎阳性住院患者的临床数据,这项横断面分析比较了入院时的临床参数和30天再入院几率。研究结果显示,各群体入院时的临床状况没有显著差异。难民(51.8%)和其他群体(41.7%)的合并症比丹麦本土居民(61.2%)少。丹麦本土居民的查尔森合并症指数(CCI)得分最高的比例更高。再入院率在难民中最高(23.1%),其次是丹麦本土居民(17.0%)和其他群体(8.3%)。在调整年龄、性别和CCI后,与丹麦本土居民相比,难民的再入院优势比(OR)为1.88(95%CI,0.61 - 5.74),其他群体的OR为0.61(95%CI,0.07 - 5.41),尽管这在统计学上并不显著。本研究的意义在于突出了疫情期间难民面临的独特医疗挑战。其研究结果对寻求降低再入院风险并改善移民群体新冠肺炎治疗结果的公共卫生政策制定者和医疗专业人员有益。