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COVID-19 and its Cardiac and Neurological Complications among Ontario Visible Minorities

Joseph Y Chu1, Yosuf Kaliwal2, Maria Koh2

  • 1Division of Neurology, Department of Medicine, Toronto Western Hospital-University Health Network and William Osler Health System, University of Toronto, Toronto, Canada.

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
|June 24, 2021
PubMed

Insights

COVID-19 outcomes differed significantly between Chinese and South Asian populations in Ontario. Chinese individuals experienced higher mortality and neurological complications, while South Asians had lower mortality rates.

Area of Science:

  • Epidemiology
  • Public Health
  • Infectious Diseases

Background:

  • Limited data existed on COVID-19 complications in Ontario's Chinese and South Asian communities.
  • Visible minorities faced a disproportionate impact from the pandemic.

Purpose of the Study:

  • To systematically investigate the epidemiology of COVID-19.
  • To analyze cardiac and neurological complications in Ontario's Chinese and South Asian populations.
  • To compare outcomes with the general population.

Main Methods:

  • Population-based retrospective study (Jan 1 - Sep 30, 2020).
  • Identified COVID-19 positive Chinese and South Asians using a last name algorithm.
  • Analyzed demographics, cardiac, and neurological complications, hospitalizations, and emergency visits.

Main Results:

  • Chinese (older) had higher 30-day mortality (8.1%) vs. general population (5.0%).
  • Chinese showed higher rates of neurological complications (160/10,000) compared to the general population (48/10,000).
  • South Asians (younger) had lower 30-day mortality (2.1%) and fewer cardiac complications (64/10,000) than the general population (112/10,000).

Conclusions:

  • Significant demographic and outcome differences observed in Chinese and South Asians with COVID-19.
  • COVID-19 presented distinct challenges for these minority groups in Ontario.
  • Further research is needed to understand these disparities.
Abstract

Keywords:
COVID-19Cardiac complicationsChinese and South AsiansClinical epidemiologyNeurological complications

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