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Healthcare Disparities Correlated with In-Hospital Mortality in COVID-19 Patients

Rachel Harvey1, Maryan Hermez1, Luke Schanz2

  • 1Oakland University William Beaumont School of Medicine, Rochester, MI, USA.

International Journal of General Medicine
|September 22, 2021
PubMed

Insights

Older age, male gender, divorced, and disabled status, along with homemakers, were linked to higher COVID-19 mortality. These findings highlight potential health-care disparities in patient outcomes.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Disparities

Background:

  • Established risk factors for COVID-19 mortality include advanced age, male gender, African American race, and comorbidities.
  • This study investigated health-care disparities contributing to increased mortality among COVID-19 patients.

Purpose of the Study:

  • To identify specific demographic and socioeconomic factors associated with higher in-hospital mortality in COVID-19 patients.
  • To examine health-care disparities in COVID-19 outcomes within a large healthcare system.

Main Methods:

  • An observational study was conducted on all hospitalized patients diagnosed with SARS-CoV-2 infection.
  • Data were collected from the largest multicenter healthcare system in Southeast Michigan between February and December 2020.

Main Results:

  • The study included 11,304 hospitalized patients, with an in-hospital mortality rate of 11.5% (1295 deaths).
  • Significant predictors of mortality included older age (AOR=1.05), male gender (AOR=1.43), divorced status (AOR=1.25), disabled status (AOR=1.42), and homemakers (AOR=1.96).

Conclusions:

  • Older age, male gender, divorced and disabled status, and homemakers were significantly associated with increased COVID-19 in-hospital mortality.
  • Further research is needed to understand the root causes of these disparities in COVID-19 mortality.
Abstract

Keywords:
COVID-19disabilitydisparitiesmortalityrace

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