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Hispanic ethnicity and mortality among critically ill patients with COVID-19

Ana C Ricardo1, Jinsong Chen1, Stephanie M Toth-Manikowski1

  • 1Department of Medicine, Division of Nephrology, University of Illinois at Chicago, Chicago, IL, United States of America.

Plos One
|May 18, 2022
PubMed

Insights

Hispanic patients with critical COVID-19 had higher mortality rates than non-Hispanic White patients. This disparity persisted despite Hispanic patients being younger and having fewer comorbidities, indicating a need for earlier care access.

Area of Science:

  • Critical care medicine
  • Public health
  • Epidemiology

Background:

  • Hispanic individuals in the U.S. face higher COVID-19 infection and mortality risks.
  • Ethnic disparities in mortality among critically ill COVID-19 patients remain understudied.

Purpose of the Study:

  • To investigate ethnic disparities in mortality among critically ill adults with COVID-19.
  • To compare outcomes between Hispanic and non-Hispanic White critically ill COVID-19 patients.

Main Methods:

  • A multicenter cohort study of 2153 critically ill COVID-19 patients across 67 U.S. hospitals.
  • Analysis of 28-day mortality using multilevel logistic regression, adjusting for demographic and clinical factors.

Main Results:

  • Hispanic patients (46.2%) were younger and had fewer comorbidities than non-Hispanic White patients.
  • Hispanic patients experienced longer symptom duration before ICU admission.
  • Adjusted analyses revealed a 44% higher odds of death for Hispanic patients (OR, 1.44; 95% CI, 1.12-1.84).

Conclusions:

  • Critically ill Hispanic COVID-19 patients exhibit higher mortality than non-Hispanic White patients, irrespective of age and comorbidity burden.
  • Earlier access to care for Hispanic individuals with COVID-19 is crucial.
  • Addressing post-hospital discharge care disparities is essential.
Abstract

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