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Association Between Ethnicity and Mortality Outcomes in Patients with COVID-19: A Mayo Clinic VIRUS Registry Cohort
Ivan N Ayala1, Juan P Garcia-Mendez2, Aysun Tekin1
1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA.
Insights
This study examined COVID-19 outcomes in Hispanic and non-Hispanic patients. Researchers found no significant differences in in-hospital mortality or length of stay between these groups.
Area of Science:
- Medical research
- Public health
- Epidemiology
Background:
- Hispanic populations experience significant health and healthcare disparities.
- The COVID-19 pandemic has exacerbated existing health inequities.
- Understanding COVID-19 outcomes in diverse populations is crucial.
Purpose of the Study:
- To compare in-hospital mortality and length of stay for Hispanic and non-Hispanic patients hospitalized with COVID-19.
- To investigate the impact of the COVID-19 pandemic on health disparities.
- To utilize propensity score matching to control for demographic and clinical differences.
Main Methods:
- Retrospective cohort study of 6494 hospitalized adult patients with COVID-19.
- Data collected from five sites (academic and community hospitals) between March 2020 and January 2022.
- Propensity score matching used to compare outcomes between Hispanic and non-Hispanic groups.
Main Results:
- No statistically significant difference in in-hospital mortality between Hispanic and non-Hispanic patients.
- No statistically significant difference in length of stay between Hispanic and non-Hispanic patients.
- Overall in-hospital mortality was 7.9% (512 of 6494 patients).
Conclusions:
- This study did not find significant differences in COVID-19 in-hospital mortality or length of stay between Hispanic and non-Hispanic populations.
- Further research may be needed to explore other potential disparities or long-term outcomes.
- The findings contribute to understanding the pandemic's impact on different demographic groups.
Abstract:
Hispanic populations face significant disparities in health and healthcare. The COVID-19 pandemic highlighted and sometimes further exacerbated these disparities. We conducted a multisite, retrospective cohort study of 6494 hospitalized adult patients admitted between March 2020 and January 2022 with a diagnosis of COVID-19 from five sites including academic hospitals in MN, AZ, and FL and community hospitals in MN and WI. This is an ancillary project of the Viral Infection and Respiratory illness Universal Study (VIRUS) registry, supplemented by electronic health record data. We compared in-hospital mortality and length of stay outcomes between Hispanic and non-Hispanic populations admitted with COVID-19 using propensity matched scores to account for imbalances in demographic and clinical covariables. Among a total of 6494 patients, 512 (7.9%) patients were reported deceased and 5982 (92.1%) alive at discharge. We did not find a statistically significant difference between in-hospital mortality nor length of stay between the two groups.
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