住院治疗COVID-19患者的种族差异
Amber Mirajkar1, Adam Oswald1, Mark Rivera1
1University of Central Florida College of Medicine, Orlando, FL, USA.
Journal of the National Medical Association
|July 5, 2023
概括
尽管年龄较大,但COVID-19的差异仍然存在,白人患者的死亡率更高. 黑人患者面临着更大的关键护理需求,强调需要解决健康的社会决定因素.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- COVID-19不成比例地影响了老年人和少数群体.
- 与白人相比,黑人,西班牙裔和美洲土著人口的感染,住院和死亡率都高.
研究的目的:
- 通过种族和年龄分层分析COVID-19结果.
- 确定关键护理需求和死亡率的种族差异.
主要方法:
- 这是一项回顾性队列研究,使用来自美国178家医院的非识别患者数据.
- 分析了包括住院时间,住院死亡率,疾病严重程度和出院处置在内的结果.
- 按性别和种族组分的分层结果.
主要成果:
- 与黑人 (60,10%),西班牙裔 (57,14%) 和其他 (61,15%) 组相比,白人患者的平均年龄 (71) 和死亡率 (17%) 较高.
- 黑人患者不成比例地更有可能需要ICU入院和机械通风 (15.6%对13.9%).
- 在包括年龄和性别在内的多变量模型中,种族仍然是一个重要的因素.
结论:
- 白人患者的COVID-19死亡率较高,而黑人患者面临更大的重症监护负担.
- 在COVID-19结果中显著的种族差异突显了健康的社会和结构性决定因素的影响.
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