Racial/Ethnic Disparities in COVID-19 Hospital Admissions

V. A. Retamales, Oswaldo Madrid Suarez, O. Lara-Garcia, S. Ranjha, R. Maini, S. Hingle, V. Sundareshan, Robert Robinson
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Abstract

Importance: COVID-19 has affected millions of people worldwide. Furthermore, with its increasing incidence, more has been learned about the risk factors that can make certain groups more at risk of contracting the disease or have worse outcomes. We aim to identify any discrepancy in the hospitalization rate by race/ethnicity of patients who tested positive for COVID-19, and through this, analyze the risks of these groups in an effort to call out for attention to the circumstances that make them more vulnerable and susceptible to disease. Observations: Analysis indicates that patients identified as non-Hispanic White and Asian/Pacific Islander in hospital admission data are underrepresented in COVID-19 admissions. Patients identified as non-Hispanic Black, Hispanic/Latino, and American Indian have a disproportionate burden of hospital admissions, suggesting an increased risk of more severe disease. Conclusions and Relevance: There is a disproportionate rate of COVID-19 hospitalizations found among non-Hispanic Blacks. Further investigation is imperative to identify and remediate the reason(s) for increased vulnerability to COVID-19 infections requiring hospital admission. These efforts would likely reduce the COVID-19 morbidity and mortality in the non-Hispanic Black population.
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COVID-19住院的种族/民族差异
重要性:COVID-19影响了全世界数百万人。此外,随着发病率的增加,人们对可能使某些群体更容易感染该疾病或产生更糟糕结果的风险因素了解得更多。我们的目标是确定COVID-19检测呈阳性的患者按种族/民族住院率的差异,并通过此分析这些群体的风险,以呼吁人们关注使他们更脆弱和更容易感染疾病的环境。观察结果:分析表明,入院数据中被确定为非西班牙裔白人和亚洲/太平洋岛民的患者在COVID-19入院中代表性不足。非西班牙裔黑人、西班牙裔/拉丁裔和美洲印第安人的住院负担不成比例,表明患更严重疾病的风险增加。结论和相关性:在非西班牙裔黑人中,COVID-19住院率不成比例。必须进行进一步调查,以确定和纠正需要住院治疗的COVID-19感染易感性增加的原因。这些努力可能会降低非西班牙裔黑人中COVID-19的发病率和死亡率。
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