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Variations in Presentation and Management of COVID-19 Inpatients by Race and Ethnicity in a Large Texas Metroplex

Published online by Cambridge University Press:  12 July 2021

Alison Liu Open the ORCID record for Alison Liu [Opens in a new window] ,
Akshat Patel ,
Ava Pierce  and
Ray Fowler
Alison Liu*
Affiliation:
University of Texas Southwestern Medical Center, Dallas, Texas, USA
Akshat Patel
Affiliation:
University of Texas Southwestern Medical Center, Dallas, Texas, USA
Ava Pierce
Affiliation:
University of Texas Southwestern Medical Center, Dallas, Texas, USA Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA Department of Emergency Medicine, Parkland Health and Hospital Systems, Dallas, Texas, USA
Ray Fowler
Affiliation:
University of Texas Southwestern Medical Center, Dallas, Texas, USA Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA Department of Emergency Medicine, Parkland Health and Hospital Systems, Dallas, Texas, USA
*
Corresponding author: Alison Liu, Email: alison.liu@utsouthwestern.edu
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Abstract

Objective:

The aim of this study was to assess variations in presentation and outcomes of coronavirus disease 2019 (COVID-19) across race/ethnicity at a large Texas metroplex hospital.

Methods:

A retrospective cohort study was performed.

Results:

Although COVID-19 patients demonstrated significant socioeconomic disparities, race/ethnicity was not a significant predictor of intensive care unit (ICU) admission (P = 0.067) or case fatality (P = 0.078). Hospital admission varied by month, with incidence among Black/African-American and Hispanic/Latino patients peaking earlier in the pandemic timeline (P < 0.001). Patients reporting Spanish as their primary language were significantly more likely to be admitted to the ICU (odds ratio, 1.75; P = 0.007).

Conclusions:

COVID-19 patients do not demonstrate significant racial/ethnic disparities in case fatality, suggesting that state-wide disparities in mortality rate are rooted in infection risk rather than hospital course. Variations in admission rates by race/ethnicity across the timeline and increased ICU admission among Spanish-speaking patients demonstrate the need to pursue tailored interventions on both a community and structural level to mitigate further health disparities throughout the pandemic and after.

Keywords

COVID-19 pandemichealthcare disparitiesminority healthsocioeconomic factors
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e21
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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