Clinical Outcomes of Critically III Patients with COVID-19 by Race.

ABSTRACT:

Background

Studies of COVID-19 have shown that African Americans have been affected by the virus at a higher rate compared to other races. This cohort study investigated comorbidities and clinical outcomes by race among COVID-19 patients admitted to the intensive care unit.

Methods

This is a case series of critically ill patients admitted with COVID-19 to an academic healthcare system in Atlanta, Georgia. The study included all critically ill hospitalized patients between March 6, 2020, and May 5, 2020. Clinical outcomes during hospitalization included mechanical ventilation, renal replacement therapy, and mortality stratified by race.

Results

Of 288 patients included (mean age, 63?±?16 years; 45% female), 210 (73%) were African American. African Americans had significantly higher rates of comorbidities compared to other races, including hypertension (80% vs 59%, P =?0.001), diabetes (49% vs 34%, P =?0.026), and mean BMI (33 kg/m² vs 28 kg/m², P ConclusionThis racially diverse series of critically ill COVID-19 patients shows that despite higher rates of comorbidities at hospital admission in African Americans compared with other races, there was no significant difference in mortality.

SUBMITTER: Marmarchi F 

PROVIDER: S-EPMC7815200 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature