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COVID-19 among Minority Children in Detroit, Michigan during the Early National Surge of the Pandemic

Background. The COVID-19 pandemic has shed light on communities of racial/ethnic minority groups in the US where long-standing health issues and structural inequities are now known to have resulted in increased risk for infection, severe illness, and death from the virus. The objective of our study...

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Autores principales: Ang, Jocelyn Y., Kannikeswaran, Nirupama, Parker, Katherine, McGrath, Eric, Abdel-Haq, Nahed, Arora, Harbir, Lua, Jorge L., Thomas, Ronald, Salimnia, Hossein, Chopra, Teena, Tran, Tommy, Asmar, Basim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8170283/
https://www.ncbi.nlm.nih.gov/pubmed/34104706
http://dx.doi.org/10.1177/2333794X211022710
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author Ang, Jocelyn Y.
Kannikeswaran, Nirupama
Parker, Katherine
McGrath, Eric
Abdel-Haq, Nahed
Arora, Harbir
Lua, Jorge L.
Thomas, Ronald
Salimnia, Hossein
Chopra, Teena
Tran, Tommy
Asmar, Basim
author_facet Ang, Jocelyn Y.
Kannikeswaran, Nirupama
Parker, Katherine
McGrath, Eric
Abdel-Haq, Nahed
Arora, Harbir
Lua, Jorge L.
Thomas, Ronald
Salimnia, Hossein
Chopra, Teena
Tran, Tommy
Asmar, Basim
author_sort Ang, Jocelyn Y.
collection PubMed
description Background. The COVID-19 pandemic has shed light on communities of racial/ethnic minority groups in the US where long-standing health issues and structural inequities are now known to have resulted in increased risk for infection, severe illness, and death from the virus. The objective of our study was to describe demographic characteristics, clinical presentations, medical interventions and outcomes of pediatric patients with COVID-19 treated at Children’s Hospital of Michigan (CHM), a tertiary care center in urban Detroit, an early hotspot during the initial surge of the SARS-CoV-2 pandemic. Methods. A retrospective chart review was performed of children ≤18 years of age who had polymerase chain reaction (RT-PCR) testing via NP swab or serum IgG antibody testing for SARS-CoV-2 during March 1, 2020–June 30, 2020. Results. Seventy-eight COVID-19 infected children were identified of whom 85.8% (67/78) were from minority populations (African American, Hispanic). Hospitalization rate was 82% (64/78). About 44% (34/78) had an associated comorbidity with asthma and obesity being most common. Although all ages were affected, infants <1 year of age had the highest hospitalization rate (19/64, 30%). In all disease severity categories, dichotomized non-whites had more severe disease by percentage within race/ethnicity than Whites, and also within percent disease severity (P-value = .197). Overall, 37% of hospitalized patients required intensive care. Conclusions. Extremely high rates of COVID-19 hospitalization and requirement of ICU care were identified in our patient population. Further studies are needed to better understand the contributing factors to this health disparity in disadvantaged communities.
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spelling pubmed-81702832021-06-07 COVID-19 among Minority Children in Detroit, Michigan during the Early National Surge of the Pandemic Ang, Jocelyn Y. Kannikeswaran, Nirupama Parker, Katherine McGrath, Eric Abdel-Haq, Nahed Arora, Harbir Lua, Jorge L. Thomas, Ronald Salimnia, Hossein Chopra, Teena Tran, Tommy Asmar, Basim Glob Pediatr Health Original Research Article Background. The COVID-19 pandemic has shed light on communities of racial/ethnic minority groups in the US where long-standing health issues and structural inequities are now known to have resulted in increased risk for infection, severe illness, and death from the virus. The objective of our study was to describe demographic characteristics, clinical presentations, medical interventions and outcomes of pediatric patients with COVID-19 treated at Children’s Hospital of Michigan (CHM), a tertiary care center in urban Detroit, an early hotspot during the initial surge of the SARS-CoV-2 pandemic. Methods. A retrospective chart review was performed of children ≤18 years of age who had polymerase chain reaction (RT-PCR) testing via NP swab or serum IgG antibody testing for SARS-CoV-2 during March 1, 2020–June 30, 2020. Results. Seventy-eight COVID-19 infected children were identified of whom 85.8% (67/78) were from minority populations (African American, Hispanic). Hospitalization rate was 82% (64/78). About 44% (34/78) had an associated comorbidity with asthma and obesity being most common. Although all ages were affected, infants <1 year of age had the highest hospitalization rate (19/64, 30%). In all disease severity categories, dichotomized non-whites had more severe disease by percentage within race/ethnicity than Whites, and also within percent disease severity (P-value = .197). Overall, 37% of hospitalized patients required intensive care. Conclusions. Extremely high rates of COVID-19 hospitalization and requirement of ICU care were identified in our patient population. Further studies are needed to better understand the contributing factors to this health disparity in disadvantaged communities. SAGE Publications 2021-05-31 /pmc/articles/PMC8170283/ /pubmed/34104706 http://dx.doi.org/10.1177/2333794X211022710 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Article
Ang, Jocelyn Y.
Kannikeswaran, Nirupama
Parker, Katherine
McGrath, Eric
Abdel-Haq, Nahed
Arora, Harbir
Lua, Jorge L.
Thomas, Ronald
Salimnia, Hossein
Chopra, Teena
Tran, Tommy
Asmar, Basim
COVID-19 among Minority Children in Detroit, Michigan during the Early National Surge of the Pandemic
title COVID-19 among Minority Children in Detroit, Michigan during the Early National Surge of the Pandemic
title_full COVID-19 among Minority Children in Detroit, Michigan during the Early National Surge of the Pandemic
title_fullStr COVID-19 among Minority Children in Detroit, Michigan during the Early National Surge of the Pandemic
title_full_unstemmed COVID-19 among Minority Children in Detroit, Michigan during the Early National Surge of the Pandemic
title_short COVID-19 among Minority Children in Detroit, Michigan during the Early National Surge of the Pandemic
title_sort covid-19 among minority children in detroit, michigan during the early national surge of the pandemic
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8170283/
https://www.ncbi.nlm.nih.gov/pubmed/34104706
http://dx.doi.org/10.1177/2333794X211022710
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