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Latin American Origin Is Not Associated with Worse Outcomes among Hospitalized Patients with COVID-19 in a Public Healthcare System

Exploring differences in clinical outcomes based on race and origin among patients hospitalized for COVID-19 is a controversial issue. The ALC COVID-19 Registry includes all confirmed COVID-19 patients admitted to hospital from 3 March 2020 to 17 December 2020. The data were obtained from electronic...

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Autores principales: Otero-Rodriguez, Silvia, Moreno-Pérez, Oscar, Ramos, Jose Manuel, García, Mar, Boix, Vicente, Reus, Sergio, Torrus, Diego, Chico-Sánchez, Pablo, Sánchez-Payá, José, Aldana-Macias, Fernando, Gil, Joan, Portilla, Joaquín, Merino, Esperanza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8398476/
https://www.ncbi.nlm.nih.gov/pubmed/34442851
http://dx.doi.org/10.3390/microorganisms9081772
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author Otero-Rodriguez, Silvia
Moreno-Pérez, Oscar
Ramos, Jose Manuel
García, Mar
Boix, Vicente
Reus, Sergio
Torrus, Diego
Chico-Sánchez, Pablo
Sánchez-Payá, José
Aldana-Macias, Fernando
Gil, Joan
Portilla, Joaquín
Merino, Esperanza
author_facet Otero-Rodriguez, Silvia
Moreno-Pérez, Oscar
Ramos, Jose Manuel
García, Mar
Boix, Vicente
Reus, Sergio
Torrus, Diego
Chico-Sánchez, Pablo
Sánchez-Payá, José
Aldana-Macias, Fernando
Gil, Joan
Portilla, Joaquín
Merino, Esperanza
author_sort Otero-Rodriguez, Silvia
collection PubMed
description Exploring differences in clinical outcomes based on race and origin among patients hospitalized for COVID-19 is a controversial issue. The ALC COVID-19 Registry includes all confirmed COVID-19 patients admitted to hospital from 3 March 2020 to 17 December 2020. The data were obtained from electronic health records in order to evaluate the differences in the clinical features and outcomes among European and Latin American patients. The follow-ups occurred after 156 days. A propensity score weighting (PSW) logistic regression model was used to estimate the odds ratio (OR, 95% CI) for Latin American origin and outcome associations. Of the 696 patients included, 46.7% were women, with a median age of 65 (IQR 53–67) years, 614 (88.2%) were European, and 82 (11.8%) were Latin American. Latin American patients were younger, with fewer comorbidities, and a higher incidence of extensive pneumonia. After adjusting for residual confounders, Latin American origin was not associated with an increased risk of death (PSW OR 0.85 (0.23–3.14)) or with the need for invasive mechanical ventilation (PSW OR 0.35 (0.12–1.03)). Latin American origin was associated with a shorter hospital stay, but without differences in how long the patient remained on mechanical ventilation. In a public healthcare system, the rates of death or mechanical ventilation in severe COVID-19 cases were found to be comparable between patients of European and Latin American origins.
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spelling pubmed-83984762021-08-29 Latin American Origin Is Not Associated with Worse Outcomes among Hospitalized Patients with COVID-19 in a Public Healthcare System Otero-Rodriguez, Silvia Moreno-Pérez, Oscar Ramos, Jose Manuel García, Mar Boix, Vicente Reus, Sergio Torrus, Diego Chico-Sánchez, Pablo Sánchez-Payá, José Aldana-Macias, Fernando Gil, Joan Portilla, Joaquín Merino, Esperanza Microorganisms Article Exploring differences in clinical outcomes based on race and origin among patients hospitalized for COVID-19 is a controversial issue. The ALC COVID-19 Registry includes all confirmed COVID-19 patients admitted to hospital from 3 March 2020 to 17 December 2020. The data were obtained from electronic health records in order to evaluate the differences in the clinical features and outcomes among European and Latin American patients. The follow-ups occurred after 156 days. A propensity score weighting (PSW) logistic regression model was used to estimate the odds ratio (OR, 95% CI) for Latin American origin and outcome associations. Of the 696 patients included, 46.7% were women, with a median age of 65 (IQR 53–67) years, 614 (88.2%) were European, and 82 (11.8%) were Latin American. Latin American patients were younger, with fewer comorbidities, and a higher incidence of extensive pneumonia. After adjusting for residual confounders, Latin American origin was not associated with an increased risk of death (PSW OR 0.85 (0.23–3.14)) or with the need for invasive mechanical ventilation (PSW OR 0.35 (0.12–1.03)). Latin American origin was associated with a shorter hospital stay, but without differences in how long the patient remained on mechanical ventilation. In a public healthcare system, the rates of death or mechanical ventilation in severe COVID-19 cases were found to be comparable between patients of European and Latin American origins. MDPI 2021-08-20 /pmc/articles/PMC8398476/ /pubmed/34442851 http://dx.doi.org/10.3390/microorganisms9081772 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Otero-Rodriguez, Silvia
Moreno-Pérez, Oscar
Ramos, Jose Manuel
García, Mar
Boix, Vicente
Reus, Sergio
Torrus, Diego
Chico-Sánchez, Pablo
Sánchez-Payá, José
Aldana-Macias, Fernando
Gil, Joan
Portilla, Joaquín
Merino, Esperanza
Latin American Origin Is Not Associated with Worse Outcomes among Hospitalized Patients with COVID-19 in a Public Healthcare System
title Latin American Origin Is Not Associated with Worse Outcomes among Hospitalized Patients with COVID-19 in a Public Healthcare System
title_full Latin American Origin Is Not Associated with Worse Outcomes among Hospitalized Patients with COVID-19 in a Public Healthcare System
title_fullStr Latin American Origin Is Not Associated with Worse Outcomes among Hospitalized Patients with COVID-19 in a Public Healthcare System
title_full_unstemmed Latin American Origin Is Not Associated with Worse Outcomes among Hospitalized Patients with COVID-19 in a Public Healthcare System
title_short Latin American Origin Is Not Associated with Worse Outcomes among Hospitalized Patients with COVID-19 in a Public Healthcare System
title_sort latin american origin is not associated with worse outcomes among hospitalized patients with covid-19 in a public healthcare system
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8398476/
https://www.ncbi.nlm.nih.gov/pubmed/34442851
http://dx.doi.org/10.3390/microorganisms9081772
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