Cargando…
Rural-urban outcome differences associated with COVID-19 hospitalizations in North Carolina
People living in rural regions in the United States face more health challenges than their non-rural counterparts which could put them at additional risks during the COVID-19 pandemic. Few studies have examined if rurality is associated with additional mortality risk among those hospitalized for COV...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9384999/ https://www.ncbi.nlm.nih.gov/pubmed/35976813 http://dx.doi.org/10.1371/journal.pone.0271755 |
_version_ | 1784769500872179712 |
---|---|
author | Denslow, Sheri Wingert, Jason R. Hanchate, Amresh D. Rote, Aubri Westreich, Daniel Sexton, Laura Cheng, Kedai Curtis, Janis Jones, William Schuyler Lanou, Amy Joy Halladay, Jacqueline R. |
author_facet | Denslow, Sheri Wingert, Jason R. Hanchate, Amresh D. Rote, Aubri Westreich, Daniel Sexton, Laura Cheng, Kedai Curtis, Janis Jones, William Schuyler Lanou, Amy Joy Halladay, Jacqueline R. |
author_sort | Denslow, Sheri |
collection | PubMed |
description | People living in rural regions in the United States face more health challenges than their non-rural counterparts which could put them at additional risks during the COVID-19 pandemic. Few studies have examined if rurality is associated with additional mortality risk among those hospitalized for COVID-19. We studied a retrospective cohort of 3,991 people hospitalized with SARS-CoV-2 infections discharged between March 1 and September 30, 2020 in one of 17 hospitals in North Carolina that collaborate as a clinical data research network. Patient demographics, comorbidities, symptoms and laboratory data were examined. Logistic regression was used to evaluate associations of rurality with a composite outcome of death/hospice discharge. Comorbidities were more common in the rural patient population as were the number of comorbidities per patient. Overall, 505 patients died prior to discharge and 63 patients were discharged to hospice. Among rural patients, 16.5% died or were discharged to hospice vs. 13.3% in the urban cohort resulting in greater odds of death/hospice discharge (OR 1.3, 95% CI 1.1, 1.6). This estimate decreased minimally when adjusted for age, sex, race/ethnicity, payer, disease comorbidities, presenting oxygen levels and cytokine levels (adjusted model OR 1.2, 95% CI 1.0, 1.5). This analysis demonstrated a higher COVID-19 mortality risk among rural residents of NC. Implementing policy changes may mitigate such disparities going forward. |
format | Online Article Text |
id | pubmed-9384999 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-93849992022-08-18 Rural-urban outcome differences associated with COVID-19 hospitalizations in North Carolina Denslow, Sheri Wingert, Jason R. Hanchate, Amresh D. Rote, Aubri Westreich, Daniel Sexton, Laura Cheng, Kedai Curtis, Janis Jones, William Schuyler Lanou, Amy Joy Halladay, Jacqueline R. PLoS One Research Article People living in rural regions in the United States face more health challenges than their non-rural counterparts which could put them at additional risks during the COVID-19 pandemic. Few studies have examined if rurality is associated with additional mortality risk among those hospitalized for COVID-19. We studied a retrospective cohort of 3,991 people hospitalized with SARS-CoV-2 infections discharged between March 1 and September 30, 2020 in one of 17 hospitals in North Carolina that collaborate as a clinical data research network. Patient demographics, comorbidities, symptoms and laboratory data were examined. Logistic regression was used to evaluate associations of rurality with a composite outcome of death/hospice discharge. Comorbidities were more common in the rural patient population as were the number of comorbidities per patient. Overall, 505 patients died prior to discharge and 63 patients were discharged to hospice. Among rural patients, 16.5% died or were discharged to hospice vs. 13.3% in the urban cohort resulting in greater odds of death/hospice discharge (OR 1.3, 95% CI 1.1, 1.6). This estimate decreased minimally when adjusted for age, sex, race/ethnicity, payer, disease comorbidities, presenting oxygen levels and cytokine levels (adjusted model OR 1.2, 95% CI 1.0, 1.5). This analysis demonstrated a higher COVID-19 mortality risk among rural residents of NC. Implementing policy changes may mitigate such disparities going forward. Public Library of Science 2022-08-17 /pmc/articles/PMC9384999/ /pubmed/35976813 http://dx.doi.org/10.1371/journal.pone.0271755 Text en © 2022 Denslow et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Denslow, Sheri Wingert, Jason R. Hanchate, Amresh D. Rote, Aubri Westreich, Daniel Sexton, Laura Cheng, Kedai Curtis, Janis Jones, William Schuyler Lanou, Amy Joy Halladay, Jacqueline R. Rural-urban outcome differences associated with COVID-19 hospitalizations in North Carolina |
title | Rural-urban outcome differences associated with COVID-19 hospitalizations in North Carolina |
title_full | Rural-urban outcome differences associated with COVID-19 hospitalizations in North Carolina |
title_fullStr | Rural-urban outcome differences associated with COVID-19 hospitalizations in North Carolina |
title_full_unstemmed | Rural-urban outcome differences associated with COVID-19 hospitalizations in North Carolina |
title_short | Rural-urban outcome differences associated with COVID-19 hospitalizations in North Carolina |
title_sort | rural-urban outcome differences associated with covid-19 hospitalizations in north carolina |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9384999/ https://www.ncbi.nlm.nih.gov/pubmed/35976813 http://dx.doi.org/10.1371/journal.pone.0271755 |
work_keys_str_mv | AT denslowsheri ruralurbanoutcomedifferencesassociatedwithcovid19hospitalizationsinnorthcarolina AT wingertjasonr ruralurbanoutcomedifferencesassociatedwithcovid19hospitalizationsinnorthcarolina AT hanchateamreshd ruralurbanoutcomedifferencesassociatedwithcovid19hospitalizationsinnorthcarolina AT roteaubri ruralurbanoutcomedifferencesassociatedwithcovid19hospitalizationsinnorthcarolina AT westreichdaniel ruralurbanoutcomedifferencesassociatedwithcovid19hospitalizationsinnorthcarolina AT sextonlaura ruralurbanoutcomedifferencesassociatedwithcovid19hospitalizationsinnorthcarolina AT chengkedai ruralurbanoutcomedifferencesassociatedwithcovid19hospitalizationsinnorthcarolina AT curtisjanis ruralurbanoutcomedifferencesassociatedwithcovid19hospitalizationsinnorthcarolina AT joneswilliamschuyler ruralurbanoutcomedifferencesassociatedwithcovid19hospitalizationsinnorthcarolina AT lanouamyjoy ruralurbanoutcomedifferencesassociatedwithcovid19hospitalizationsinnorthcarolina AT halladayjacqueliner ruralurbanoutcomedifferencesassociatedwithcovid19hospitalizationsinnorthcarolina |