Introduction: Increasing age, male gender, African American race, and medical comorbidities have been reported as risk factors for COVID-19 mortality. We aimed to identify health-care disparities associated with increased mortality in COVID-19 patients.
Methods: We performed an observational study of all hospitalized patients with SARS-CoV2 infection from within the largest multicenter healthcare system in Southeast Michigan, from February to December, 2020.
Results: From 11,304 hospitalized patients, 1295 died, representing an in-hospital mortality rate of 11.5%. The mean age of hospitalized patients was 63.77 years-old, with 49.96% being males. Older age (AOR = 1.05, p < 0.0001), male gender (AOR = 1.43, p < 0.0001), divorced status (AOR = 1.25, p = 0.0256), disabled status (AOR = 1.42, p = 0.0091), and homemakers (AOR = 1.96, p = 0.0216) were significantly associated with in-hospital mortality.
Conclusion: Older age, male gender, divorced and disabled status and homemakers were significantly associated with in-hospital mortality if they developed COVID-19. Further research should aim to identify the underlying factors driving these disparities in COVID-19 in-hospital mortality.

Keywords: disparities, COVID-19, mortality, race, disability


中文翻译：

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与 COVID-19 患者住院死亡率相关的医疗保健差异

简介：据报道，年龄增长、男性、非裔美国人种族和医学合并症是导致 COVID-19 死亡的危险因素。我们旨在确定与 COVID-19 患者死亡率增加相关的医疗保健差异。
方法：我们对 2020 年 2 月至 2020 年 12 月在密歇根州东南部最大的多中心医疗保健系统内的所有 SARS-CoV2 感染住院患者进行了一项观察性研究。
结果：在 11304 名住院患者中，1295 人死亡，院内死亡率为 11.5%。住院患者平均年龄63.77岁，男性占49.96%。年龄较大 (AOR = 1.05, p < 0.0001)、男性 (AOR = 1.43, p < 0.0001)、离婚状态 (AOR = 1.25, p = 0.0256)、残疾状态 (AOR = 1.42, p = 0.0091) 和家庭主妇(AOR = 1.96, p = 0.0216) 与住院死亡率显着相关。
结论：如果发生 COVID-19，年龄较大、男性、离婚和残疾状况以及家庭主妇与住院死亡率显着相关。进一步的研究应旨在确定导致 COVID-19 住院死亡率差异的潜在因素。

关键词：差异、COVID-19、死亡率、种族、残疾