Ethnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registry.

Background: This work aims to analyze clinical outcomes according to ethnic groups in patients hospitalized for COVID-19 in Spain. Methods: This nationwide, retrospective, multicenter, observational study analyzed hospitalized patients with confirmed COVID-19 in 150 Spanish hospitals (SEMI-COVID-19...

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Autores: Ramos-Rincon, Jose-Manuel, Cobos-Palacios, Lidia, López-Sampalo, Almudena, Ricci, Michele, Rubio-Rivas, Manuel, Martos-Pérez, Francisco, Lalueza-Blanco, Antonio, Moragón-Ledesma, Sergio, Fonseca-Aizpuru, Eva-María, García-García, Gema-María, Beato-Perez, Jose-Luis, Josa-Laorden, Claudia, Arnalich-Fernández, Francisco, Molinos-Castro, Sonia, Torres-Peña, José-David, Vargas-Núñez, Juan-Antonio, Mendez-Bailon, Manuel, Loureiro-Amigo, Jose, Hernández-Garrido, María-Soledad, Peris-García, Jorge, López-Reboiro, Manuel-Lorenzo, Barón-Franco, Bosco, Casas-Rojo, Jose-Manuel, Gómez-Huelgas, Ricardo, On Behalf Of The Semi-Covid-Network,
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/18798
Acceso en línea:http://hdl.handle.net/20.500.12105/18798
Access Level:acceso abierto
Palabra clave:COVID-19
SARS-CoV-2
Spain
ethnic groups
migrants
minority groups
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oai_identifier_str oai:repisalud.isciii.es:20.500.12105/18798
network_acronym_str ES
network_name_str España
repository_id_str
spelling Ethnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registry.Ramos-Rincon, Jose-ManuelCobos-Palacios, LidiaLópez-Sampalo, AlmudenaRicci, MicheleRubio-Rivas, ManuelMartos-Pérez, FranciscoLalueza-Blanco, AntonioMoragón-Ledesma, SergioFonseca-Aizpuru, Eva-MaríaGarcía-García, Gema-MaríaBeato-Perez, Jose-LuisJosa-Laorden, ClaudiaArnalich-Fernández, FranciscoMolinos-Castro, SoniaTorres-Peña, José-DavidVargas-Núñez, Juan-AntonioMendez-Bailon, ManuelLoureiro-Amigo, JoseHernández-Garrido, María-SoledadPeris-García, JorgeLópez-Reboiro, Manuel-LorenzoBarón-Franco, BoscoCasas-Rojo, Jose-ManuelGómez-Huelgas, RicardoOn Behalf Of The Semi-Covid-Network,COVID-19SARS-CoV-2Spainethnic groupsmigrantsminority groupsBackground: This work aims to analyze clinical outcomes according to ethnic groups in patients hospitalized for COVID-19 in Spain. Methods: This nationwide, retrospective, multicenter, observational study analyzed hospitalized patients with confirmed COVID-19 in 150 Spanish hospitals (SEMI-COVID-19 Registry) from 1 March 2020 to 31 December 2021. Clinical outcomes were assessed according to ethnicity (Latin Americans, Sub-Saharan Africans, Asians, North Africans, Europeans). The outcomes were in-hospital mortality (IHM), intensive care unit (ICU) admission, and the use of invasive mechanical ventilation (IMV). Associations between ethnic groups and clinical outcomes adjusted for patient characteristics and baseline Charlson Comorbidity Index values and wave were evaluated using logistic regression. Results: Of 23,953 patients (median age 69.5 years, 42.9% women), 7.0% were Latin American, 1.2% were North African, 0.5% were Asian, 0.5% were Sub-Saharan African, and 89.7% were European. Ethnic minority patients were significantly younger than European patients (median (IQR) age 49.1 (40.5−58.9) to 57.1 (44.1−67.1) vs. 71.5 (59.5−81.4) years, p < 0.001). The unadjusted IHM was higher in European (21.6%) versus North African (11.4%), Asian (10.9%), Latin American (7.1%), and Sub-Saharan African (3.2%) patients. After further adjustment, the IHM was lower in Sub-Saharan African (OR 0.28 (0.10−0.79), p = 0.017) versus European patients, while ICU admission rates were higher in Latin American and North African versus European patients (OR (95%CI) 1.37 (1.17−1.60), p < 0.001) and (OR (95%CI) 1.74 (1.26−2.41), p < 0.001). Moreover, Latin American patients were 39% more likely than European patients to use IMV (OR (95%CI) 1.43 (1.21−1.71), p < 0.001). Conclusion: The adjusted IHM was similar in all groups except for Sub-Saharan Africans, who had lower IHM. Latin American patients were admitted to the ICU and required IMV more often.20242024-02-2720222022-03-3120222022-03-31research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articlehttp://hdl.handle.net/20.500.12105/18798reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/187982026-06-12T12:43:37Z
dc.title.none.fl_str_mv Ethnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registry.
title Ethnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registry.
spellingShingle Ethnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registry.
Ramos-Rincon, Jose-Manuel
COVID-19
SARS-CoV-2
Spain
ethnic groups
migrants
minority groups
title_short Ethnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registry.
title_full Ethnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registry.
title_fullStr Ethnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registry.
title_full_unstemmed Ethnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registry.
title_sort Ethnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registry.
dc.creator.none.fl_str_mv Ramos-Rincon, Jose-Manuel
Cobos-Palacios, Lidia
López-Sampalo, Almudena
Ricci, Michele
Rubio-Rivas, Manuel
Martos-Pérez, Francisco
Lalueza-Blanco, Antonio
Moragón-Ledesma, Sergio
Fonseca-Aizpuru, Eva-María
García-García, Gema-María
Beato-Perez, Jose-Luis
Josa-Laorden, Claudia
Arnalich-Fernández, Francisco
Molinos-Castro, Sonia
Torres-Peña, José-David
Vargas-Núñez, Juan-Antonio
Mendez-Bailon, Manuel
Loureiro-Amigo, Jose
Hernández-Garrido, María-Soledad
Peris-García, Jorge
López-Reboiro, Manuel-Lorenzo
Barón-Franco, Bosco
Casas-Rojo, Jose-Manuel
Gómez-Huelgas, Ricardo
On Behalf Of The Semi-Covid-Network,
author Ramos-Rincon, Jose-Manuel
author_facet Ramos-Rincon, Jose-Manuel
Cobos-Palacios, Lidia
López-Sampalo, Almudena
Ricci, Michele
Rubio-Rivas, Manuel
Martos-Pérez, Francisco
Lalueza-Blanco, Antonio
Moragón-Ledesma, Sergio
Fonseca-Aizpuru, Eva-María
García-García, Gema-María
Beato-Perez, Jose-Luis
Josa-Laorden, Claudia
Arnalich-Fernández, Francisco
Molinos-Castro, Sonia
Torres-Peña, José-David
Vargas-Núñez, Juan-Antonio
Mendez-Bailon, Manuel
Loureiro-Amigo, Jose
Hernández-Garrido, María-Soledad
Peris-García, Jorge
López-Reboiro, Manuel-Lorenzo
Barón-Franco, Bosco
Casas-Rojo, Jose-Manuel
Gómez-Huelgas, Ricardo
On Behalf Of The Semi-Covid-Network,
author_role author
author2 Cobos-Palacios, Lidia
López-Sampalo, Almudena
Ricci, Michele
Rubio-Rivas, Manuel
Martos-Pérez, Francisco
Lalueza-Blanco, Antonio
Moragón-Ledesma, Sergio
Fonseca-Aizpuru, Eva-María
García-García, Gema-María
Beato-Perez, Jose-Luis
Josa-Laorden, Claudia
Arnalich-Fernández, Francisco
Molinos-Castro, Sonia
Torres-Peña, José-David
Vargas-Núñez, Juan-Antonio
Mendez-Bailon, Manuel
Loureiro-Amigo, Jose
Hernández-Garrido, María-Soledad
Peris-García, Jorge
López-Reboiro, Manuel-Lorenzo
Barón-Franco, Bosco
Casas-Rojo, Jose-Manuel
Gómez-Huelgas, Ricardo
On Behalf Of The Semi-Covid-Network,
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv COVID-19
SARS-CoV-2
Spain
ethnic groups
migrants
minority groups
topic COVID-19
SARS-CoV-2
Spain
ethnic groups
migrants
minority groups
description Background: This work aims to analyze clinical outcomes according to ethnic groups in patients hospitalized for COVID-19 in Spain. Methods: This nationwide, retrospective, multicenter, observational study analyzed hospitalized patients with confirmed COVID-19 in 150 Spanish hospitals (SEMI-COVID-19 Registry) from 1 March 2020 to 31 December 2021. Clinical outcomes were assessed according to ethnicity (Latin Americans, Sub-Saharan Africans, Asians, North Africans, Europeans). The outcomes were in-hospital mortality (IHM), intensive care unit (ICU) admission, and the use of invasive mechanical ventilation (IMV). Associations between ethnic groups and clinical outcomes adjusted for patient characteristics and baseline Charlson Comorbidity Index values and wave were evaluated using logistic regression. Results: Of 23,953 patients (median age 69.5 years, 42.9% women), 7.0% were Latin American, 1.2% were North African, 0.5% were Asian, 0.5% were Sub-Saharan African, and 89.7% were European. Ethnic minority patients were significantly younger than European patients (median (IQR) age 49.1 (40.5−58.9) to 57.1 (44.1−67.1) vs. 71.5 (59.5−81.4) years, p < 0.001). The unadjusted IHM was higher in European (21.6%) versus North African (11.4%), Asian (10.9%), Latin American (7.1%), and Sub-Saharan African (3.2%) patients. After further adjustment, the IHM was lower in Sub-Saharan African (OR 0.28 (0.10−0.79), p = 0.017) versus European patients, while ICU admission rates were higher in Latin American and North African versus European patients (OR (95%CI) 1.37 (1.17−1.60), p < 0.001) and (OR (95%CI) 1.74 (1.26−2.41), p < 0.001). Moreover, Latin American patients were 39% more likely than European patients to use IMV (OR (95%CI) 1.43 (1.21−1.71), p < 0.001). Conclusion: The adjusted IHM was similar in all groups except for Sub-Saharan Africans, who had lower IHM. Latin American patients were admitted to the ICU and required IMV more often.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-03-31
2022
2022-03-31
2024
2024-02-27
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/18798
url http://hdl.handle.net/20.500.12105/18798
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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