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

This work aims to analyze clinical outcomes according to ethnic groups in patients hospitalized for COVID-19 in Spain. (2) Methods: This nationwide, retrospective, multicenter, observational study analyzed hospitalized patients with confirmed COVID-19 in 150 Spanish hospitals (SEMI-COVID-19 Registry...

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Detalles Bibliográficos
Autores: Ramos Rincón, José Manuel, Cobos-Palacios, Lidia, López Sampalo , Almudena, Ricci, Michele, Rubio-Rivas, Manuel, Lalueza-Blanco, Antonio, Moragón-Ledesma, Sergio, Fonseca Aizpuru, Eva, García-García, Gema María, Beato-Pérez, José-Luis, Josa-Laorden, Claudia, Arnalich-Fernández, Francisco, Molinos Castro, Sonia, Torres Peña, José D., Artero, Arturo, 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
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad Miguel Hernández de Elche
Repositorio:REDIUMH. Depósito Digital de la UMH
OAI Identifier:oai:dspace.umh.es:11000/39361
Acceso en línea:https://hdl.handle.net/11000/39361
Access Level:acceso abierto
Palabra clave:COVID-19
SARS-CoV-2
ethnic groups
minority groups
migrants
Spain
CDU::6 - Ciencias aplicadas::61 - Medicina
Descripción
Sumario:This work aims to analyze clinical outcomes according to ethnic groups in patients hospitalized for COVID-19 in Spain. (2) 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. (3) 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). (4) 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.

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