Outcomes of COVID-19 Patients: Are Hispanics at Greater Risk?

First Author(s)

• RN

  Rahul Nanchal, MD, MS, FCCM

  Physician
  Medical College of Wisconsin
  Delafied, Wisconsin, United States

  Disclosure information not submitted.

Co-Author(s)

• ER

  Erine Rojas, MD

  Assistant Clinical Professor
  Northeast Georgia Health System, United States

  Disclosure information not submitted.
• DJ

  David Jefferies, APNP

  APNP
  Northeast Georgia Health System, Gainesville, GA, United States

  Disclosure information not submitted.
• TO

  Tariq Odeh, MD

  Resident - Internal Medicine
  Northeast Georgia Health System, Gainesville, GA 30501., United States

  Disclosure information not submitted.
• AG

  Achuta Guddati, MD, PhD

  Associate Professor
  Augusta University, Augusta, GA 30909., United States

  Disclosure information not submitted.
• MM

  Mark Meersman, CPA

  Consultant
  IPC global, United States

  Disclosure information not submitted.
• GK

  Gagan Kumar, MD, MA, MS

  Northeast Georgia Medical Center
  Gainesville, Georgia

  Disclosure information not submitted.

Title: Outcomes of Covid 19 Patients – Are Hispanics at greater risk?


Introduction : Disparities in outcomes exist in outcomes of COVID19. Little is known about other ethnic minorities in US.

Methods: We included all COVID-19 positive adult patients (≥18 years) hospitalized between March 1, 2020 and February 5^th 2021. We compared in hospital mortality, use of intensive care unit services (rates of mechanical ventilation, vasopressor use and renal replacement therapy) between non-Hispanic whites with non-White/Black Hispanic. Multivariable Cox proportional Hazard models were used to adjust for differences between the two groups.

Results: There were 4059 hospital admissions with COVID-19 in the study period. Of the 3288 White, 789(24%) and 187 (24.3%) of the 770 Hispanics required ICU admission. Unadjusted mortality was higher in Whites than Hispanics (17.1% versus 10.7%; p< 0.001), however, after adjusting for confounding variables, in-hospital mortality was no different for Whites in comparison to Hispanics (HR 0.96, 95%CI 0.76-1.21, p=0.73). The adjusted rates of ICU transfers were significantly higher in Hispanics (HR 1.34, 95%CI 1.11-1.61, p=0.002). The adjusted likelihood for use of mechanical ventilation and hemodialysis did not reach significance. The use of vasopressor was significantly higher in Hispanics (HR 1.55; 95%CI 1.17-2.06, p=0.002).

Conclusion: Hispanics as compared to Whites with COVID-19 require higher rates of ICU admission but have a similar mortality.