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African Americans Struggle With the Current COVID-19.
Kandil, Emad; Attia, Abdallah S; Youssef, Mohanad R; Hussein, Mohammad; Ibraheem, Kareem; Abdelgawad, Mohamed; Al-Qurayshi, Zaid; Duchesne, Juan.
Afiliação
  • Kandil E; Department of Surgery, Tulane University School of Medicine, New Orleans, LA.
  • Attia AS; Department of Surgery, Tulane University School of Medicine, New Orleans, LA.
  • Youssef MR; Department of Surgery, Tulane University School of Medicine, New Orleans, LA.
  • Hussein M; Department of Surgery, Tulane University School of Medicine, New Orleans, LA.
  • Ibraheem K; Department of Surgery, Tulane University School of Medicine, New Orleans, LA.
  • Abdelgawad M; Department of Surgery, Tulane University School of Medicine, New Orleans, LA.
  • Al-Qurayshi Z; University of Iowa Hospitals and Clinics, Iowa City, IA.
  • Duchesne J; Department of Surgery, Tulane University School of Medicine, New Orleans, LA.
Ann Surg ; 272(3): e187-e190, 2020 09 01.
Article em En | MEDLINE | ID: mdl-33759842
OBJECTIVES: Our study aims to explore the differential impact of this pandemic on clinical presentations and outcomes in African Americans (AAs) compared to white patients. BACKGROUND: AAs have worse outcomes compared to whites while facing heart diseases, stroke, cancer, asthma, influenza and pneumonia, diabetes, and HIV/AIDS. However, there is no current study to show the impact of COVID-19 pandemic on the AA communities. METHODS: This is a retrospective study that included patients with laboratory-confirmed COVID-19 from 2 tertiary centers in New Orleans, LA. Clinical and laboratory data were collected. Multivariate analyses were performed to identify the risk factors associated with adverse events. RESULTS: A total of 157 patients were identified. Of these, 134 (77%) were AAs, whereas 23.4% of patients were Whites. Interestingly, AA were younger, with a mean age of 63 ± 13.4 compared to 75.7 ± 23 years in Whites (P < 0.001). Thirty-seven patients presented with no insurance, and 34 of them were AA. SOFA Score was significantly higher in AA (2.57 ± 2.1) compared to White patients (1.69 ± 1.7), P = 0.041. Elevated SOFA score was associated with higher odds for intubation (odds ratio = 1.6, 95% confidence interval = 1.32-1.93, P < 0.001). AA had more prolonged length of hospital stays (11.1 ± 13.4 days vs 7.7 ± 23 days) than in Whites, P = 0.01. CONCLUSION: AAs present with more advanced disease and eventually have worse outcomes from COVID-19 infection. Future studies are warranted for further investigations that should impact the need for providing additional resources to the AA communities.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pneumonia Viral / Negro ou Afro-Americano / COVID-19 Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pneumonia Viral / Negro ou Afro-Americano / COVID-19 Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Ano de publicação: 2020 Tipo de documento: Article