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Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Clin+Imaging 2021 ; 77 (ä): 276-282 Nephropedia Template TP
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Addressing ethnic disparities in imaging utilization and clinical outcomes for COVID-19 #MMPMID34167069
Larsen LH; Desai B; Cen SY; Stahl D; Lei X; Gholamrezanezhad A; Yamashita M
Clin Imaging 2021[Sep]; 77 (ä): 276-282 PMID34167069show ga
PURPOSE: Racial and ethnic disparities have exacerbated during the COVID-19 pandemic as the healthcare system is overwhelmed. While Hispanics are disproportionately affected by COVID-19, little is known about ethnic disparities in the hospital settings. This study investigates imaging utilization and clinical outcomes between Hispanic and non-Hispanic COVID-19 patients in the Emergency Department (ED) and during hospitalization. METHODS: Through retrospective chart review, we included 331 symptomatic COVID-19 patients (mean age 53.2 years) at a metropolitan healthcare system from March to June 2020. Poisson regression was used to compare diagnostic imaging utilization and clinical outcomes between Hispanic and non-Hispanic patients. RESULTS: After adjusting for confounders, no statistically significant difference was found between Hispanic and non-Hispanic patients for the number of weekly chest X-rays. Results were categorized into four clinical outcomes: ED management (0.16 +/- 0.05 vs. 0.14 +/- 0.8, p:0.79); requiring inpatient management (1.31 +/- 0.11 vs. 1.46 +/- 0.16, p:0.43); ICU admission without invasive ventilation (1.4 +/- 0.17 vs. 1.35 +/- 0.26, p:0.86); and ICU admission and ventilator support (3.29 +/- 0.22 vs. 3.59 +/- 0.37, p:0.38). There were no statistically significant relative differences in adjusted prevalence rate between ethnic groups for all clinical outcomes (p > 0.05). There was a statistically significant longer adjusted length of stay (days) in non-Hispanics for two subcohorts: inpatient management (8.16 +/- 0.31 vs. 9.72 +/- 0.5, p < 0.01) and ICU admission without invasive ventilation (10.39 +/- 0.57 vs. 13.45 +/- 1.13, p < 0.01). CONCLUSIONS: For Hispanic and non-Hispanic COVID-19 patients in the ED or hospitalized, there were no statistically significant differences in imaging utilization and clinical outcomes.