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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 BMC+Public+Health 2021 ; 21 (1): 1452 Nephropedia Template TP
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A risk index for COVID-19 severity is associated with COVID-19 mortality in New York City #MMPMID34303357
Lieberman-Cribbin W; Alpert N; Flores R; Taioli E
BMC Public Health 2021[Jul]; 21 (1): 1452 PMID34303357show ga
BACKGROUND: New York City (NYC) was the epicenter of the COVID-19 pandemic, and is home to underserved populations with higher prevalence of chronic conditions that put them in danger of more serious infection. Little is known about how the presence of chronic risk factors correlates with mortality at the population level. Here we determine the relationship between these factors and COVD-19 mortality in NYC. METHODS: A cross-sectional study of mortality data obtained from the NYC Coronavirus data repository (03/02/2020-07/06/2020) and the prevalence of neighborhood-level risk factors for COVID-19 severity was performed. A risk index was created based on the CDC criteria for risk of severe illness and complications from COVID-19, and stepwise linear regression was implemented to predict the COVID-19 mortality rate across NYC zip code tabulation areas (ZCTAs) utilizing the risk index, median age, socioeconomic status index, and the racial and Hispanic composition at the ZCTA-level as predictors. RESULTS: The COVID-19 death rate per 100,000 persons significantly decreased with the increasing proportion of white residents (beta(adj) = - 0.91, SE = 0.31, p = 0.0037), while the increasing proportion of Hispanic residents (beta(adj) = 0.90, SE = 0.38, p = 0.0200), median age (beta(adj) = 3.45, SE = 1.74, p = 0.0489), and COVID-19 severity risk index (beta(adj) = 5.84, SE = 0.82, p < 0.001) were statistically significantly positively associated with death rates. CONCLUSIONS: Disparities in COVID-19 mortality exist across NYC and these vulnerable areas require increased attention, including repeated and widespread testing, to minimize the threat of serious illness and mortality.