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Disabil Health J . Risk of COVID-19 and major adverse clinical outcomes among people with disabilities in South Korea

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  • Disabil Health J . Risk of COVID-19 and major adverse clinical outcomes among people with disabilities in South Korea


    Disabil Health J


    . 2021 Jun 2;101127.
    doi: 10.1016/j.dhjo.2021.101127. Online ahead of print.
    Risk of COVID-19 and major adverse clinical outcomes among people with disabilities in South Korea


    Jae Woo Choi 1 , Euna Han 2 , Sang Gyu Lee 3 , Jaeyong Shin 3 , Tae Hyun Kim 4



    Affiliations

    Abstract

    Background: Evidence regarding the risk of coronavirus disease (COVID-19) and the major adverse clinical outcomes of COVID-19 among people with disabilities (PwDs) is scarce.
    Objective: This study investigated the association of disability status with the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) test positivity and the risk of major adverse clinical outcomes among participants who tested positive for SARS-CoV-2.
    Methods: This study included all patients (n = 8070) who tested positive for SARS-CoV-2 and individuals without COVID-19 (n = 121,050) in South Korea from January 1 to May 30, 2020. The study variables included officially registered disability status from the government, SARS-CoV-2 test positivity, and major adverse clinical outcomes of COVID-19 (admission to the intensive care unit, invasive ventilation, or death).
    Results: The study participants included 129,120 individuals (including 7261 PwDs), of whom 8070 (6.3%) tested positive for SARS-CoV-2. After adjusting for potential confounding factors, PwDs had an increased risk of SARS-CoV-2 test positivity compared with people without disabilities (odds ratio [OR]: 1.36, 95% confidence interval [CI]: 1.24-1.48). Among participants who tested positive for SARS-CoV-2, PwDs were associated with an increased risk of major adverse clinical outcomes from COVID-19 compared to those without disabilities (OR: 1.43, 95% CI: 1.11-1.86).
    Conclusions: PwDs had an increased risk of COVID-19 and major adverse clinical outcomes of COVID-19 compared with people without disabilities. Given the higher vulnerability of PwDs to COVID-19, tailored policy and management to protect against the risk of COVID-19 are required.

    Keywords: COVID-19; Disability; Korean; Major adverse clinical outcomes.

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