tetano
Editor, Senior Moderator
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[SUP] 1 [/SUP], Euna Han[SUP] 2 [/SUP], Sang Gyu Lee[SUP] 3 [/SUP], Jaeyong Shin[SUP] 3 [/SUP], Tae Hyun Kim[SUP] 4 [/SUP]
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.
. 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[SUP] 1 [/SUP], Euna Han[SUP] 2 [/SUP], Sang Gyu Lee[SUP] 3 [/SUP], Jaeyong Shin[SUP] 3 [/SUP], Tae Hyun Kim[SUP] 4 [/SUP]
Affiliations
- PMID: 34134944
- DOI: 10.1016/j.dhjo.2021.101127
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.