tetano
Editor, Senior Moderator
J Racial Ethn Health Disparities
. 2022 Dec 7.
doi: 10.1007/s40615-022-01478-1. Online ahead of print.
ICU Admission Risk Factors for Latinx COVID-19 Patients at a U.S.-Mexico Border Hospital
Faith C Quenzer[SUP] 1 2 [/SUP], Christopher J Coyne[SUP] 3 [/SUP], Karen Ferran[SUP] 4 [/SUP], Ashley Williams[SUP] 4 [/SUP], Andrew T Lafree[SUP] 3 5 [/SUP], Sten Kajitani[SUP] 3 5 [/SUP], George Mathen[SUP] 3 5 [/SUP], Vanessa Villegas[SUP] 5 [/SUP], Kari M Kajitani[SUP] 3 5 [/SUP], Christian Tomaszewski[SUP] 3 5 [/SUP], Stephanie Brodine[SUP] 4 [/SUP]
Affiliations
Abstract
Objective: Few studies have examined the impact of coronavirus disease 2019 (COVID-19) on the primarily Latinx community along the U.S.-Mexico border. This study explores the socioeconomic impacts which contribute to strong predictors of severe COVID-19 complications such as intensive care unit (ICU) hospitalization in a primarily Latinx/Hispanic U.S.-Mexico border hospital.
Methods: A retrospective, observational study of 156 patients (≥ 18 years) Latinx/Hispanic patients who were admitted for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection at a U.S.-Mexico border hospital from April 10, 2020, to May 30, 2020. Descriptive statistics of sex, age, body mass index (BMI), and comorbidities (coronary artery disease, hypertension, diabetes, cancer/lymphoma, current use of immunosuppressive drug therapy, chronic kidney disease/dialysis, or chronic respiratory disease). Multivariate regression models were produced from the most significant variables and factors for ICU admission.
Results: Of the 156 hospitalized Latinx patients, 63.5% were male, 84.6% had respiratory failure, and 45% were admitted to the ICU. The average age was 67.2 (± 12.2). Those with body mass index (BMI) ≥ 25 had a higher frequency of ICU admission. Males had a 4.4 (95% CI 1.58, 12.308) odds of ICU admission (p = 0.0047). Those who developed acute kidney injury (AKI) and BMI 25-29.9 were strong predictors of ICU admission (p < 0.001 and p = 0.0020, respectively). Those with at least one reported comorbidity had 1.98 increased odds (95% CI 1.313, 2.99) of an ICU admission.
Conclusion: Findings show that age, AKI, and male sex were the strongest predictors of COVID-19 ICU admissions in the primarily Latinx population at the U.S.-Mexico border. These predictors are also likely driven by socioeconomic inequalities which are most apparent in border hospitals.
Keywords: COVID-19; Hispanic population; Hospitalizations; Intensive care unit (ICU); Latinx; SARS-CoV2; U.S.-Mexico border.
. 2022 Dec 7.
doi: 10.1007/s40615-022-01478-1. Online ahead of print.
ICU Admission Risk Factors for Latinx COVID-19 Patients at a U.S.-Mexico Border Hospital
Faith C Quenzer[SUP] 1 2 [/SUP], Christopher J Coyne[SUP] 3 [/SUP], Karen Ferran[SUP] 4 [/SUP], Ashley Williams[SUP] 4 [/SUP], Andrew T Lafree[SUP] 3 5 [/SUP], Sten Kajitani[SUP] 3 5 [/SUP], George Mathen[SUP] 3 5 [/SUP], Vanessa Villegas[SUP] 5 [/SUP], Kari M Kajitani[SUP] 3 5 [/SUP], Christian Tomaszewski[SUP] 3 5 [/SUP], Stephanie Brodine[SUP] 4 [/SUP]
Affiliations
- PMID: 36478268
- DOI: 10.1007/s40615-022-01478-1
Abstract
Objective: Few studies have examined the impact of coronavirus disease 2019 (COVID-19) on the primarily Latinx community along the U.S.-Mexico border. This study explores the socioeconomic impacts which contribute to strong predictors of severe COVID-19 complications such as intensive care unit (ICU) hospitalization in a primarily Latinx/Hispanic U.S.-Mexico border hospital.
Methods: A retrospective, observational study of 156 patients (≥ 18 years) Latinx/Hispanic patients who were admitted for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection at a U.S.-Mexico border hospital from April 10, 2020, to May 30, 2020. Descriptive statistics of sex, age, body mass index (BMI), and comorbidities (coronary artery disease, hypertension, diabetes, cancer/lymphoma, current use of immunosuppressive drug therapy, chronic kidney disease/dialysis, or chronic respiratory disease). Multivariate regression models were produced from the most significant variables and factors for ICU admission.
Results: Of the 156 hospitalized Latinx patients, 63.5% were male, 84.6% had respiratory failure, and 45% were admitted to the ICU. The average age was 67.2 (± 12.2). Those with body mass index (BMI) ≥ 25 had a higher frequency of ICU admission. Males had a 4.4 (95% CI 1.58, 12.308) odds of ICU admission (p = 0.0047). Those who developed acute kidney injury (AKI) and BMI 25-29.9 were strong predictors of ICU admission (p < 0.001 and p = 0.0020, respectively). Those with at least one reported comorbidity had 1.98 increased odds (95% CI 1.313, 2.99) of an ICU admission.
Conclusion: Findings show that age, AKI, and male sex were the strongest predictors of COVID-19 ICU admissions in the primarily Latinx population at the U.S.-Mexico border. These predictors are also likely driven by socioeconomic inequalities which are most apparent in border hospitals.
Keywords: COVID-19; Hispanic population; Hospitalizations; Intensive care unit (ICU); Latinx; SARS-CoV2; U.S.-Mexico border.