Today's Date: January 27, 2021
Distilled Spirits Council of the United States Launches DISCUS Academy   •   Bode Opens Up Marketplace to Buyers With or Without an Agent   •   Complimentary Disney Veterans Institute Summit Will Encourage and Support Hiring of Military Veterans   •   With COVID-19 on the Rise Amid Vaccine Shortages, Black Clergy Join National Effort to Ramp up COVID-19 Testing in Communities H   •   Set Your Children Up For Success: Nevada Virtual Academy Now Accepting Enrollments for 2021-2022 School Year   •   Nelnet Business Services Acquires Catholic Faith Technologies   •   First Command Reports: Savings Rates Strongest in Military Families with a Financial Coach   •   Black Voices for Black Justice Fund Announces Awards to 19 Black Activists Working to Advance Racial Justice   •   Direct Agents to Partner with Color of Change for Digital Billboard Design   •   Miracle-Ear® Offering Free Hearing Exams at All of Its 1,500+ Locations Across the Country   •   Younger, Digitally Native Consumers Are the Most Frequent Cross-Border E-Commerce Shoppers, New Survey Shows   •   Group of Nation's Most Renowned Black Clergy Led by Rev. Sharpton and Rev. Butts Launch Nationwide Testing Campaign to Fight COV   •   While Others Cut Back, National Health Foundation Partners with Chrysalis to Increase Job Opportunities   •   SONIC Drops a Curious 9-minute and 9-second Video in Celebration of the Beloved 99 Cent FRITOS Chili Cheese Jr. Wrap   •   Citizens for a Pro-Business Delaware Launches Grassroots Canvassing Campaign to Engage Citizens to Advocate for Diversity on Del   •   Department of Defense funds $1.465 million for cybersecurity education at The Citadel   •   Government of Canada commits to fund Shelters for Inuit Women   •   Four Women Blends Music, Film, and Art to Reveal Impact of Four Black Women Throughout History   •   Mashantucket Pequot Tribal Nation and LionGrove Reveal Plans to Open Foxwoods El San Juan Casino at the Legendary Fairmont El Sa   •   Are You up to the Challenge? E*TRADE Encourages Financial Fitness Through Super Bowl® Campaign
Bookmark and Share

New Study Finds Once Hospitalized, Black Patients with COVID-19 Have Lower Risk of Death than White Patients

New Study Finds Once Hospitalized, Black Patients with COVID-19 Have Lower Risk of Death than White Patients

PR Newswire

NEW YORK, Dec. 4, 2020 /PRNewswire/ -- While multiple research studies show that Black and Hispanic patients are more likely to test positive for COVID-19, a team of investigators at NYU Langone Health has found that once hospitalized, Black patients (after controlling for other serious health conditions and neighborhood income) were less likely to have severe illness, die, or be discharged to hospice compared to White patients.   

The study – recently published online in JAMA Network Open is, according to its authors, one of the first to examine the impact of comorbid conditions and neighborhood socioeconomic status (SES) on outcomes for Black, Hispanic and Asian patients hospitalized for COVID-19. Findings indicate that Black and Hispanic populations are not inherently more susceptible to poor COVID-19 outcomes compared to other groups, and that once hospitalized, their outcomes are equal to or better than their White counterparts.   

"We know that Black and Hispanic populations account for a disproportionate share of COVID-19-related deaths relative to their population size in New York and major cities across the country," says Gbenga Ogedegbe, MD, MPH, Dr. Adolph and Margaret Berger Professor of Medicine and Population Health at NYU Langone Health, and the study's lead author. "We were, however, surprised to find that Black and Hispanic patients were no more likely to be hospitalized across NYU Langone than White patients, which means we need to look at other structural factors at play that are negatively affecting outcomes in these communities. These factors include poor housing conditions, unequal access to health care, differential employment opportunities, and poverty—and they must be addressed," says Ogedegbe, who is also director of NYU Langone's Institute for Excellence in Health Equity.

How the Study Was Conducted

The team of investigators obtained all data from NYU Langone Health's electronic health record (EHR) of 9,722 patients tested for COVID-19 at the health system's 260 outpatient office sites and four acute care hospitals in Manhattan, Brooklyn, and Long Island between March 1, 2020 and April 8, 2020, and followed them through May 13, 2020. The patients' race and ethnicity data was self-reported.  

For every patient who tested positive for COVID-19 , the researchers compiled race/ethnicity data, patient characteristics such as body mass index (BMI), age and sex, and neighborhood socioeconomic (SES) data contained in a weighted index of seven indicators (including median household income, level of education and housing value, among others).

Study Findings

  • Among the 4,843 patients who tested positive for COVID-19, 39 percent were White, 15.7 percent were Black, 25.9 percent were Hispanic, 7 percent were Asian, and 7.4 percent were multiracial/other; 2,623 patients were hospitalized.
  • Of 2,623 patients hospitalized, 39.9 percent were White, 14.3 percent were Black, 27.3 percent were Hispanic, 6.9 percent were Asian, and 7.9 percent were multiracial/other. Hospitalized patients were older and had higher comorbidity than patients who tested positive but were not hospitalized. 70.8 percent were discharged, 36.3 percent experienced critical illness, 24.7 percent died or were discharged to hospice, and 4.5 percent remained hospitalized as of May 13, 2020.
  • Black and Hispanic patients had a lower risk of critical illness and were less likely to die or be discharged to hospice compared to White patients. After adjusting for age, sex, insurance status and comorbidity, Black patients continued to have lower risk of death compared to White patients, while Hispanics and Asian patients had similar rates to White patients.
  • After adjusting for all the above factors, Asian patients had higher odds of being hospitalized than White patients even though they were less likely to test positive for COVID-19.

"Our findings provide more evidence that the social determinants of health play a critical role in determining patient outcomes, particularly for Black patients, before they ever get to the hospital," said Joseph Ravenell, MD, associate professor in the Department of Population Health and associate dean for Diversity Affairs and Inclusion at NYU Langone.

"However, we do see a bit of a paradox," said Ravenell. "In keeping with other research, we've found that once Black patients with COVID-19 make it to the hospital-- despite coming from lower-income neighborhoods--their odds of dying are similar to or lower than White patients. Meanwhile, we also know that Black and Hispanic people are disproportionately contracting and dying of COVID-19 across the country."

According to Ogedegbe and Ravenell, Black populations are more likely to be uninsured and underinsured than White populations and thus more likely to die at home as opposed to in hospital due to poorer access to care. Another predictor of poor outcomes for patients hospitalized with COVID-19 is male sex. In this particular study cohort, 62 percent of Black hospitalized patients were female, which could explain their relatively better outcomes. The study population may also not be representative of the overall New York City population, they said.

Study senior author Leora Horwitz, MD, associate professor in the Departments of Population Health and Medicine and director of the Center for Healthcare Innovation and Delivery Science at NYU Langone, says that future studies need to better examine the direct impact of structural inequities on racial and ethnic disparities in COVID-19 related hospitalization, morbidity, and mortality.

In addition to Ogedegbe, Horwitz, and Ravenell, additional co-authors from NYU Langone Health are Samrachana Adhikari, PhD, Mark Butler, PhD, Tiffany Cook, MA, Fritz Francois, MD, Eduardo Iturrate, MD, Girardin Jean-Louis, PhD, Simon Jones, PhD, Deborah Onakomaiya, MPH, Christopher Petrilli, MD, Claudia Pulgarin, MS, Seann Reagan, MA, Harmony Reynolds, MD, Azizi Seixas, PhD, and Frank Michael Volpicelli, MD.  

Media Inquiries:

Sasha Walek

646-501-3873

Sasha.Walek@nyulangone.org 

Cision View original content to download multimedia:http://www.prnewswire.com/news-releases/new-study-finds-once-hospitalized-black-patients-with-covid-19-have-lower-risk-of-death-than-white-patients-301186674.html

SOURCE NYU Langone Health



Back to top
| Back to home page
Video

White House Live Stream
LIVE VIDEO EVERY SATURDAY
alsharpton Rev. Al Sharpton
9 to 11 am EST
jjackson Rev. Jesse Jackson
10 to noon CST


Video

LIVE BROADCASTS
Sounds Make the News ®
WAOK-Urban
Atlanta - WAOK-Urban
KPFA-Progressive
Berkley / San Francisco - KPFA-Progressive
WVON-Urban
Chicago - WVON-Urban
KJLH - Urban
Los Angeles - KJLH - Urban
WKDM-Mandarin Chinese
New York - WKDM-Mandarin Chinese
WADO-Spanish
New York - WADO-Spanish
WBAI - Progressive
New York - WBAI - Progressive
WOL-Urban
Washington - WOL-Urban

Listen to United Natiosns News