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Patient and Hospital Factors Associated With Differences in Mortality Rates Among Black and White US Medicare Beneficiaries Hospitalized With COVID-19 Infection [jamanetwork.com]

 

By David A. Asch, Nazmul Islam, Natalie E. Sheils, et al., JAMA Network Open, June 17, 2021

Key Points

Question Do Black patients hospitalized with COVID-19 have worse outcomes than White patients and, if so, what is the association between worse outcomes and comorbidities vs the hospitals to which they are admitted?

Findings In this cohort study of 44 217 adult Medicare beneficiaries admitted with COVID-19 to 1188 US hospitals, odds of 30-day inpatient mortality or discharge to hospice were 11% higher for Black patients than for White patients after adjustment for patient sociodemographic and clinical characteristics. That difference was largely eliminated when adjustment was made for the hospital where care was received.

Meaning This study’s findings suggest that the increased mortality among Black patients hospitalized with COVID-19 is associated with the hospitals at which Black patients disproportionately received care.

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