Hospital Strain During the COVID-19 Pandemic and Outcomes in Older Racial and Ethnic Minority Adults
Authors' conclusion
In this cross-sectional study, older adults hospitalized with sepsis were more likely to die or experience major morbidity as the hospital COVID-19 burden increased. These increases in adverse outcomes were greater in magnitude among members of minority populations than for White individuals.
Study context
- Population
- Older adults hospitalized with sepsis, Medicare claims, January 1, 2016–December 31, 2021hospitalizations for sepsis
- Participants
- 5,899,869 adults
- Exposure
- Hospital weekly COVID-19 burden >40% vs before the pandemic, by race and ethnicity (Asian, Black, Hispanic vs White)
- Asiann = 177,864
- Blackn = 664,648
- Hispanicn = 522,964
- Whiten = 4,534,393reference
- Outcome
- Composite of:
- All-cause 30-day mortality
- Major morbidity
- Follow-up
- 30 days
Methodological detailsmultivariable regression, Medicare claims data
- Multivariable regression
- Medicare claims data
Main finding
As reported in the abstract
Death or major morbidity when hospital weekly COVID-19 burden >40%
Adjusted odds ratio (95% CI)P value
White (COVID-19 burden >40%) vs White (before the pandemic)risk increased nearly 2-fold
1.90(1.80–2.00)
P < 0.001Asian vs White44% higher risk
1.44(1.28–1.61)
P < 0.001Black vs White21% higher risk
1.21(1.11–1.33)
P < 0.001Hispanic vs White45% higher risk
1.45(1.32–1.59)
P < 0.001Observational data: associations, not effects.
Original publication
Hospital Strain During the COVID-19 Pandemic and Outcomes in Older Racial and Ethnic Minority Adults. JAMA Netw Open. Published 1 October 2024. doi:10.
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