ArticleThe American journal of emergency medicine2021
Racial/ethnic disparities in COVID-19 disease burden & mortality among emergency department patients in a safety net health system.
Article in The American journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review of racial/ethnic and socioeconomic disparities in COVID-19.International journal for equity in health · 2021Pooled it
- Disparities in COVID-19 Outcomes by Race, Ethnicity, and Socioeconomic Status: A Systematic-Review and Meta-analysis.JAMA network open · 2021Pooled it
- Impact of COVID-19 on Patients with a Preferred Language Other than English in the Emergency Department.The western journal of emergency medicine · 2025Article
- Real-World Implementation of a COVID-19 Monoclonal Antibody Treatment Program in a Los Angeles County Safety Net Ambulatory Healthcare System - Barriers to Treatment and Lessons Learned.Journal of racial and ethnic health disparities · 2024Article
- Long COVID among Brazilian Adults and Elders 12 Months after Hospital Discharge: A Population-Based Cohort Study.Healthcare (Basel, Switzerland) · 2024Article
- Impact of COVID-19 on Ethnically Minoritised Carers in UK's Care Home Settings: a Systematic Scoping Review.Journal of racial and ethnic health disparities · 2024Article
- Perceptions of Healthcare Safety Nets among Tertiary Hospital and Long-Term Care Hospital Nurses during the COVID-19 Pandemic: A Q-Methodological Approach.Healthcare (Basel, Switzerland) · 2023Article
- Designing and developing a digital equity dashboard for the emergency department.Journal of the American College of Emergency Physicians open · 2023Article
- COVID-19 impact on the psychological health of Latinx transgender and non-binary individuals in mainland United States and Puerto Rico: a mixed-methods study.BMC public health · 2022Article
- Impacts of the Pandemic on Social Determinants of Health in an Academic Emergency Department.The western journal of emergency medicine · 2022Article
- Medical avoidance among marginalized groups: the impact of the COVID-19 pandemic.Journal of behavioral medicine · 2022Article
- A Tale of 3 Pandemics: Severe Acute Respiratory Syndrome Coronavirus 2, Hepatitis C Virus, and Human Immunodeficiency Virus in an Urban Emergency Department in Baltimore, Maryland.Open forum infectious diseases · 2022Article
- COVID-19 impact on the psychological health of Latinx transgender and non-binary individuals in mainland United States and Puerto Rico: A mixed-methods study.Research square · 2022Article
- Differences in COVID-19 testing and adverse outcomes by race, ethnicity, sex, and health system setting in a large diverse US cohort.PloS one · 2022Observational
- Demographic and clinical correlates of acute and convalescent SARS-CoV-2 infection among patients of a U.S. emergency department.The American journal of emergency medicine · 2021Article
- Observational
- Healthcare Safety Nets during the COVID-19 Pandemic Based on Double Diamond Model: A Concept Analysis.Healthcare (Basel, Switzerland) · 2021Review
- Association of Race and Ethnicity with COVID-19 Test Positivity and Hospitalization Is Mediated by Socioeconomic Factors.Annals of the American Thoracic Society · 2021Article
- Tools for interpretation of wastewater SARS-CoV-2 temporal and spatial trends demonstrated with data collected in the San Francisco Bay Area.Water research X · 2021Article
- Changes in pediatric trauma during COVID-19 stay-at-home epoch at a tertiary pediatric hospital.Journal of pediatric surgery · 2021Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe sought to examine racial and ethnic disparities in test positivity rate and mortality among emergency department (ED) patients tested for COVID-19 within an integrated public health system in Northern California.
methodsIn this retrospective study we analyzed data from patients seen at three EDs and tested for COVID-19 between April 6 through May 4, 2020. The primary outcome was the test positivity rate by race and ethnicity, and the secondary outcome was 30 day in-hospital mortality. We used multivariable logistic regression to examine associations with COVID-19 test positivity.
resultsThere were 526 patients tested for COVID-19, of whom 95 (18.1%) tested positive. The mean age of patients tested was 54.2 years, 54.7% were male, and 76.1% had at least one medical comorbidity. Black patients accounted for 40.7% of those tested but 16.8% of the positive tests, and Latinx patients accounted for 26.4% of those tested but 58.9% of the positive tests. The test positivity rate among Latinx patients was 40.3% (56/139) compared with 10.1% (39/387) among non-Latinx patients (p < 0.001). Latinx ethnicity was associated with COVID-19 test positivity (adjusted odds ratio 9.6, 95% confidence interval: 3.5-26.0). Mortality among Black patients was higher than non-Black patients (18.7% vs 1.3%, p < 0.001).
conclusionWe report a significant disparity in COVID-19 adjusted test positivity rate and crude mortality rate among Latinx and Black patients, respectively. Results from ED-based testing can identify racial and ethnic disparities in COVID-19 testing, test positivity rates, and mortality associated with COVID-19 infection and can be used by health departments to inform policy.
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