African Americans Struggle With the Current COVID-19

Emad Kandil; Abdallah S. Attia; Mohanad R. Youssef; Mohammad Hussein; Kareem Ibraheem; Mohamed Abdelgawad; Zaid Al-Qurayshi; Juan Duchesne

doi:10.1097/SLA.0000000000004185

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African Americans Struggle With the Current COVID-19

Journal article

Open access

Peer reviewed

African Americans Struggle With the Current COVID-19

Emad Kandil, Abdallah S. Attia, Mohanad R. Youssef, Mohammad Hussein, Kareem Ibraheem, Mohamed Abdelgawad, Zaid Al-Qurayshi and Juan Duchesne

Annals of surgery, Vol.272(3), pp.E187-E190

09/2020

DOI: 10.1097/SLA.0000000000004185

PMCID: PMC7467041

PMID: 33759842

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Abstract

Objectives: Our study aims to explore the differential impact of this pandemic on clinical presentations and outcomes in African Americans (AAs) compared to white patients. Background: AAs have worse outcomes compared to whites while facing heart diseases, stroke, cancer, asthma, influenza and pneumonia, diabetes, and HIV/AIDS. However, there is no current study to show the impact of COVID-19 pandemic on the AA communities. Methods: This is a retrospective study that included patients with laboratory-confirmed COVID-19 from 2 tertiary centers in New Orleans, LA. Clinical and laboratory data were collected. Multivariate analyses were performed to identify the risk factors associated with adverse events. Results: A total of 157 patients were identified. Of these, 134 (77%) were AAs, whereas 23.4% of patients were Whites. Interestingly, AA were younger, with a mean age of 63 +/- 13.4 compared to 75.7 +/- 23 years in Whites (P < 0.001). Thirty-seven patients presented with no insurance, and 34 of them were AA. SOFA Score was significantly higher in AA (2.57 +/- 2.1) compared to White patients (1.69 +/- 1.7), P = 0.041. Elevated SOFA score was associated with higher odds for intubation (odds ratio = 1.6, 95% confidence interval = 1.32-1.93, P < 0.001). AA had more prolonged length of hospital stays (11.1 +/- 13.4 days vs 7.7 +/- 23 days) than in Whites, P = 0.01. Conclusion: AAs present with more advanced disease and eventually have worse outcomes from COVID-19 infection. Future studies are warranted for further investigations that should impact the need for providing additional resources to the AA communities.

Life Sciences & Biomedicine

Science & Technology

Surgery

Details

Title: Subtitle: African Americans Struggle With the Current COVID-19
Creators: Emad Kandil - Tulane University
Abdallah S. Attia - Tulane University
Mohanad R. Youssef - Tulane University
Mohammad Hussein - Tulane University
Kareem Ibraheem - Tulane University
Mohamed Abdelgawad - Tulane University
Zaid Al-Qurayshi - Univ Iowa Hosp & Clin, Iowa City, IA 52242 USA
Juan Duchesne - Tulane University
Resource Type: Journal article
Publication Details: Annals of surgery, Vol.272(3), pp.E187-E190
DOI: 10.1097/SLA.0000000000004185
PMID: 33759842
PMCID: PMC7467041
NLM abbreviation: Ann Surg
ISSN: 0003-4932
eISSN: 1528-1140
Publisher: Lippincott Williams & Wilkins
Number of pages: 4
Language: English
Date published: 09/2020
Academic Unit: Otolaryngology
Record Identifier: 9984702824102771

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