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dc.creatorRamos Rincón, José Manueles
dc.creatorCobos Palacios, Lidiaes
dc.creatorLópez Sampalo, Almudenaes
dc.creatorRicci, Michelees
dc.creatorRubio-Rivas, Manueles
dc.creatorMartos Pérez, Franciscoes
dc.creatorBarón-Franco, Boscoes
dc.creatorGómez Huelgas, Ricardoes
dc.date.accessioned2023-04-14T14:57:51Z
dc.date.available2023-04-14T14:57:51Z
dc.date.issued2022-03-31
dc.identifier.citationRamos Rincón, J.M., Cobos Palacios, L., López Sampalo, A., Ricci, M., Rubio-Rivas, M., Martos Pérez, F.,...,Gómez Huelgas, R. (2022). Ethnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registry. Journal of Clinical Medicine, 11 (7), 1949.
dc.identifier.issn2077-0383es
dc.identifier.urihttps://hdl.handle.net/11441/144438
dc.description.abstractBackground: This work aims to analyze clinical outcomes according to ethnic groups in patients hospitalized for COVID-19 in Spain. (2) Methods: This nationwide, retrospective, multicenter, observational study analyzed hospitalized patients with confirmed COVID-19 in 150 Spanish hospitals (SEMI-COVID-19 Registry) from 1 March 2020 to 31 December 2021. Clinical outcomes were assessed according to ethnicity (Latin Americans, Sub-Saharan Africans, Asians, North Africans, Europeans). The outcomes were in-hospital mortality (IHM), intensive care unit (ICU) admission, and the use of invasive mechanical ventilation (IMV). Associations between ethnic groups and clinical outcomes adjusted for patient characteristics and baseline Charlson Comorbidity Index values and wave were evaluated using logistic regression. (3) Results: Of 23,953 patients (median age 69.5 years, 42.9% women), 7.0% were Latin American, 1.2% were North African, 0.5% were Asian, 0.5% were Sub-Saharan African, and 89.7% were European. Ethnic minority patients were significantly younger than European patients (median (IQR) age 49.1 (40.5–58.9) to 57.1 (44.1–67.1) vs. 71.5 (59.5–81.4) years, p < 0.001). The unadjusted IHM was higher in European (21.6%) versus North African (11.4%), Asian (10.9%), Latin American (7.1%), and Sub-Saharan African (3.2%) patients. After further adjustment, the IHM was lower in Sub-Saharan African (OR 0.28 (0.10–0.79), p = 0.017) versus European patients, while ICU admission rates were higher in Latin American and North African versus European patients (OR (95%CI) 1.37 (1.17–1.60), p < 0.001) and (OR (95%CI) 1.74 (1.26–2.41), p < 0.001). Moreover, Latin American patients were 39% more likely than European patients to use IMV (OR (95%CI) 1.43 (1.21–1.71), p < 0.001). (4) Conclusion: The adjusted IHM was similar in all groups except for Sub-Saharan Africans, who had lower IHM. Latin American patients were admitted to the ICU and required IMV more often.es
dc.description.sponsorship10.3390/jcm11071949es
dc.format.extent16 p.es
dc.language.isoenges
dc.publisherMDPIes
dc.relation.ispartofJournal of Clinical Medicine, 11 (7), 1949.
dc.rightsAtribución 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectCOVID-19es
dc.subjectSARS-CoV-2es
dc.subjectethnic groupses
dc.subjectminority groupses
dc.subjectmigrantses
dc.subjectSpaines
dc.titleEthnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registryes
dc.typeinfo:eu-repo/semantics/articlees
dcterms.identifierhttps://ror.org/03yxnpp24
dc.type.versioninfo:eu-repo/semantics/publishedVersiones
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
dc.contributor.affiliationUniversidad de Sevilla. Departamento de Medicinaes
dc.relation.publisherversionhttps://www.mdpi.com/2077-0383/11/7/1949es
dc.identifier.doi10.3390/jcm11071949
dc.journaltitleJournal of Clinical Medicinees
dc.publication.volumen11es
dc.publication.issue7es
dc.publication.initialPage1949es

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