About: Racial/Ethnic Disparities in Disease Severity on Admission Chest Radiographs among Patients Admitted with Confirmed COVID-19: A Retrospective Cohort Study

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About: Racial/Ethnic Disparities in Disease Severity on Admission Chest Radiographs among Patients Admitted with Confirmed COVID-19: A Retrospective Cohort Study Goto Sponge NotDistinct Permalink

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Racial/Ethnic Disparities in Disease Severity on Admission Chest Radiographs among Patients Admitted with Confirmed COVID-19: A Retrospective Cohort Study
Creator	Dugdale, Caitlin Deng, Francis Hyle, Emily Joseph, Nicholos Lang, Min Li, Matthew Little, Brent Mendoza, Dexter Flores, Efren Reid, Nicholas Som, Avik Betancourt, Joseph Narayan, Anand
Source	Medline; PMC
abstract	BACKGROUND: Disease severity on chest radiographs (CXR) has been associated with higher risk of disease progression and adverse outcomes from COVID-19. Few studies have evaluated COVID-19-related racial/ethnic disparities in radiology. PURPOSE: To evaluate whether Non-White minority patients hospitalized with confirmed COVID-19 infection presented with increased severity on admission CXR compared with White/Non-Hispanic patients. METHODS: Single-institution, retrospective cohort study approved by the IRB. Patients hospitalized with confirmed COVID-19 infection (3/27/20-4/10/20) were identified using the electronic medical record (EMR) (n=326, mean age: 59 years (SD: 17 years), M:F (188:138). Primary outcome was severity of lung disease on admission CXR, measured by modified Radiographic Assessment of Lung Edema (mRALE) score. Secondary outcome was a composite adverse clinical outcome of intubation, ICU admission, or death. Primary exposure was racial/ethnic category: White/Non-Hispanic versus Non-White [i.e., Hispanic, Black, Asian, Other]. Multivariable linear regression analyses were performed to evaluate the association between mRALE scores and race/ethnicity. RESULTS: Non-White patients had significantly higher mRALE scores (median 6.1, 95% CI 5.4–6.7) compared with White/Non-Hispanic patients (median 4.2, 95% CI 3.6–4.9) (unadjusted average difference 1.8, 95% CI 0.9–2.8, p<0.01). For both White (Adjusted HR, 1.3, 95%CI 1.2-1.4, p<0.001) and Non-White patients (Adjusted HR 1.2, 95%CI 1.1-1.3, p<0.001), increasing mRALE scores were associated with a higher likelihood of experiencing composite adverse outcome with no evidence of interaction (p = 0.16). Multivariable linear regression analyses demonstrated that Non-White patients presented with higher mRALE scores on admission CXR versus White/Non-Hispanic patients (adjusted average difference 1.6, 95% CI 0.5–2.7, p<0.01). Adjustment for hypothesized mediators revealed that the association between race/ethnicity and mRALE scores was mediated by limited English proficiency (p<0.01). CONCLUSION: Non-White patients hospitalized with COVID-19 infection were more likely to present with higher severity of disease on admission CXR than White/Non-Hispanic patients, and increased severity was associated with worse outcomes for all patients.
has issue date	2020-07-16(xsd:dateTime)
bibo:doi	10.1148/radiol.2020202602
bibo:pmid	32673191
has license	no-cc
sha1sum (hex)	8b2536bda2c36d47c03a056398aa02f54e50bcfe
schema:url	https://doi.org/10.1148/radiol.2020202602
resource representing a document's title	Racial/Ethnic Disparities in Disease Severity on Admission Chest Radiographs among Patients Admitted with Confirmed COVID-19: A Retrospective Cohort Study
has PubMed Central identifier	PMC7370353
has PubMed identifier	32673191
schema:publication	Radiology
resource representing a document's body	covid:8b2536bda2c36d47c03a056398aa02f54e50bcfe#body_text
is schema:about of	named entity 'infection' named entity 'Non-Hispanic' named entity 'Ethnic' named entity 'Admission' covid:arg/8b2536bda2c36d47c03a056398aa02f54e50bcfe named entity 'disease' named entity 'radiographs' named entity 'Non-Hispanic' named entity 'radiographs' named entity 'comorbidities' named entity 'sample size' named entity 'Radiographic imaging' named entity 'COVID-19 pandemic' named entity 'ICU' named entity 'Racial and ethnic minorities' named entity 'COVID' named entity 'sensitivity analysis' named entity 'virus' named entity 'American Community Survey' named entity 'Non-Hispanic' named entity 'infection' named entity 'Non-Hispanic' named entity 'supplemental oxygen' named entity 'work remotely' named entity 'inflation' named entity 'Elsevier, Inc.' named entity 'spread of disease' named entity 'deep learning' named entity 'LEP' named entity '95% CI' named entity 'intubated' named entity 'lung disease' named entity 'racial/ethnic minority' named entity 'UNAIDS' named entity 'Symptom' named entity 'Comorbidities' named entity 'intubated' named entity 'racial/ethnic minority' named entity 'clinical outcomes' named entity 'quaternary' named entity 'COVID-19 testing' named entity '1.1' named entity 'non-rebreather mask' named entity 'median household income' named entity 'health literacy' named entity 'skilled nursing facility' named entity 'public health' named entity 'Demographic characteristics' named entity 'co-morbidities' named entity 'race/ethnicity' named entity 'viral load' named entity 'COVID-19' named entity 'Asian' named entity 'Non-Hispanic' named entity 'obesity' named entity 'public transportation' named entity 'COVID' named entity 'SARS CoV' named entity 'clinical outcome' named entity 'computed tomography' named entity 'clinical outcomes' named entity 'EMR' named entity 'ARDS' named entity 'Obesity' named entity 'algorithm' named entity 'limited English proficiency' named entity 'health systems' named entity 'lung' named entity 'April 1'

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