RT Journal Article
T1 Ethnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registry.
A1 Ramos-Rincon, Jose-Manuel
A1 Cobos-Palacios, Lidia
A1 Lopez-Sampalo, Almudena
A1 Ricci, Michele
A1 Rubio-Rivas, Manuel
A1 Martos-Perez, Francisco
A1 Lalueza-Blanco, Antonio
A1 Moragon-Ledesma, Sergio
A1 Fonseca-Aizpuru, Eva-Maria
A1 Garcia-Garcia, Gema-Maria
A1 Beato-Perez, Jose-Luis
A1 Josa-Laorden, Claudia
A1 Arnalich-Fernandez, Francisco
A1 Molinos-Castro, Sonia
A1 Torres-Peña, Jose-David
A1 Artero, Arturo
A1 Vargas-Nuñez, Juan-Antonio
A1 Mendez-Bailon, Manuel
A1 Loureiro-Amigo, Jose
A1 Hernandez-Garrido, Maria-Soledad
A1 Peris-Garcia, Jorge
A1 Lopez-Reboiro, Manuel-Lorenzo
A1 Baron-Franco, Bosco
A1 Casas-Rojo, Jose-Manuel
A1 Gómez-Huelgas, Ricardo
K1 COVID-19
K1 SARS-CoV-2
K1 Spain
K1 Ethnic groups
K1 Migrants
K1 Minority groups
AB (1) Background: 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, pp < 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.
PB MDPI
SN 2077-0383
YR 2022
FD 2022-03-28
LK http://hdl.handle.net/10668/21262
UL http://hdl.handle.net/10668/21262
LA en
NO Ramos-Rincon JM, Cobos-Palacios L, López-Sampalo A, Ricci M, Rubio-Rivas M, Martos-Pérez F, et al. Ethnicity and Clinical Outcomes in Patients Hospitalized for COVID-19 in Spain: Results from the Multicenter SEMI-COVID-19 Registry. J Clin Med. 2022 Mar 31;11(7):1949
DS RISalud
RD Apr 12, 2025