Racial disparities in the SOFA score among patients hospitalized with COVID-19
Sequential Organ Failure Assessment (SOFA) score predicts probability of in-hospital mortality. Many crisis standards of care suggest the use of SOFA scores to allocate medical resources during the COVID-19 pandemic. Are SOFA scores elevated among Non-Hispanic Black and Hispanic patients hospitalize...
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| creator | Tolchin, Benjamin Oladele, Carol Galusha, Deron Kashyap, Nitu Showstark, Mary Bonito, Jennifer Salazar, Michelle C Herbst, Jennifer L Martino, Steve Kim, Nancy Nash, Katherine A Nguemeni Tiako, Max Jordan Roy, Shireen Vergara Greeno, Rebeca Jubanyik, Karen |
| description | Sequential Organ Failure Assessment (SOFA) score predicts probability of in-hospital mortality. Many crisis standards of care suggest the use of SOFA scores to allocate medical resources during the COVID-19 pandemic. Are SOFA scores elevated among Non-Hispanic Black and Hispanic patients hospitalized with COVID-19, compared to Non-Hispanic White patients? Retrospective cohort study conducted in Yale New Haven Health System, including 5 hospitals with total of 2681 beds. Study population drawn from consecutive patients aged [greater than or equal to]18 admitted with COVID-19 from March 29.sup.th to August 1.sup.st, 2020. Patients excluded from the analysis if not their first admission with COVID-19, if they did not have SOFA score recorded within 24 hours of admission, if race and ethnicity data were not Non-Hispanic Black, Non-Hispanic White, or Hispanic, or if they had other missing data. The primary outcome was SOFA score, with peak score within 24 hours of admission dichotomized as |
| doi_str_mv | 10.1371/journal.pone.0257608 |
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Many crisis standards of care suggest the use of SOFA scores to allocate medical resources during the COVID-19 pandemic. Are SOFA scores elevated among Non-Hispanic Black and Hispanic patients hospitalized with COVID-19, compared to Non-Hispanic White patients? Retrospective cohort study conducted in Yale New Haven Health System, including 5 hospitals with total of 2681 beds. Study population drawn from consecutive patients aged [greater than or equal to]18 admitted with COVID-19 from March 29.sup.th to August 1.sup.st, 2020. Patients excluded from the analysis if not their first admission with COVID-19, if they did not have SOFA score recorded within 24 hours of admission, if race and ethnicity data were not Non-Hispanic Black, Non-Hispanic White, or Hispanic, or if they had other missing data. The primary outcome was SOFA score, with peak score within 24 hours of admission dichotomized as <6 or [greater than or equal to]6. Of 2982 patients admitted with COVID-19, 2320 met inclusion criteria and were analyzed, of whom 1058 (45.6%) were Non-Hispanic White, 645 (27.8%) were Hispanic, and 617 (26.6%) were Non-Hispanic Black. Median age was 65.0 and 1226 (52.8%) were female. In univariate logistic screen and in full multivariate model, Non-Hispanic Black patients but not Hispanic patients had greater odds of an elevated SOFA score [greater than or equal to]6 when compared to Non-Hispanic White patients (OR 1.49, 95%CI 1.11-1.99).</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0257608</identifier><identifier>PMID: 34535009</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Coronaviruses ; COVID-19 ; Emergency medical care ; Engineering and Technology ; Evaluation ; Health care disparities ; Health disparities ; Medical care ; Medical research ; Medicine and Health Sciences ; Minority & ethnic groups ; Missing data ; Mortality ; Pandemics ; Patients ; People and Places ; Population studies ; Quality management ; Race factors</subject><ispartof>PloS one, 2021-09, Vol.16 (9), p.e0257608-e0257608</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. 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Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c669t-3a3cdd1119adbbd929c08d2e39c05c57487a29621faee4b47f4d09fa13e456473</citedby><cites>FETCH-LOGICAL-c669t-3a3cdd1119adbbd929c08d2e39c05c57487a29621faee4b47f4d09fa13e456473</cites><orcidid>0000-0002-9099-0022 ; 0000-0001-7922-4223</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448580/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448580/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids></links><search><contributor>Abe, Takeru</contributor><creatorcontrib>Tolchin, Benjamin</creatorcontrib><creatorcontrib>Oladele, Carol</creatorcontrib><creatorcontrib>Galusha, Deron</creatorcontrib><creatorcontrib>Kashyap, Nitu</creatorcontrib><creatorcontrib>Showstark, Mary</creatorcontrib><creatorcontrib>Bonito, Jennifer</creatorcontrib><creatorcontrib>Salazar, Michelle C</creatorcontrib><creatorcontrib>Herbst, Jennifer L</creatorcontrib><creatorcontrib>Martino, Steve</creatorcontrib><creatorcontrib>Kim, Nancy</creatorcontrib><creatorcontrib>Nash, Katherine A</creatorcontrib><creatorcontrib>Nguemeni Tiako, Max Jordan</creatorcontrib><creatorcontrib>Roy, Shireen</creatorcontrib><creatorcontrib>Vergara Greeno, Rebeca</creatorcontrib><creatorcontrib>Jubanyik, Karen</creatorcontrib><title>Racial disparities in the SOFA score among patients hospitalized with COVID-19</title><title>PloS one</title><description>Sequential Organ Failure Assessment (SOFA) score predicts probability of in-hospital mortality. Many crisis standards of care suggest the use of SOFA scores to allocate medical resources during the COVID-19 pandemic. Are SOFA scores elevated among Non-Hispanic Black and Hispanic patients hospitalized with COVID-19, compared to Non-Hispanic White patients? Retrospective cohort study conducted in Yale New Haven Health System, including 5 hospitals with total of 2681 beds. Study population drawn from consecutive patients aged [greater than or equal to]18 admitted with COVID-19 from March 29.sup.th to August 1.sup.st, 2020. Patients excluded from the analysis if not their first admission with COVID-19, if they did not have SOFA score recorded within 24 hours of admission, if race and ethnicity data were not Non-Hispanic Black, Non-Hispanic White, or Hispanic, or if they had other missing data. The primary outcome was SOFA score, with peak score within 24 hours of admission dichotomized as <6 or [greater than or equal to]6. Of 2982 patients admitted with COVID-19, 2320 met inclusion criteria and were analyzed, of whom 1058 (45.6%) were Non-Hispanic White, 645 (27.8%) were Hispanic, and 617 (26.6%) were Non-Hispanic Black. Median age was 65.0 and 1226 (52.8%) were female. In univariate logistic screen and in full multivariate model, Non-Hispanic Black patients but not Hispanic patients had greater odds of an elevated SOFA score [greater than or equal to]6 when compared to Non-Hispanic White patients (OR 1.49, 95%CI 1.11-1.99).</description><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Emergency medical care</subject><subject>Engineering and Technology</subject><subject>Evaluation</subject><subject>Health care disparities</subject><subject>Health disparities</subject><subject>Medical care</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Minority & ethnic groups</subject><subject>Missing data</subject><subject>Mortality</subject><subject>Pandemics</subject><subject>Patients</subject><subject>People and Places</subject><subject>Population studies</subject><subject>Quality management</subject><subject>Race 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Jordan</au><au>Roy, Shireen</au><au>Vergara Greeno, Rebeca</au><au>Jubanyik, Karen</au><au>Abe, Takeru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial disparities in the SOFA score among patients hospitalized with COVID-19</atitle><jtitle>PloS one</jtitle><date>2021-09-17</date><risdate>2021</risdate><volume>16</volume><issue>9</issue><spage>e0257608</spage><epage>e0257608</epage><pages>e0257608-e0257608</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Sequential Organ Failure Assessment (SOFA) score predicts probability of in-hospital mortality. Many crisis standards of care suggest the use of SOFA scores to allocate medical resources during the COVID-19 pandemic. Are SOFA scores elevated among Non-Hispanic Black and Hispanic patients hospitalized with COVID-19, compared to Non-Hispanic White patients? Retrospective cohort study conducted in Yale New Haven Health System, including 5 hospitals with total of 2681 beds. Study population drawn from consecutive patients aged [greater than or equal to]18 admitted with COVID-19 from March 29.sup.th to August 1.sup.st, 2020. Patients excluded from the analysis if not their first admission with COVID-19, if they did not have SOFA score recorded within 24 hours of admission, if race and ethnicity data were not Non-Hispanic Black, Non-Hispanic White, or Hispanic, or if they had other missing data. The primary outcome was SOFA score, with peak score within 24 hours of admission dichotomized as <6 or [greater than or equal to]6. Of 2982 patients admitted with COVID-19, 2320 met inclusion criteria and were analyzed, of whom 1058 (45.6%) were Non-Hispanic White, 645 (27.8%) were Hispanic, and 617 (26.6%) were Non-Hispanic Black. Median age was 65.0 and 1226 (52.8%) were female. In univariate logistic screen and in full multivariate model, Non-Hispanic Black patients but not Hispanic patients had greater odds of an elevated SOFA score [greater than or equal to]6 when compared to Non-Hispanic White patients (OR 1.49, 95%CI 1.11-1.99).</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>34535009</pmid><doi>10.1371/journal.pone.0257608</doi><tpages>e0257608</tpages><orcidid>https://orcid.org/0000-0002-9099-0022</orcidid><orcidid>https://orcid.org/0000-0001-7922-4223</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Coronaviruses COVID-19 Emergency medical care Engineering and Technology Evaluation Health care disparities Health disparities Medical care Medical research Medicine and Health Sciences Minority & ethnic groups Missing data Mortality Pandemics Patients People and Places Population studies Quality management Race factors |
| title | Racial disparities in the SOFA score among patients hospitalized with COVID-19 |
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