As the coronavirus spread across the United States, sweeping through low-income, densely populated communities, black and Hispanic patients died at higher rates than white patients.Crowded living conditions, poorer overall health and limited access to care have been blamed, among other factors. But a
As the coronavirus spread across the United States, sweeping through low-income, densely populated communities, black and Hispanic patients died at higher rates than white patients.
The disparity remained even after researchers took into account differences in age, sex, income and the prevalence of chronic health problems that exacerbate COVID-19, like hypertension and Type 2 diabetes. Black patients “are coming to us later and sicker, and they’re accessing our care through the emergency department and acute care environment,” said Dr. Stephen Lockhart, the chief medical officer at Sutter Health in Sacramento and one of the authors of the new study.Delayed care may give the virus more time to spread through households and neighborhoods, Lockhart and his colleagues concluded.
Dr. Clyde Yancy, chief of cardiology at Northwestern University’s Feinberg School of Medicine, said the granular study of patient records bolstered cruder public health reports of higher COVID-19 death rates among black Americans. The new study analyzed the electronic health records of 1,052 confirmed COVID-19 patients who sought care between Jan. 1 and April 8 at Sutter Health, a health system serving 3.5 million patients in Northern California.
Even after the investigators factored out a number of differences between patient groups, black patients were still 2.7 times more likely than others to require hospitalization when they sought care.
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