Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Race and ethnicity in the COVID-19 Critical Care Consortium: demographics, treatments, and outcomes, an international observational registry study
International Journal for Equity in Health, Volume 22, No. 1, Article 260, Year 2023
Notification
URL copied to clipboard!
Description
Background: Improving access to healthcare for ethnic minorities is a public health priority in many countries, yet little is known about how to incorporate information on race, ethnicity, and related social determinants of health into large international studies. Most studies of differences in treatments and outcomes of COVID-19 associated with race and ethnicity are from single cities or countries. Methods: We present the breadth of race and ethnicity reported for patients in the COVID-19 Critical Care Consortium, an international observational cohort study from 380 sites across 32 countries. Patients from the United States, Australia, and South Africa were the focus of an analysis of treatments and in-hospital mortality stratified by race and ethnicity. Inclusion criteria were admission to intensive care for acute COVID-19 between January 14th, 2020, and February 15, 2022. Measurements included demographics, comorbidities, disease severity scores, treatments for organ failure, and in-hospital mortality. Results: Seven thousand three hundred ninety-four adults met the inclusion criteria. There was a wide variety of race and ethnicity designations. In the US, American Indian or Alaska Natives frequently received dialysis and mechanical ventilation and had the highest mortality. In Australia, organ failure scores were highest for Aboriginal/First Nations persons. The South Africa cohort ethnicities were predominantly Black African (50%) and Coloured* (28%). All patients in the South Africa cohort required mechanical ventilation. Mortality was highest for South Africa (68%), lowest for Australia (15%), and 30% in the US. Conclusions: Disease severity was higher for Indigenous ethnicity groups in the US and Australia than for other ethnicities. Race and ethnicity groups with longstanding healthcare disparities were found to have high acuity from COVID-19 and high mortality. Because there is no global system of race and ethnicity classification, researchers designing case report forms for international studies should consider including related information, such as socioeconomic status or migration background. *Note: “Coloured” is an official, contemporary government census category of South Africa and is a term of self-identification of race and ethnicity of many citizens of South Africa. © 2023, The Author(s).
Authors & Co-Authors
Griffee, Matthew J.
United States, Salt Lake City
University of Utah School of Medicine
Thomson, David Alexander
South Africa, Cape Town
University of Cape Town
Fanning, Jonathon P.
Australia, Chermside
The Prince Charles Hospital
Australia, Brisbane
The University of Queensland
Barnett, Adrian G.
Australia, Brisbane
Queensland University of Technology
White, Nicole M.
Australia, Brisbane
Queensland University of Technology
Suen, Jacky Y.
Australia, Chermside
The Prince Charles Hospital
Australia, Brisbane
The University of Queensland
Fraser, John F.
Australia, Chermside
The Prince Charles Hospital
Australia, Brisbane
The University of Queensland
Australia, Brisbane
Queensland University of Technology
Australia, Spring Hill
St Andrew's War Memorial Hospital
Li Bassi, Gianluigi Luigi I.
Australia, Chermside
The Prince Charles Hospital
Australia, Brisbane
The University of Queensland
Australia, Spring Hill
St Andrew's War Memorial Hospital
Australia, Brisbane
Wesley Research Institute
Australia, Brisbane
The Wesley Hospital
Australia, Brisbane
Queensland University of Technology
Dalton, Heidi Jean
Unknown Affiliation
Laffey, John
Unknown Affiliation
Brodie, Daniel M.
Unknown Affiliation
Torres, Antoni Hernández
Unknown Affiliation
Chiumello, Davide Alberto
Unknown Affiliation
Elhazmi, Alyaa M.
Unknown Affiliation
Hodgson, Carol L.
Unknown Affiliation
Ichiba, Shingo
Unknown Affiliation
Luna, Carlos Marcelo
Unknown Affiliation
Murthy, Srinivas N.Krishna
Unknown Affiliation
Nichol, Alistair D.
Unknown Affiliation
Marwali, Eva M.
Unknown Affiliation
Grasselli, Giacomo
Unknown Affiliation
Bartlett, Robert H.
Unknown Affiliation
Burrell, Aidan J.C.
Unknown Affiliation
Elhadi, Muhammed K.
Unknown Affiliation
Motos, A.
Unknown Affiliation
Zanella, Alberto
Unknown Affiliation
Statistics
Authors: 26
Affiliations: 9
Identifiers
Doi:
10.1186/s12939-023-02051-w
ISSN:
14759276
Research Areas
Covid
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study
Study Approach
Quantitative
Study Locations
South Africa