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Article

COVID-19 Infection Characteristics and Outcomes in a Predominantly Latino Community Hospital

by
Daniel Colon Hidalgo
1,*,
Manasa Jasti
1,
Natalie Tapaskar
1,
Christine Junia
1,
Akshata Chaugule
1,
Fanny Giron Galeano
1,
Daniel C. Alcantar
1,
Maria Jose Zabala Ramirez
1,
Jose L. Zabala Genovez
1,
Gabino Maza Rodas
1,
Diana Espinoza Barrera
1,
Raul Rodriguez
1 and
Fritzie Albarillo
2
1
Department of Internal Medicine, MacNeal Hospital, 3249 S Oak Park Ave, Berwyn, IL 60402, USA
2
Department of Medicine Division of Infectious Disease, Loyola University Medical Center, 2160 S. 1st Ave., Maywood, IL 60153, USA
*
Author to whom correspondence should be addressed.
GERMS 2022, 12(1), 10-15; https://doi.org/10.18683/germs.2022.1302
Submission received: 8 March 2021 / Revised: 1 October 2021 / Accepted: 19 December 2021 / Published: 31 March 2022

Abstract

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has rapidly spread worldwide and claimed millions of lives. Several studies have attempted to understand the relationship between COVID-19 infection and health disparities. The aim of the current work was to evaluate the pre-admission health characteristics, symptomatology, diagnostic abnormalities, treatment measures and clinical outcomes of the community served by our institution, with a sub-analysis of our Hispanic community. Methods: This is a single-center, cross-sectional cohort study of patients with COVID-19 admitted from 15 March 2020 to 30 April 2020 to MacNeal Hospital. A retrospective chart review was performed including patients >18 years and a positive nasopharyngeal SARS-CoV-2 PCR. Demographical data, comorbidities, clinical data, treatment regimen, and patient outcomes were collected. Results: A total of 257 patients were included in the study of which 60.4% were identified as Hispanic. The median age at admission of Hispanic patients was significantly lower compared to non-Hispanic patients (56.6 vs. 65.7 years, p10 mg/dL (OR 4.53, 95%CI 1.49–13.38) and D-dimer >1.5 mcg/mL (OR 3.63, 95%CI 1.31–10.05). An oxygen saturation of >90% on room air on presentation was a protective factor when predicting intubation (OR 0.11, 95%CI 0.03–0.33). The overall 30-day mortality rate was 17.1% (n = 44); 11.9% in the Hispanic group vs 26.3% in the non-Hispanic group (p < 0.003). Conclusions: Our review of consecutive patients admitted with COVID-19 demonstrated that over half of patients were of Hispanic descent. Interestingly enough, despite being significantly younger and healthier, the need for mechanical ventilation in the Hispanic group was not significantly different compared to the non-Hispanic group. However, the Hispanic group had a lower mortality rate.
Keywords: COVID-19; SARS-CoV-2; Hispanic/Latinx COVID-19; SARS-CoV-2; Hispanic/Latinx

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MDPI and ACS Style

Hidalgo, D.C.; Jasti, M.; Tapaskar, N.; Junia, C.; Chaugule, A.; Galeano, F.G.; Alcantar, D.C.; Ramirez, M.J.Z.; Genovez, J.L.Z.; Rodas, G.M.; et al. COVID-19 Infection Characteristics and Outcomes in a Predominantly Latino Community Hospital. GERMS 2022, 12, 10-15. https://doi.org/10.18683/germs.2022.1302

AMA Style

Hidalgo DC, Jasti M, Tapaskar N, Junia C, Chaugule A, Galeano FG, Alcantar DC, Ramirez MJZ, Genovez JLZ, Rodas GM, et al. COVID-19 Infection Characteristics and Outcomes in a Predominantly Latino Community Hospital. GERMS. 2022; 12(1):10-15. https://doi.org/10.18683/germs.2022.1302

Chicago/Turabian Style

Hidalgo, Daniel Colon, Manasa Jasti, Natalie Tapaskar, Christine Junia, Akshata Chaugule, Fanny Giron Galeano, Daniel C. Alcantar, Maria Jose Zabala Ramirez, Jose L. Zabala Genovez, Gabino Maza Rodas, and et al. 2022. "COVID-19 Infection Characteristics and Outcomes in a Predominantly Latino Community Hospital" GERMS 12, no. 1: 10-15. https://doi.org/10.18683/germs.2022.1302

APA Style

Hidalgo, D. C., Jasti, M., Tapaskar, N., Junia, C., Chaugule, A., Galeano, F. G., Alcantar, D. C., Ramirez, M. J. Z., Genovez, J. L. Z., Rodas, G. M., Barrera, D. E., Rodriguez, R., & Albarillo, F. (2022). COVID-19 Infection Characteristics and Outcomes in a Predominantly Latino Community Hospital. GERMS, 12(1), 10-15. https://doi.org/10.18683/germs.2022.1302

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