Neither Race nor Ethnicity Impact the Mortality of Residents of Veterans Affairs Community Living Center With COVID-19.
Mayyadah H Alabdely, Sonya Kothadia, Taissa Bej and 6 others
PMID 36462546WHAT IT FOUND
After accounting for age and other factors, Black non-Hispanic and Hispanic VA community living center residents did not have higher 30-day mortality after a positive SARS-CoV-2 test.
Age and high comorbidity burden were associated with higher mortality.
Key findings
01In the multivariable model, Black non-Hispanic and Hispanic residents did not have higher odds of 30-day all-cause mortality than White non-Hispanic residents.
02The most notable factor impacting 30-day mortality was advanced age: odds rose from 5.98 for ages 70 to 79 to 19.0 for ages 90 or older, compared with under 60; a Charlson comorbidity index score of 6 or higher had odds of 1.57.
03Among 1133 residents with a first positive SARS-CoV-2 test, all-cause 30-day mortality was 20%.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The cohort was mostly male and White non-Hispanic, with a high burden of comorbidities. Results may not match community nursing homes. The Hispanic and Other groups were very small. The study had limited power to detect differences in those groups. The period was before vaccines were available and during routine testing. Findings may not apply to later phases of the pandemic. Race and ethnicity were self-reported. The Hispanic and Other categories may have been ambiguous.
Declared interests
The supplied article metadata lists research support from the U.S. Government, non-P.H.S.
The easy way to misread this
Do not read this as showing that race or ethnicity never affects mortality risk in long-term care. The study was limited to VA community living center residents before vaccines, and the Hispanic and Other groups were small, so it may not apply to other nursing homes.