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COVID-19 Hospitalization by Race and Ethnicity: Association with Chronic Conditions Among Medicare Beneficiaries, January 1–September 30, 2020

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File Language:
English


Details

  • Alternative Title:
    J Racial Ethn Health Disparities
  • Personal Author:
  • Description:
    Objectives

    We assessed the association between hospitalization for illness from COVID-19 infection and chronic conditions among Medicare beneficiaries (MBs) with fee-for-service (FFS) claims by race and ethnicity for January 1–September 30, 2020.

    Methods

    We used 2020 monthly Medicare data from January 1–September 30, 2020, reported to the Centers for Medicare and Medicaid Services to compute hospitalization rates per 100 COVID-19 MBs with FFS claims who were hospitalized (ICD-10-CM codes: B97.29 before April 1, 2020; ICD-10-CM codes: U07.1 from April 1, 2020, onward) with or without selected chronic conditions. We used logistic regression to estimate adjusted odds ratios with 95% confidence intervals for association of person-level rate of being hospitalized with COVID-19 and each of 27 chronic conditions by race/ethnicity, controlling for age, sex, and urban-rural residence among MBs.

    Results

    COVID-19-related hospitalizations were associated with all selected chronic conditions, except osteoporosis and Alzheimer disease/dementia among COVID-19 MBs. The top five conditions with the highest odds for hospitalization among COVID-19 MBs were end-stage renal disease (adjusted odds ratios (aOR): 2.15; 95% CI: 2.10–2.21), chronic kidney disease (aOR: 1.54; 95% CI: 1.52–1.56), acute myocardial infarction (aOR: 1.45; 95% CI: 1.39–1.53), heart failure (aOR: 1.43; 95% CI: 1.41–1.44), and diabetes (aOR: 1.37; 95% CI: 1.36–1.39).

    Conclusions

    Racial/ethnic disparities in hospitalization rate persist among MBs with COVID-19, and associations of COVID-19 hospitalization with chronic conditions differ among racial/ethnic groups in the USA. These findings indicate the need for interventions in racial/ethnic populations at the highest risk of being hospitalized with COVID-19.

    Supplementary Information

    The online version contains supplementary material available at 10.1007/s40615-020-00960-y.

  • Subjects:
  • Source:
    J Racial Ethn Health Disparities. :1-10
  • Pubmed ID:
    33420609
  • Pubmed Central ID:
    PMC7793388
  • Document Type:
    Journal Article
  • Place as Subject:
    United States
  • Collection(s):
  • Main Document Checksum:
    urn:sha256:7cc0bcb03bf5040a28e90524318a0794441aedd2143820528c2e204d0dfea7e2
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  • File Type:
    Filetype[PDF - 289.87 KB ]
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