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- Title
Assessment of mortality from COVID-19 in a multicultural multi-ethnic patient population.
- Authors
Nair, Satish Chandrasekhar; Gasmelseed, Huda Imam; Khan, Asad Afroz; Khafagy, Ibrahim Nageh; Sreedharan, Jayadevan; Saleem, Aqeel Aziz; Abdrhman, Hashim Ibrahim; Alhosani, Ahmed Husain; Siddiqua, Amatur Rahman; Ahmed, Amna Riaz; Shubbar, Aya Imad; Aleissaee, Abdul Rahman; Alanqar, Abdulrahman Wael; Hamadeh, Alan Mohammad; Safdani, Fatmah Ali; Habbal, Fuad Wardan; Choker, Haneen Bassam; Bashir, Khlood Mustafa; Alblooshi, Maitha Ali; Farajallah, Majd Munir
- Abstract
<bold>Background: </bold>Studies indicate that ethnicity and socioeconomic disparity are significant facilitators for COVID-19 mortality. The United Arab Emirates, distinctly has a population of almost 12% citizens and the rest, immigrants, are mainly unskilled labourers. The disparate socio-economic structure, crowded housing conditions, and multi-ethnic population offer a unique set of challenges in COVID-19 management.<bold>Methods: </bold>Patient characteristics, comorbidities, and clinical outcomes data from the electronic patient medical records were retrospectively extracted from the hospital information system of the two designated public COVID-19 referral hospitals. Chi-square test, logistic regression, and odds ratio were used to analyse the variables.<bold>Results: </bold>From, the total of 3072 patients, less than one-fifth were females; the Asian population (71.2%);followed by Middle Eastern Arabs (23.3%) were the most infected by the virus. Diabetes Mellitus (26.8%), hypertension (25.7%) and heart disease (9.6%) were the most prevalent comorbidities observed among COVID-19 patients. Kidney disease as comorbidity significantly diminished the survival rates (Crude OR 9.6, 95% CI (5.6-16.6), p < 0.001) and (Adjusted OR 5.7 95% CI (3.0 - 10.8), p < 0.001), as compared to those patients without kidney disease. Similarly, the higher age of patients between 51 and 65 years, significantly decreased the odds for survival (Crude OR 14.1 95% CI (3.4-58.4), p < 0.001) and (Adjusted OR 12.3 95% CI (2.9 - 52.4), p < 0.001). Patient age beyond 66 years, further significantly decreased the odds for survival (Crude OR 36.1 95% CI (8.5-154.1), p < 0.001), and (Adjusted OR 26.6 95% CI (5.7 - 123.8), p < 0.001).<bold>Conclusion: </bold>Our study indicates that older ages above 51 years and kidney disease increased mortality significantly in COVID-19 patients. Ethnicity was not significantly associated with mortality in the UAE population. Our findings are important in the management of the COVID-19 disease in the region with similar economic, social, cultural, and ethnic backgrounds.
- Publication
BMC Infectious Diseases, 2021, Vol 21, Issue 1, p1
- ISSN
1471-2334
- Publication type
journal article
- DOI
10.1186/s12879-021-06762-9