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- Title
Racial and Ethnic Disparity in Multisystem Inflammatory Syndrome in Children Associated With SARS-CoV-2 in Mississippi, USA.
- Authors
Das, Bibhuti B.; Shakti, Divya; Ghaleb, Stephanie; Akam-Venkata, Jyothsna; Moskowitz, William B.; Osakwe, Onyekachukwu; Weiland, Michael D.; Arya, Sandeep; Gajula, Viswanath; Taylor, Mary B.
- Abstract
We aimed to study the disparity in the clinical profile and outcomes of hospitalized Multisystem Inflammatory Syndrome in Children (MIS-C) patients at our center. The second goal was to examine the temporal association with preceding SARS-CoV-2 infection by race/ethnicity in our community in Mississippi. We found the racial disparity in the prevalence of MIS-C exceeded its temporal association with SARS-CoV-2 infections. We included 51 consecutive MIS-C patients hospitalized, whose median age was 9 (interquartile range [IQR] 5-12) years, 58% were male, 71% were black, 25% were white, and 4% belonged to other groups. We found a delay between onset of symptoms and hospitalization in black patients compared with white patients with a median of 2 (IQR 0-7) vs median of 0 (0-5) urgent care visits (P =.022), respectively. Black patients were hospitalized longer (median 8, IQR 2-39 days) than whites (median 5, IQR 3-14 days), P =.047. A total of 38.9% of blacks and 23.1% of whites were admitted to intensive care unit (P =.498); 36.1% of blacks had severe cardiac involvement vs 23.1% of white patients, P =.531. Future studies of MIS-C are required to improve health equity for children.
- Subjects
MISSISSIPPI; COVID-19; MULTISYSTEM inflammatory syndrome; RACE; HOSPITAL care; DESCRIPTIVE statistics; HEALTH equity; WHITE people; AFRICAN Americans; CHILDREN
- Publication
Clinical Pediatrics, 2023, Vol 62, Issue 1, p8
- ISSN
0009-9228
- Publication type
Article
- DOI
10.1177/00099228221108591