Hospital segregation, critical care strain, and inpatient mortality during the COVID-19 pandemic in New York City.

ABSTRACT:

Background

Hospital segregation by race, ethnicity, and health insurance coverage is prevalent, with some hospitals providing a disproportionate share of undercompensated care. We assessed whether New York City (NYC) hospitals serving a higher proportion of Medicaid and uninsured patients pre-pandemic experienced greater critical care strain during the first wave of the COVID-19 pandemic, and whether this greater strain was associated with higher rates of in-hospital mortality.

Methods

In a retrospective analysis of all-payer NYC hospital discharge data, we examined changes in admissions, stratified by use of intensive care unit (ICU), from the baseline period in early 2020 to the first COVID-19 wave across hospital quartiles (265,329 admissions), and crude and risk-adjusted

SUBMITTER: Zhilkova A 

PROVIDER: S-EPMC11008816 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature