التفاصيل البيبلوغرافية
| العنوان: |
Rural-urban Differences in Long-term Mortality and Readmission Following COVID-19 Hospitalization, 2020 to 2023. |
| المؤلفون: |
Yousufuddin, Mohammed, Mahmood, Maryam, Barkoudah, Ebrahim, Badr, Fatimazahra, Khandelwal, Kanika, Manyara, Warren, Sharma, Umesh, Abdalrhim, Ahmed D, Issa, Meltiady, Bhagra, Sumit, Murad, Mohammad H |
| المصدر: |
Open Forum Infectious Diseases; May2024, Vol. 11 Issue 5, p1-9, 9p |
| مصطلحات موضوعية: |
RURAL-urban differences, PATIENT readmissions, COVID-19, HOSPITAL care, MORTALITY |
| مستخلص: |
Background We compared long-term mortality and readmission rates after COVID-19 hospitalization based on rural-urban status and assessed the impact of COVID-19 vaccination introduction on clinical outcomes by rurality. Methods The study comprised adults hospitalized for COVID-19 at 17 hospitals in 4 US states between March 2020 and July 2022, followed until May 2023. The main analysis included all patients, whereas a sensitivity analysis focused on residents from 4 states containing 17 hospitals. Additional analyses compared the pre- and postvaccination periods. Results The main analysis involved 9325 COVID-19 hospitalized patients: 31% were from 187 rural counties in 31 states; 69% from 234 urban counties in 44 states; the mean age was 65 years (rural, 66 years; urban, 64 years); 3894 women (rural, 41%; urban, 42%); 8007 Whites (rural, 87%; urban, 83%); 1738 deaths (rural, 21%; urban, 17%); and 2729 readmissions (rural, 30%; urban, 29%). During a median follow-up of 602 days, rural residence was associated with a 22% higher all-cause mortality (log-rank, P <.001; hazard ratio, 1.22; 95% confidence interval, 1.10-1.34, P <.001), and a trend toward a higher readmission rate (log-rank, P =.038; hazard ratio, 1.06; 95% confidence interval,.98-1.15; P =.130). The results remained consistent in the sensitivity analysis and in both pre- and postvaccination time periods. Conclusions and Relevance Patients from rural counties experienced higher mortality and tended to be readmitted more frequently following COVID-19 hospitalization over the long term compared with those from urban counties, a difference that remained even after the introduction of COVID-19 vaccines. [ABSTRACT FROM AUTHOR] |
|
Copyright of Open Forum Infectious Diseases is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder