Outcomes of COVID-19: Disparities by ethnicity

Hamad Ali; Abdullah Alshukry; Sulaiman K. Marafie; Monera AlRukhayes; Yaseen Ali; Mohammad Bu Abbas; Abdullah Al-Taweel; Yousef Bukhamseen; Mohammad H. Dashti; Abdullah A. Al-Shammari; Mohammad Abu-Farha; Jehad AbuBakr; Fahd Al-Mulla

doi:10.1016/j.meegid.2020.104639

Outcomes of COVID-19: Disparities by ethnicity

Hamad Ali
, Abdullah Alshukry
, Sulaiman K. Marafie
, Monera AlRukhayes
, Yaseen Ali
, Mohammad Bu Abbas
, Abdullah Al-Taweel
, Yousef Bukhamseen
, Mohammad H. Dashti
, Abdullah A. Al-Shammari
, Mohammad Abu-Farha
, Jehad AbuBakr
, Fahd Al-Mulla

Research output: Contribution to journal › Article › peer-review

25 Scopus citations

Abstract

OBJECTIVES: To investigate the role of ethnicity in COVID-19 outcome disparities in a cohort in Kuwait.

METHODS: This is a retrospective analysis of 405 individuals infected with SARS-CoV-2 in Kuwait. Outcomes such as symptoms severity and mortality were considered. Multivariate logistic regression models were used to report the odds ratios (OR) for ICU admission and dying from COVID-19.

RESULTS: The cohort included 290 Arabs and 115 South Asians. South Asians recorded significantly higher COVID-19 death rates compared to Arabs (33% vs. 7.6%, P value<0.001). When compared to Arabs, South Asians also had higher odds of being admitted to the ICU (OR = 6.28, 95% CI: 3.34-11.80, p < 0.001). South Asian patients showed 7.62 (95% CI: 3.62-16.02, p < 0.001) times the odds of dying from COVID-19.

CONCLUSION: COVID-19 patients with South Asians ethnicity in Kuwait are more likely to have worse prognosis and outcome when compared to patients with Arab ethnicity. This suggest a possible role for ethnicity in COVID-19 outcome disparities and this role is likely to be multifactorial.

Original language	English
Article number	104639
Pages (from-to)	104639
Journal	Infection, Genetics and Evolution
Volume	87
DOIs	https://doi.org/10.1016/j.meegid.2020.104639 https://doi.org/10.1016/j.meegid.2020.104639
State	Published - Jan 2021

Keywords

Adult
Aged
COVID-19/epidemiology
Ethnicity
Female
Humans
Kuwait/epidemiology
Male
Middle Aged
Retrospective Studies
Risk Factors
SARS-CoV-2/isolation & purification
Severity of Illness Index

Funding Agency

Kuwait Foundation for the Advancement of Sciences

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Ali, H., Alshukry, A., Marafie, S. K., AlRukhayes, M., Ali, Y., Abbas, M. B., Al-Taweel, A., Bukhamseen, Y., Dashti, M. H., Al-Shammari, A. A., Abu-Farha, M., AbuBakr, J., & Al-Mulla, F. (2021). Outcomes of COVID-19: Disparities by ethnicity. Infection, Genetics and Evolution, 87, 104639. Article 104639. https://doi.org/10.1016/j.meegid.2020.104639, https://doi.org/10.1016/j.meegid.2020.104639

@article{62a23d52a550435e89c94d304af24be5,

title = "Outcomes of COVID-19: Disparities by ethnicity",

abstract = "OBJECTIVES: To investigate the role of ethnicity in COVID-19 outcome disparities in a cohort in Kuwait.METHODS: This is a retrospective analysis of 405 individuals infected with SARS-CoV-2 in Kuwait. Outcomes such as symptoms severity and mortality were considered. Multivariate logistic regression models were used to report the odds ratios (OR) for ICU admission and dying from COVID-19.RESULTS: The cohort included 290 Arabs and 115 South Asians. South Asians recorded significantly higher COVID-19 death rates compared to Arabs (33\% vs. 7.6\%, P value<0.001). When compared to Arabs, South Asians also had higher odds of being admitted to the ICU (OR = 6.28, 95\% CI: 3.34-11.80, p < 0.001). South Asian patients showed 7.62 (95\% CI: 3.62-16.02, p < 0.001) times the odds of dying from COVID-19.CONCLUSION: COVID-19 patients with South Asians ethnicity in Kuwait are more likely to have worse prognosis and outcome when compared to patients with Arab ethnicity. This suggest a possible role for ethnicity in COVID-19 outcome disparities and this role is likely to be multifactorial.",

keywords = "Adult, Aged, COVID-19/epidemiology, Ethnicity, Female, Humans, Kuwait/epidemiology, Male, Middle Aged, Retrospective Studies, Risk Factors, SARS-CoV-2/isolation \& purification, Severity of Illness Index",

author = "Hamad Ali and Abdullah Alshukry and Marafie, \{Sulaiman K.\} and Monera AlRukhayes and Yaseen Ali and Abbas, \{Mohammad Bu\} and Abdullah Al-Taweel and Yousef Bukhamseen and Dashti, \{Mohammad H.\} and Al-Shammari, \{Abdullah A.\} and Mohammad Abu-Farha and Jehad AbuBakr and Fahd Al-Mulla",

note = "Publisher Copyright: {\textcopyright} 2020 Elsevier B.V.",

year = "2021",

month = jan,

doi = "10.1016/j.meegid.2020.104639",

language = "English",

volume = "87",

pages = "104639",

journal = "Infection, Genetics and Evolution",

issn = "1567-1348",

publisher = "Elsevier B.V.",

}

Ali, H, Alshukry, A, Marafie, SK , AlRukhayes, M, Ali, Y, Abbas, MB, Al-Taweel, A, Bukhamseen, Y, Dashti, MH, Al-Shammari, AA, Abu-Farha, M , AbuBakr, J & Al-Mulla, F 2021, 'Outcomes of COVID-19: Disparities by ethnicity', Infection, Genetics and Evolution, vol. 87, 104639, pp. 104639. https://doi.org/10.1016/j.meegid.2020.104639, https://doi.org/10.1016/j.meegid.2020.104639

TY - JOUR

T1 - Outcomes of COVID-19

T2 - Disparities by ethnicity

AU - Ali, Hamad

AU - Alshukry, Abdullah

AU - Marafie, Sulaiman K.

AU - AlRukhayes, Monera

AU - Ali, Yaseen

AU - Abbas, Mohammad Bu

AU - Al-Taweel, Abdullah

AU - Bukhamseen, Yousef

AU - Dashti, Mohammad H.

AU - Al-Shammari, Abdullah A.

AU - Abu-Farha, Mohammad

AU - AbuBakr, Jehad

AU - Al-Mulla, Fahd

PY - 2021/1

Y1 - 2021/1

N2 - OBJECTIVES: To investigate the role of ethnicity in COVID-19 outcome disparities in a cohort in Kuwait.METHODS: This is a retrospective analysis of 405 individuals infected with SARS-CoV-2 in Kuwait. Outcomes such as symptoms severity and mortality were considered. Multivariate logistic regression models were used to report the odds ratios (OR) for ICU admission and dying from COVID-19.RESULTS: The cohort included 290 Arabs and 115 South Asians. South Asians recorded significantly higher COVID-19 death rates compared to Arabs (33% vs. 7.6%, P value<0.001). When compared to Arabs, South Asians also had higher odds of being admitted to the ICU (OR = 6.28, 95% CI: 3.34-11.80, p < 0.001). South Asian patients showed 7.62 (95% CI: 3.62-16.02, p < 0.001) times the odds of dying from COVID-19.CONCLUSION: COVID-19 patients with South Asians ethnicity in Kuwait are more likely to have worse prognosis and outcome when compared to patients with Arab ethnicity. This suggest a possible role for ethnicity in COVID-19 outcome disparities and this role is likely to be multifactorial.

AB - OBJECTIVES: To investigate the role of ethnicity in COVID-19 outcome disparities in a cohort in Kuwait.METHODS: This is a retrospective analysis of 405 individuals infected with SARS-CoV-2 in Kuwait. Outcomes such as symptoms severity and mortality were considered. Multivariate logistic regression models were used to report the odds ratios (OR) for ICU admission and dying from COVID-19.RESULTS: The cohort included 290 Arabs and 115 South Asians. South Asians recorded significantly higher COVID-19 death rates compared to Arabs (33% vs. 7.6%, P value<0.001). When compared to Arabs, South Asians also had higher odds of being admitted to the ICU (OR = 6.28, 95% CI: 3.34-11.80, p < 0.001). South Asian patients showed 7.62 (95% CI: 3.62-16.02, p < 0.001) times the odds of dying from COVID-19.CONCLUSION: COVID-19 patients with South Asians ethnicity in Kuwait are more likely to have worse prognosis and outcome when compared to patients with Arab ethnicity. This suggest a possible role for ethnicity in COVID-19 outcome disparities and this role is likely to be multifactorial.

KW - Adult

KW - Aged

KW - COVID-19/epidemiology

KW - Ethnicity

KW - Female

KW - Humans

KW - Kuwait/epidemiology

KW - Male

KW - Middle Aged

KW - Retrospective Studies

KW - Risk Factors

KW - SARS-CoV-2/isolation & purification

KW - Severity of Illness Index

UR - https://www.scopus.com/pages/publications/85097765827

U2 - 10.1016/j.meegid.2020.104639

DO - 10.1016/j.meegid.2020.104639

M3 - Article

C2 - 33246086

AN - SCOPUS:85097765827

SN - 1567-1348

VL - 87

SP - 104639

JO - Infection, Genetics and Evolution

JF - Infection, Genetics and Evolution

M1 - 104639

ER -

Outcomes of COVID-19: Disparities by ethnicity

Abstract

Keywords

Funding Agency

UN SDGs

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