Use of Different Inclusion Criteria to Compare COVID-19 Hospital Admission Rates by Race and Ethnicity: A Cohort Study Article Swipe
YOU?
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· 2025
· Open Access
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· DOI: https://doi.org/10.3390/healthcare13040381
Background/Objectives: Reports documenting racial disparities in COVID-19 hospitalization rates from electronic medical record data have used different sample selection methods. Studies including all individuals with a positive COVID-19 test may be vulnerable to misclassification bias if hospitalization status is not captured for all individuals (i.e., if they went to a non-study hospital). A few studies have used only patients who tested positive in the ED and have found different results. In this study, we explore the implications of using different sets of inclusion criteria for analyses that compare COVID-19 hospital admissions by race and ethnicity. Methods: Two separate data sets were created by applying the two different COVID-19 testing inclusion criteria to medical records data from a single academic health system. We used logistic regression to compare the odds of COVID-19 hospitalization across race and ethnicity for each data set and compared our results with previous studies. Results: We found that using all positive COVID-19 tests as the study sample resulted in higher odds of hospitalization for Black and Hispanic patients relative to White patients. In contrast, using only patients who tested positive in the ED resulted in higher odds of hospitalization for White patients. These findings matched the findings of other studies. Conclusions: Patient inclusion criteria should be considered carefully when comparing results from studies of COVID-19 hospitalization.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/healthcare13040381
- OA Status
- gold
- References
- 30
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4407353874
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4407353874Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/healthcare13040381Digital Object Identifier
- Title
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Use of Different Inclusion Criteria to Compare COVID-19 Hospital Admission Rates by Race and Ethnicity: A Cohort StudyWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-02-11Full publication date if available
- Authors
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Joshua Longcoy, Zeynep Isgor, Sumihiro Suzuki, Elizabeth B. Lynch, Heng Wang, David Ansell, Tricia J. JohnsonList of authors in order
- Landing page
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https://doi.org/10.3390/healthcare13040381Publisher landing page
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.3390/healthcare13040381Direct OA link when available
- Concepts
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Medicine, Odds, Coronavirus disease 2019 (COVID-19), Odds ratio, Ethnic group, Logistic regression, Medical record, Sample size determination, Inclusion (mineral), Demography, Race (biology), Family medicine, Internal medicine, Psychology, Statistics, Disease, Botany, Biology, Social psychology, Infectious disease (medical specialty), Mathematics, Sociology, AnthropologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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30Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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