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COVID-19 among African Americans and Hispanics:Does gastrointestinal symptoms impact the outcome?

World Journal of Clinical Cases 2021年第28期9卷 8374-8387页

作者： Hassan Ashktorab Adeleye Folake Antonio Pizuorno Gholamreza Oskrochi Philip Oppong-Twene NuriTamanna Maryam Mehdipour Dalivand Lisa N Umeh Esther S Moon Abdoul Madjid Kone Abigail Banson Cassandra Federman Edward Ramos Eyitope Ola Awoyemi Boubini Jones Wonni Eric Otto Guttu Maskalo Alexandra Ogando Velez Sheldon Rankine Camelita Thrift Chiamaka Ekwunazu Derek Scholes LakshmiGayathri Chirumamilla Mohd Elmugtaba Ibrahim Brianna Mitchell Jillian Ross Julencia Curtis Rachel Kim Chandler Gilliard Joseph Mathew Adeyinka Laiyemo angesum kibreab Edward Lee Zaki Sherif Babak Shokrani Farshad Aduli Hassan Brim Department of Medicine Gastroenterology Division and Cancer CenterHoward University College of MedicineWashingtonDC 20060United States Faculty of Medicine La Universidad del ZuliaMaracaibo 4002ZuliaVenezuela College of Engineering and Technology American University of Middle East KuwaitEgaila 54200Kuwait Department of Biochemistry and Molecular Biology Howard University College of MedicineWashingtonDC 20060United States Pathology and Cancer Center Department of Biochemistry and Molecular BiologyHoward University College of MedicineWashingtonDC 20060United States

BACKGROUND The coronavirus disease 2019(COVID-19)disproportionately affected African Americans(AA)and Hispanics(HSP).AIM To analyze the significant effectors of outcome in African American patient population and make special emphasis on gastrointestinal(GI)symptoms,laboratory values and comorbidities METHODS We retrospectively evaluated the medical records of 386 COVID-19 positive patients admitted at Howard University Hospital between March and May *** assessed the symptoms,including the GI manifestations,comorbidities,and mortality,using logistic regression *** Of these 386 COVID-19 positive patients,257(63.7%)were AAs,102(25.3%)HSP,and 26(6.45%)*** were 257(63.7%)AA,102(25.3%)HSP,26(6.45%)*** mean age was 55.6 years(SD=18.5).However,the mean age of HSP was the lowest(43.7 years vs 61.2 for Whites vs 60 for AAs).The mortality rate was highest among the AAs(20.6%)and lowest among HSP(6.9%).Patients with shortness of breath(SOB)(OR2=3.64,CI=1.73-7.65)and elevated AST(OR2=8.01,CI=3.79-16.9)elevated Procalcitonin(OR2=8.27,CI=3.95-17.3),AST(OR2=8.01,CI=3.79-16.9),ferritin(OR2=2.69,CI=1.24-5.82),and Lymphopenia(OR2=2.77,CI=1.41-5.45)had a high mortality *** and fever were common but unrelated to the *** and diabetes mellitus were the most common *** treatment was associated with higher mortality(OR2=5.40,CI=2.72-10.7).Diarrhea was prevalent(18.8%),and GI symptoms did not affect the *** African Americans in our study had the highest mortality as they consisted of an older population and *** is the most important factor along with SOB in determining the mortality ***,elevated liver enzymes,ferritin,procalcitonin and C-reactive protein were associated with poor *** symptoms did not affect the *** should be used judiciously,considering the poor outcomes associated with *** should also be paid to monitor liver function

关键词： COVID-19 Pandemic,Gastrointestinal manifestation Liver African Americans Hispanics

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