The effect of race on composite thrombotic events in patients with COVID-19

Charles Esenwa, Santiago R. Unda, David J. Altschul, Nikunj K. Patel, Avinash Malaviya, Johanna Seiden, Andrea Lendaris, Khadean Moncrieffe, Daniel L. Labovitz

Research output: Contribution to journalLetterpeer-review

11 Scopus citations

Abstract

COVID-19 associated coagulopathy and mortality related to thrombotic complications have been suggested as biological mediators in racial disparities related to COVID-19. We studied the adjusted prevalence of acute ischemic stroke, pulmonary embolism, myocardial infarction, and deep venous thrombosis stratified by race in hospitalized patients in one New York City borough during the local COVID-19 surge. The multi-racial cohort included 4299 patients hospitalized with COVID-19, 9% of whom were white, 40% black, 41% Hispanic and 10% Asian or other. We found a 6.1% prevalence of composite thrombotic events. There were no significant race-specific differences in thrombotic events when adjusting for basic demographics, socioeconomic factors, medical comorbidities or biomarkers using a stepwise regression model. We therefore found no evidence that the racial disparities related to COVID-19, and specifically thrombotic complications, are caused by biological differences in race.

Original languageEnglish (US)
Pages (from-to)10-13
Number of pages4
JournalThrombosis Research
Volume199
DOIs
StatePublished - Mar 2021

Keywords

  • COVID-19
  • Racial disparities
  • Stroke
  • Thrombosis

ASJC Scopus subject areas

  • Hematology

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