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Racial disparities in the SOFA score among patients hospitalized with COVID-19

Benjamin Tolchin, Carol Oladele, Deron Galusha, Nitu Kashyap, Mary Showstark, Jennifer Bonito, Michelle C Salazar, Jennifer L Herbst, Steve Martino, Nancy Kim, Katherine A Nash, Max Jordan Nguemeni Tiako, Shireen Roy, Rebeca Vergara Greeno and Karen Jubanyik

PLOS ONE, 2021, vol. 16, issue 9, 1-17

Abstract: Background: Sequential Organ Failure Assessment (SOFA) score predicts probability of in-hospital mortality. Many crisis standards of care suggest the use of SOFA scores to allocate medical resources during the COVID-19 pandemic. Research question: Are SOFA scores elevated among Non-Hispanic Black and Hispanic patients hospitalized with COVID-19, compared to Non-Hispanic White patients? Study design and methods: Retrospective cohort study conducted in Yale New Haven Health System, including 5 hospitals with total of 2681 beds. Study population drawn from consecutive patients aged ≥18 admitted with COVID-19 from March 29th to August 1st, 2020. Patients excluded from the analysis if not their first admission with COVID-19, if they did not have SOFA score recorded within 24 hours of admission, if race and ethnicity data were not Non-Hispanic Black, Non-Hispanic White, or Hispanic, or if they had other missing data. The primary outcome was SOFA score, with peak score within 24 hours of admission dichotomized as

Date: 2021
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DOI: 10.1371/journal.pone.0257608

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