The correlations among racial/ethnic groups, hypertriglyceridemia, thrombosis, and mortality in hospitalized patients with COVID-19. Issue 3 (September 2022)

• Record Type: Journal Article
• Authors: Rodriguez, Maya; Dai, Wen; Lund, Hayley; Osinski, Kristen; Zhang, Ziyu; Silverstein, Roy; Zheng, Ze
• Is Part Of: Baillière's best practice and research in clinical haematology. Volume 35:Issue 3(2022)
• Publication Date: 2022-09
• Subjects: Race and ethnicity -- COVID-19 -- Hypertriglyceridemia -- Mortality; COVID-19 coronavirus disease-19 -- VTE venous thromboembolisms -- FHSHB Froedtert Health System Honest Broker Data extraction tool -- BMI body mass index -- IQR interquartile range -- OR Odds Ratio -- CI Confidence Interval -- DIC Disseminated intravascular coagulopathy -- PAI-1 Plasminogen activator inhibitor-1 -- GWAS Genome-wide association study -- HLH Hemophagocytic lymph histiocytosis; Hematology -- Periodicals; Blood -- Periodicals; Hematologic Diseases -- Periodicals; Electronic journals; 616
• DOI: 10.1016/j.beha.2022.101386
• Languages: English
• ISSNs: 1521-6926

Abstract

Abstract: Reports of racial and ethnic disparities regarding both rates of infection of the SARS-CoV-2 virus and morbidity of the coronavirus disease-19 (COVID-19) contain profound differences depending on the population. Our previous study has shown that patients with COVID-19 who developed hypertriglyceridemia during hospitalization have a 2.3 times higher mortality rate. However, whether the correlation between hypertriglyceridemia and mortality has disparity among different racial and ethnic groups is unknown. In this study, we investigated the impact of race/ethnicity on the correlation between hypertriglyceridemia and mortality in hospitalized patients with COVID-19. De-identified information from 904 hospitalized patients diagnosed with COVID-19 between March 2020 and June 2021 were extracted from the Medical College of Wisconsin Clinical Data Warehouse. A multivariable regression analysis suggested that the Asians and non-White Hispanics had 4 or 3.9 times higher mortality rate, respectively, after adjusting for age, morbid obesity (BMI ≥40), and gender. The hypertriglyceridemia (≥150 mg/dL) was associated with higher mortality, after adjusting for age, gender, and morbid obesity. The baseline hypertriglyceridemia occurrence had relevantly more consistent percentages among all racial/ethnic groups. However, non-White Hispanic and Asian patients had the highest frequencies of peak hypertriglyceridemia occurrence during hospitalization. The peak hypertriglyceridemia developed during hospitalization correlates with the incidence of thrombosis after adjusting for morbid obesity, age, and sex. In summary, in this retrospective study of 904 hospitalized COVID-19 patients, Asians and non-White Hispanics had a greater likelihood of developing hypertriglyceridemia during hospitalization and mortality than White patients.