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Racial and Ethnic Differences in Covid-19 Disease Severity Among US Adults in Health Systems Participating in PCORnet®

May 2020–October 2022

Bibliographic Data

ID9103073
AuthorsBridget Simon-Friedt (0000-0003-4614-5451, Louisiana Public Health Institute, New Orleans, LA, corresponding author), Emilia H Koumans (0000-0001-7184-2107, CORVD, CDC, Atlanta, GA), Amy K Feehan (0000-0002-2899-0670, Boehringer Ingelheim, Ridgefield, CT), William E Trick (0000-0002-3243-5098, Center for Health Equity & Innovation, Cook County Health, Chicago, IL), Christine Draper (Harvard Pilgrim Health Care Institute, Boston, MA), Joshua L Denson (0000-0002-8654-7765, Tulane University School of Medicine, New Orleans, LA), Kshema Nagavedu (Harvard Pilgrim Health Care Institute, Boston, MA), Mark Weiner (Weill Cornell Medical College, New York, NY, corresponding author), Sonja A Rasmussen (0000-0002-0574-4928, Johns Hopkins University School of Medicine, Baltimore, MD), Jason Block (Harvard Pilgrim Health Care Institute, Boston, MA), Thomas W Carton (0000-0003-0059-1990, Louisiana Public Health Institute, New Orleans, LA, corresponding author)
Year2026
Volume64
Issue3S
PagesS278-S287
Publication date2026-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000002221
PMID41504757
OpenAlexW7119466622
LanguageEN
Citations received1
References cited45

This study analyzed COVID-19 disease severity distributions among different age, racial, and ethnic groups for pre-Omicron and Omicron variant periods from May 2020 to October 2022. Disease severity categories were defined by ICD-10-CM diagnostic codes recorded in the electronic health record in the 7 days preceding and 13 days following the SARS-CoV-2 positive laboratory record (index date) and were grouped into 4 mutually exclusive categories: severe complications, high, moderate, and low disease severity. Low severity was defined as the absence of codes for any of the other categories. Among 1,613,706 included patients, there was a lower prevalence of disease severity during the Omicron variant period across all race and ethnicity groups ( P P P t P t

Disease · Ethnic group · Healthcare system · Public health · Race (biology) · Severity of illness · COVID-19 and healthcare impacts · COVID-19 Clinical Research Studies · Epidemiology · Infection Control and Ventilation

  • PCORnet®

    Open Access•Erin Holve, Kathleen McTigue•Medical Care•2026

  • Risk factors for severe and critically ill Covid‐19 patients

    Open Access•Yadong Gao, Mei Ding et al.•Allergy•2021

  • The WHO estimates of excess mortality associated with the Covid-19 pandemic

    Open Access•William Msemburi, Ariel Karlinsky et al.•Nature•2023

  • Comorbidities and mortality in Covid-19 patients

    Open Access•Irawaty Djaharuddin, Sitti Munawwarah et al.•Gaceta Sanitaria•2021

  • Racial and Ethnic Disparities in Health

    Elizabeth Brondolo•Psychosomatic Medicine•2015

  • Ethnic/racial minorities’ and migrants’ access to Covid-19 vaccines

    Open Access•Mohammed Abba-Aji, David Stuckler et al.•Journal of Migration and Health•2022

  • Hesitancy in the time of coronavirus

    Open Access•Ran Liu, Gabriel Miao Li•SSM - Population Health•2021

Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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