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Venous thromboembolism in Black COVID-19 patients in a minority context compared to White, Asian and other racialized patients: A systematic review and meta-analysis.
Cénat, Jude Mary; Dromer, Elisabeth; Farahi, Seyed Mohammad Mahdi Moshirian; Ndamage, Christa Masengesho; Yun, Aiden; Zuta, Hannah; Mkhatri, Jihane; Samson, Eden; Barara, Raina; Labelle, Patrick R; Xu, Yan.
Afiliación
  • Cénat JM; School of Psychology, University of Ottawa, Ottawa, Ontario, Canada; Interdisciplinary Centre for Black Health, University of Ottawa, Ottawa, Ontario, Canada; University of Ottawa Research Chair on Black Health, Ottawa, Ontario, Canada. Electronic address: jcenat@uottawa.ca.
  • Dromer E; School of Psychology, University of Ottawa, Ottawa, Ontario, Canada.
  • Farahi SMMM; School of Psychology, University of Ottawa, Ottawa, Ontario, Canada.
  • Ndamage CM; School of Psychology, University of Ottawa, Ottawa, Ontario, Canada.
  • Yun A; School of Psychology, University of Ottawa, Ottawa, Ontario, Canada.
  • Zuta H; Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
  • Mkhatri J; School of Psychology, University of Ottawa, Ottawa, Ontario, Canada.
  • Samson E; Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
  • Barara R; Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
  • Labelle PR; Library, University of Ottawa, Ottawa, Ontario, Canada.
  • Xu Y; Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; The Ottawa Hospital, Ottawa, Ontario, Canada.
Thromb Res ; 238: 197-205, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38733691
ABSTRACT
IMPORTANCE COVID-19 has disproportionately affected racialized populations, with particular impact among individuals of Black individuals. However, it is unclear whether disparities in venous thromboembolic (VTE) complications exist between Black individuals and those belonging to other racial groups with confirmed SARS-CoV2 infections.

OBJECTIVE:

To summarize the prevalence and moderators associated with VTE among Black COVID-19 patients in minoritized settings, and to compare this to White and Asian COVID-19 patients according to sex, age, and comorbid health conditions (heart failure, cancer, obesity, hypertension). DESIGN SETTING, AND

PARTICIPANTS:

A systematic search of MEDLINE, Embase, CINAHL and CENTRAL for articles or reports published from inception to February 15, 2023. STUDY SELECTION Reports on VTE among Black individuals infected with SARS-CoV2, in countries where Black people are considered a minority population group. DATA EXTRACTION AND

SYNTHESIS:

Study characteristics and results of eligible studies were independently extracted by 2 pairs of reviewers. VTE prevalence was extracted, and risk of bias was assessed. Prevalence estimates of VTE prevalence among Black individuals with COVID19 in each study were pooled. Where studies provided race-stratified VTE prevalence among COVID19 patients, odds ratios were generated using a random-effects model. MAIN OUTCOMES AND

MEASURES:

Prevalence of VTE, comprising of deep vein thrombosis and pulmonary embolism.

RESULTS:

Ten studies with 66,185 Black individuals reporting the prevalence of COVID-19 associated VTE were included. Weighted median age of included studies was 47.60. Pooled prevalence of COVID-19 associated VTE was 7.2 % (95 % CI, 3.8 % - 11.5 %) among Black individuals. Among individuals with SARS-CoV2 infections, Black population had higher risks of VTE compared to their White (OR = 1.79, [95 % CI 1.28-2.53], p < .001) or Asian (OR = 2.01, [95 % CI, 1.14-3.60], p = .017) counterparts, or patients with other racial identities (OR = 2.01, [95 % CI, 1.39, 2.92]; p < .001). CONCLUSIONS AND RELEVANCE Black individuals with COVID-19 had substantially higher risk of VTE compared to White or Asian individuals. Given racial disparities in thrombotic disease burden related to COVID-19, medical education, research, and health policy interventions are direly needed to ensure adequate disease awareness among Black individuals, to facilitate appropriate diagnosis and treatment among Black patients with suspected and confirmed VTE, and to advocate for culturally safe VTE prevention strategies, including pre-existing inequalities to the COVID-19 pandemic that persist after the crisis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Población Blanca / Tromboembolia Venosa / COVID-19 Límite: Female / Humans / Male Idioma: En Revista: Thromb Res Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Población Blanca / Tromboembolia Venosa / COVID-19 Límite: Female / Humans / Male Idioma: En Revista: Thromb Res Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos