Chandelier
Senior Member (Voting Rights)
Sex-Based Differences in Cardiovascular Diagnoses, Mortality, and Resource Utilization in Long COVID Hospitalizations: A National Inpatient Sample Analysis
We queried the 2022 National Inpatient Sample (NIS) to identify adult hospitalizations with a diagnosis of long COVID (ICD-10 U09.9), excluding patients younger than 18 years or with missing outcome data.
Analyses incorporated NIS discharge weights to generate national estimates.
Multivariable (survey-weighted) logistic regression was used to estimate adjusted odds ratios (aORs) for cardiovascular diagnoses and in-hospital mortality.
Among 87,415 weighted hospitalizations for long COVID, 49.4% were male, and 50.6% were female.
Males had more complicated hypertension, coagulopathy, and alcohol use disorder, whereas females had higher rates of obesity, depression, and hypothyroidism (all p <0.05).
Males had a higher in-hospital mortality rate (5.9% vs 4.7%, p <0.001).
In adjusted analyses, females had lower odds of in-hospital mortality (aOR: 0.874 [95% CI 0.819–0.932]), cardiac arrhythmias (aOR: 0.652 [0.629–0.677]), venous thromboembolism (aOR: 0.846 [0.807–0.887]), and myocardial infarction (aOR: 0.767 [0.720–0.817]).
Adjusted odds of ischemic cerebrovascular accident were not significantly different (aOR: 0.955 [0.795–1.146]).
Females had higher odds of transient ischemic attack (aOR: 1.441 [1.067–1.945]).
Median length of stay (5 vs 4 days) and total hospital charges ($50,447 vs $43,839) were lower in females (all p <0.001).
In conclusion, in this nationally representative analysis of long COVID hospitalizations, sex-based differences were observed in cardiovascular diagnoses, mortality, and healthcare utilization, and these findings support sex-sensitive risk stratification and hypothesis generation for post-COVID care.
Web | DOI | The American Journal of Cardiology
Sagoo, Rajveer; Sagoo, Navraj S.; Nguyen, Katherine; Sathyamoorthy, Mohanakrishnan
Abstract
Long COVID refers to persistent sequelae following SARS-CoV-2 infection, and sex-specific cardiovascular outcomes among hospitalized patients remain incompletely characterized.We queried the 2022 National Inpatient Sample (NIS) to identify adult hospitalizations with a diagnosis of long COVID (ICD-10 U09.9), excluding patients younger than 18 years or with missing outcome data.
Analyses incorporated NIS discharge weights to generate national estimates.
Multivariable (survey-weighted) logistic regression was used to estimate adjusted odds ratios (aORs) for cardiovascular diagnoses and in-hospital mortality.
Among 87,415 weighted hospitalizations for long COVID, 49.4% were male, and 50.6% were female.
Males had more complicated hypertension, coagulopathy, and alcohol use disorder, whereas females had higher rates of obesity, depression, and hypothyroidism (all p <0.05).
Males had a higher in-hospital mortality rate (5.9% vs 4.7%, p <0.001).
In adjusted analyses, females had lower odds of in-hospital mortality (aOR: 0.874 [95% CI 0.819–0.932]), cardiac arrhythmias (aOR: 0.652 [0.629–0.677]), venous thromboembolism (aOR: 0.846 [0.807–0.887]), and myocardial infarction (aOR: 0.767 [0.720–0.817]).
Adjusted odds of ischemic cerebrovascular accident were not significantly different (aOR: 0.955 [0.795–1.146]).
Females had higher odds of transient ischemic attack (aOR: 1.441 [1.067–1.945]).
Median length of stay (5 vs 4 days) and total hospital charges ($50,447 vs $43,839) were lower in females (all p <0.001).
In conclusion, in this nationally representative analysis of long COVID hospitalizations, sex-based differences were observed in cardiovascular diagnoses, mortality, and healthcare utilization, and these findings support sex-sensitive risk stratification and hypothesis generation for post-COVID care.
Web | DOI | The American Journal of Cardiology