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BACKGROUND: The Bronx (BX) is an urban city with the most poverty, least educated population and poorest health outcomes among 62 counties in New York State. Unsurprisingly, BX has the highest rates of COVID-19 diagnoses across New York City (NYC). Lincoln Medical Center (LMC) is part of the NYC health and hospital system (NYC H+H) and has the highest COVID-19 admissions in BX and the second-highest across NYC. Herein we report our preliminary data on mortality rate (MR) of hospitalized COVID-19 patients and discuss the disproportionate of MR across NYC. METHODS: On 26 April 2020, we acquired the total number of hospitalized COVID-19 and deaths and mechanically ventilated (MV) COVID-19 and death from LMC and all other NYC H+H. Scheffe test was used to determine MR differences. The P-value (p) < 0.005 was set as a statistically significant threshold. RESULTS: MR of our hospitalized COVID-19 patients was 31%, which is higher than that of Man (24%, p 0.001). However, LMC has a high proportion of MV COVID-19 (local and transferred cases). Sub-group analysis of non-MV COVID-19 showed LMC MR (6%) is lower than Brooklyn (BL) (17%, p 0.00) and Queens (Qu) (17%, p 0.00) and didn’t differ from Man NYC H+H centers (8%, p 0.68). Analysis of MR among MV patients between LMC and other NYC H+H centers across four boroughs did not discover any differences. Hospitalized COVID-19 MR from all NYC H+H centers in BX (28%) did not differ from Man (24%, p 0.7) and Qu (28%, p 0.99). Interestingly, we found that MR is the highest in BL (33%). Moreover, MR of non-MV COVID-19 was higher in BL (17%) and Qu (17%) than BX (10%) and Man (8%) NYC H+H centers. We hypothesize this may result partly from the tense and shortage of health care resources in these two boroughs, especially, at the beginning of pandemic so some critical patients may not receive adequate care such as delaying intubation. Further research investigating reasons for this disproportion will help in developing the best available care plan for the ongoing crisis. Percentage of COVID-19 Mortality in each group [Image: see text] Multiple comparison by Scheffe Test of MR of hospitalized patients with COVID-19 at LMC and across 4 NYC boroughs [Image: see text] Multiple comparison by Scheffe Test of MR of non-MV patients with COVID-19 at LMC and across 4 NYC boroughs [Image: see text] CONCLUSION: Despite the high COVID-19 incidence and poor epidemiologic health risks of the population in BX, MR of hospitalized COVID-19 seemed to be the same as Man and Qu, and surprisingly lower than BL. MR of non-MV COVID-19 in BX is lower than BL and Qu. The studies determining the reasons underlying this disproportionate would be worthwhile. DISCLOSURES: All Authors: No reported disclosures
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