%0 Journal Article
%T A Phenome-Wide Association Study (PheWAS) of COVID-19 Outcomes by Race Using the Electronic Health Records Data in Michigan Medicine.
%A Salvatore M
%A Gu T
%A Mack JA
%A Prabhu Sankar S
%A Patil S
%A Valley TS
%A Singh K
%A Nallamothu BK
%A Kheterpal S
%A Lisabeth L
%A Fritsche LG
%A Mukherjee B
%J J Clin Med
%V 10
%N 7
%D Mar 2021 25
%M 33805886
%F 4.964
%R 10.3390/jcm10071351
%X BACKGROUND: We performed a phenome-wide association study to identify pre-existing conditions related to Coronavirus disease 2019 (COVID-19) prognosis across the medical phenome and how they vary by race.
METHODS: The study is comprised of 53,853 patients who were tested/diagnosed for COVID-19 between 10 March and 2 September 2020 at a large academic medical center.
RESULTS: Pre-existing conditions strongly associated with hospitalization were renal failure, pulmonary heart disease, and respiratory failure. Hematopoietic conditions were associated with intensive care unit (ICU) admission/mortality and mental disorders were associated with mortality in non-Hispanic Whites. Circulatory system and genitourinary conditions were associated with ICU admission/mortality in non-Hispanic Blacks.
CONCLUSIONS: Understanding pre-existing clinical diagnoses related to COVID-19 outcomes informs the need for targeted screening to support specific vulnerable populations to improve disease prevention and healthcare delivery.