{"doi":"10.1016/j.dhjo.2023.101441","title":"COVID-19 clinical outcomes by patient disability status: A retrospective cohort study","abstract":"BACKGROUND: People with disabilities might experience worse clinical outcomes of SARS-CoV-2 infection, but evidence is limited. OBJECTIVE: To investigate if people with disabilities requiring assistance are more likely to experience severe COVID-19 or death. METHODS: Data from the Johns Hopkins COVID-19 Precision Medicine Analytics Platform Registry (JH-CROWN) included 6494 adult patients diagnosed with COVID-19 and admitted between March 4, 2020-October 29, 2021. Severe COVID-19 and death were defined using the occurrence and timing of clinical events. Assistive needs due to disabilities were reported by patients or their proxies upon admission. Multivariable-adjusted Cox proportional hazards models were used to examine the associations between disability status and severe COVID-19 or death. Primary models adjusted for demographics and secondary models additionally adjusted for clinical covariates. RESULTS: In this clinical cohort (47-73 years, 49% female, 39% Black), patients with disabilities requiring assistance had 1.35 times (95% confidence interval [CI]:1.01, 1.81) the hazard of severe COVID-19 among patients <65 years, but not among those ≥65 years, equating to an additional 17.5 severe COVID-19 cases (95% CI:7.7, 28.2) per 100 patients. A lower risk of mortality was found among patients <65 years, but this finding was not robust due to the small number of deaths. CONCLUSIONS: People with disabilities requiring assistance aged <65 years are more likely to develop severe COVID-19. Although our study is limited by using a medical model of disability, these analyses intend to further our understanding of COVID-19 outcomes among people with disabilities. Also, standardized disability data collection within electronic health records is needed.","journal":"Disability and health journal","year":2023,"id":343809,"datarank":0.8364503595595582,"base_score":2.639057329615259,"endowment":2.639057329615259,"self_citation_contribution":0.3958585994422889,"citation_network_contribution":0.44059176011726925,"self_endowment_contribution":0.3958585994422889,"citer_contribution":0.44059176011726925,"corpus_percentile":75.94182718341456,"corpus_rank":3111,"citation_count":13,"citer_count":13,"citers_with_citation_signal":9,"citers_with_endowment":9,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.6683,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":702335,"name":"Kening Jiang","orcid":"0000-0002-4532-4469","position":1,"is_corresponding":false},{"id":650132,"name":"Joshua Betz","orcid":"0000-0003-4488-9799","position":2,"is_corresponding":false},{"id":315094,"name":"Gwendolyn Clemens","orcid":"0000-0002-3021-3109","position":3,"is_corresponding":false},{"id":389040,"name":"Jiafeng Zhu","orcid":"0000-0001-5778-625X","position":4,"is_corresponding":false},{"id":482270,"name":"Nicholas S. Reed","orcid":"0000-0003-0410-6067","position":5,"is_corresponding":false},{"id":106955,"name":"Brian T. Garibaldi","orcid":"0000-0001-8632-5567","position":6,"is_corresponding":false},{"id":291486,"name":"Bonnielin K. Swenor","orcid":"0000-0002-6044-0951","position":7,"is_corresponding":false},{"id":482269,"name":"Jennifer A. Deal","orcid":"0000-0002-6985-048X","position":0,"is_corresponding":true}],"reference_count":32,"raw_metadata":null,"created_at":"2026-07-19T01:11:26.556051Z","pmid":"36764842","pmcid":"PMC9834120","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}