Hispanic or Latino (Hispanic), non-Hispanic Black or African American (Black), and non-Hispanic American Indian or Alaska Native (AI/AN) persons have experienced disproportionately higher rates of hospitalization and death attributable to COVID-19 than have non-Hispanic White (White) persons (1-4). Emergency care data offer insight into COVID-19 incidence; however, differences in use of emergency department (ED) services for COVID-19 by racial and ethnic groups are not well understood. These data, most of which are recorded within 24 hours of the visit, might be an early indicator of changing patterns in disparities. Using ED visit data from 13 states obtained from the National Syndromic Surveillance Program (NSSP), CDC assessed the number of ED visits with a COVID-19 discharge diagnosis code per 100,000 population during October-December 2020 by age and race/ethnicity. Among 5,794,050 total ED visits during this period, 282,220 (4.9%) were for COVID-19. Racial/ethnic disparities in COVID-19 ED visit rates were observed across age groups. Compared with White persons, Hispanic, AI/AN, and Black persons had significantly more COVID-19-related ED visits overall (rate ratio [RR] range = 1.39-1.77) and in all age groups through age 74 years; compared with White persons aged ≥75 years, Hispanic and AI/AN persons also had more COVID-19-related ED visits (RR = 1.91 and 1.22, respectively). These differences in ED visit rates suggest ongoing racial/ethnic disparities in COVID-19 incidence and can be used to prioritize prevention resources, including COVID-19 vaccination, to reach disproportionately affected communities and reduce the need for emergency care for COVID-19.

中文翻译：

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2020年10月至12月，急诊部门按种族和种族对COVID-19进行了访问-13个州。

西班牙裔或拉丁美洲裔（西班牙裔），非西班牙裔黑人或非裔美国人（黑人）以及非西班牙裔美国人印第安或阿拉斯加土著人（AI / AN）所经历的住院和死于COVID-19的比例要比非西班牙裔或非裔美国人高得多。 -西班牙白人（1-4）。紧急护理数据提供了对COVID-19发病率的洞察力；但是，对于种族和族裔群体在COVID-19急诊室（ED）服务使用方面的差异尚不清楚。这些数据大部分是在访问后的24小时内记录的，这可能是差异模式变化的早期指标。美国疾病控制与预防中心（CDC）使用从美国国家症状监测计划（NSSP）获得的13个州的急诊就诊数据，以每100例COVID-19出院诊断代码评估急诊就诊的次数，2020年10月至12月按年龄和种族/民族划分的000人口。在此期间的ED访问总数5,794,050中，有282,220（4.9％）用于COVID-19。各个年龄段的COVID-19 ED访视率存在种族/族裔差异。与白人相比，西班牙裔，AI / AN和黑人与COVID-19相关的急诊就诊的总体比例更高（比率[RR]范围= 1.39-1.77），并且在74岁之前的所有年龄段中均如此；与≥75岁的白人相比，西班牙裔和AI / AN人群的COVID-19相关急诊就诊次数也更多（分别为RR = 1.91和1.22）。急诊就诊率的这些差异表明，COVID-19发病率仍存在种族/种族差异，可用于确定预防资源的优先级，包括COVID-19疫苗接种，