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A competing risk survival analysis of the sociodemographic factors of COVID-19 in-hospital mortality in Ecuador.
Lapo-Talledo, German Josuet; Talledo-Delgado, Jorge Andrés; Fernández-Aballí, Lilian Sosa.
  • Lapo-Talledo GJ; Facultad de Ciencias de la Salud, Universidad Técnica de Manabí, Portoviejo, Ecuador.
  • Talledo-Delgado JA; Facultad de Ciencias de la Salud, Universidad Técnica de Manabí, Portoviejo, Ecuador.
  • Fernández-Aballí LS; Facultad de Ciencias de la Salud, Universidad Técnica de Manabí, Portoviejo, Ecuador.
Cad Saude Publica ; 39(1): e00294721, 2023.
Article in English | MEDLINE | ID: covidwho-2232272
ABSTRACT
This study aimed to analyze the effect of sociodemographic characteristics on COVID-19 in-hospital mortality in Ecuador from March 1 to December 31, 2020. This retrospective longitudinal study was performed with data from publicly accessible registries of the Ecuadorian National Institute of Statistics and Censuses (INEC). Data underwent a competing risk analysis with estimates of the cumulative incidence function (CIF). The effect of covariates on CIFs was estimated using the Fine-Gray model and results were expressed as adjusted subdistribution hazard ratios (SHR). The analysis included 30,991 confirmed COVID-19 patients with a mean age of 56.57±18.53 years; 60.7% (n = 18,816) were men and 39.3% (n = 12,175) were women. Being of advanced age, especially older than or equal to 75 years (SHR = 17.97; 95%CI 13.08-24.69), being a man (SHR = 1.29; 95%CI 1.22-1.36), living in rural areas (SHR = 1.18; 95%CI 1.10-1.26), and receiving care in a public health center (SHR = 1.64; 95%CI 1.51-1.78) were factors that increased the incidence of death from COVID-19, while living at an elevation higher than 2,500 meters above sea level (SHR = 0.69; 95%CI 0.66-0.73) decreased this incidence. Since the incidence of death for individuals living in rural areas and who received medical care from the public sector was higher, income and poverty are important factors in the final outcome of this disease.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Sociodemographic Factors Type of study: Cohort study / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: South America / Brazil / Ecuador Language: English Journal: Cad Saude Publica Journal subject: Public Health Year: 2023 Document Type: Article Affiliation country: 0102-311XEN294721

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Sociodemographic Factors Type of study: Cohort study / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: South America / Brazil / Ecuador Language: English Journal: Cad Saude Publica Journal subject: Public Health Year: 2023 Document Type: Article Affiliation country: 0102-311XEN294721