A competing risk survival analysis of the sociodemographic factors of COVID-19 in-hospital mortality in Ecuador.
Cad Saude Publica
; 39(1): e00294721, 2023.
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
COVID-19
/
Factores Sociodemográficos
Tipo de estudio:
Estudio de cohorte
/
Estudio observacional
/
Estudio pronóstico
Límite:
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
/
Middle aged
País/Región como asunto:
America del Sur
/
Brasil
/
Ecuador
Idioma:
Inglés
Revista:
Cad Saude Publica
Asunto de la revista:
Salud Pública
Año:
2023
Tipo del documento:
Artículo
País de afiliación:
0102-311XEN294721
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