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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.
Afiliação
  • 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 em En | MEDLINE | ID: mdl-36753093
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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: COVID-19 / Fatores Sociodemográficos Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil / Ecuador Idioma: En Revista: Cad Saude Publica Assunto da revista: SAUDE PUBLICA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Equador País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: COVID-19 / Fatores Sociodemográficos Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil / Ecuador Idioma: En Revista: Cad Saude Publica Assunto da revista: SAUDE PUBLICA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Equador País de publicação: Brasil