A survival analysis of COVID-19 in the Mexican population.


Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
27 Oct 2020
Historique:
received: 22 06 2020
accepted: 16 10 2020
entrez: 28 10 2020
pubmed: 29 10 2020
medline: 30 10 2020
Statut: epublish

Résumé

At present, the Americas report the largest number of cases of COVID-19 worldwide. In this region, Mexico is the third country with most deaths (20,781 total deaths). A sum that may be explained by the high proportion of people over 50 and the high rate of chronic diseases. The aim of this analysis is to investigate the risk factors associated with COVID-19 deaths in Mexican population using survival analysis. Our analysis includes all confirmed COVID-19 cases contained in the dataset published by the Epidemiological Surveillance System for Viral Respiratory Diseases of the Mexican Ministry of Health. We applied survival analysis to investigate the impact of COVID-19 on the Mexican population. From this analysis, we plotted Kaplan-Meier curves, and constructed a Cox proportional hazard model. The analysis included the register of 16,752 confirmed cases of COVID-19 with mean age 46.55 ± 15.55 years; 58.02% (n = 9719) men, and 9.37% (n = 1569) deaths. Male sex, older age, chronic kidney disease, pneumonia, hospitalization, intensive care unit admission, intubation, and health care in public health services, were independent factors increasing the risk of death due to COVID-19 (p < 0.001). The risk of dying at any time during follow-up was clearly higher for men, individuals in older age groups, people with chronic kidney disease, and people hospitalized in public health services.

Sections du résumé

BACKGROUND BACKGROUND
At present, the Americas report the largest number of cases of COVID-19 worldwide. In this region, Mexico is the third country with most deaths (20,781 total deaths). A sum that may be explained by the high proportion of people over 50 and the high rate of chronic diseases. The aim of this analysis is to investigate the risk factors associated with COVID-19 deaths in Mexican population using survival analysis.
METHODS METHODS
Our analysis includes all confirmed COVID-19 cases contained in the dataset published by the Epidemiological Surveillance System for Viral Respiratory Diseases of the Mexican Ministry of Health. We applied survival analysis to investigate the impact of COVID-19 on the Mexican population. From this analysis, we plotted Kaplan-Meier curves, and constructed a Cox proportional hazard model.
RESULTS RESULTS
The analysis included the register of 16,752 confirmed cases of COVID-19 with mean age 46.55 ± 15.55 years; 58.02% (n = 9719) men, and 9.37% (n = 1569) deaths. Male sex, older age, chronic kidney disease, pneumonia, hospitalization, intensive care unit admission, intubation, and health care in public health services, were independent factors increasing the risk of death due to COVID-19 (p < 0.001).
CONCLUSIONS CONCLUSIONS
The risk of dying at any time during follow-up was clearly higher for men, individuals in older age groups, people with chronic kidney disease, and people hospitalized in public health services.

Identifiants

pubmed: 33109136
doi: 10.1186/s12889-020-09721-2
pii: 10.1186/s12889-020-09721-2
pmc: PMC7588954
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1616

Commentaires et corrections

Type : ErratumIn

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Auteurs

Guillermo Salinas-Escudero (G)

Center for Economic and Social Studies in Health, Hospital Infantil de México Federico Gómez, Mexico City, Mexico.

María Fernanda Carrillo-Vega (MF)

Geriatric Epidemiology Unit, Research Department, Instituto Nacional de Geriatría, Av. Contreras 428, Col. San Jerónimo Lídice, Alcaldía Magdalena Contreras, Mexico City, Mexico. marifercave@yahoo.com.mx.

Víctor Granados-García (V)

Epidemiological and Health Services Research Unit Aging Area, Centro Médico Nacional, Siglo XXI, Mexico City, Mexico.

Silvia Martínez-Valverde (S)

Center for Economic and Social Studies in Health, Hospital Infantil de México Federico Gómez, Mexico City, Mexico.

Filiberto Toledano-Toledano (F)

Research Unit in Evidence-Based Medicine, Hospital Infantil de México Federico Gómez, Mexico City, Mexico.

Juan Garduño-Espinosa (J)

Research Department, Hospital Infantil de México Federico Gómez, Mexico City, Mexico.

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