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A competing risk survival analysis of the sociodemographic factors of Covid-19 in-hospital mortality in Ecuador

Bibliographic Data

ID5166736
AuthorsGerman Josuet Lapo-Talledo (0000-0002-4525-7534, Universidad Técnica de Manabí), Jorge Andrés Talledo-Delgado (0000-0001-5808-3636, Universidad Técnica de Manabí), Lilian Sosa Fernández-Aballí (0000-0002-3460-4297, Universidad Técnica de Manabí)
Year2023
Volume39
Issue1
Pagese00294721-e00294721
Publication date2023-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen294721
PMID36753093
OpenAlexW4319461080
SCIELO_PIDS0102-311X2023000105005
LanguageEN
Citations received2
References cited33

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

Confidence interval · Coronavirus disease 2019 (COVID-19) · Cumulative incidence · Disease · Hazard ratio · Incidence (geometry) · Infectious disease (medical specialty) · Proportional hazards model · Public health · Rural area · COVID-19 and healthcare impacts · COVID-19 and Mental Health · COVID-19 Clinical Research Studies · Demography · Internal Medicine · Medicine · Gerontology

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Unique citing works2
Citations per year1
Citation span2024 - 2024 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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