Epidemiological Characteristics of Deaths from COVID-19 in Peru during the Initial Pandemic Response.

Autor: Ramos W; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Lima 15072, Peru.; Instituto de Investigaciones en Ciencias Biomédicas (INICIB), Universidad Ricardo Palma, Lima 15039, Peru., Arrasco J; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Lima 15072, Peru., De La Cruz-Vargas JA; Instituto de Investigaciones en Ciencias Biomédicas (INICIB), Universidad Ricardo Palma, Lima 15039, Peru., Ordóñez L; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Lima 15072, Peru.; Programa de Especialización en Epidemiología de Campo (PREEC), Lima 15072, Peru., Vargas M; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Lima 15072, Peru., Seclén-Ubillús Y; Unidad de Post Grado, Facultad de Medicina de San Fernando, Universidad Nacional Mayor de San Marcos, Lima 15001, Peru., Luna M; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Lima 15072, Peru.; Programa de Especialización en Epidemiología de Campo (PREEC), Lima 15072, Peru., Guerrero N; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Lima 15072, Peru., Medina J; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Lima 15072, Peru., Sandoval I; Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Lima 15072, Peru.; Programa de Especialización en Epidemiología de Campo (PREEC), Lima 15072, Peru., Solis-Castro ME; Departamento Académico de Medicina Humana, Facultad de Ciencias de la Salud, Universidad Nacional de Tumbes, Tumbes 24001, Peru., Loayza M; Instituto de Investigaciones en Ciencias Biomédicas (INICIB), Universidad Ricardo Palma, Lima 15039, Peru.
Jazyk: angličtina
Zdroj: Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2022 Nov 30; Vol. 10 (12). Date of Electronic Publication: 2022 Nov 30.
DOI: 10.3390/healthcare10122404
Abstrakt: Background and Aim: Peru is the country with the highest mortality rate from COVID-19 globally, so the analysis of the characteristics of deaths is of national and international interest. The aim was to determine the epidemiological characteristics of deaths from COVID-19 in Peru from 28 March to 21 May 2020.
Methods: Deaths from various sources were investigated, including the COVID-19 Epidemiological Surveillance and the National System of Deaths (SINADEF). In all, 3851 deaths that met the definition of a confirmed case and had a positive result of RT-PCR or rapid test IgM/IgG, were considered for the analysis. We obtained the epidemiological variables and carried out an analysis of time defined as the pre-hospital time from the onset of symptoms to hospitalization, and hospital time from the date of hospitalization to death.
Results: Deaths were more frequent in males (72.0%), seniors (68.8%) and residents of the region of Lima (42.7%). In 17.8% of cases, the death occurred out-of-hospital, and 31.4% had some comorbidity. The median of pre-hospital time was 7 days (IQR: 4.0-9.0) and for the hospital time was 5 days (IQR: 3.0-9.0). The multivariable analysis with Poisson regression with robust variance found that the age group, comorbidity diagnosis and the region of origin significantly influenced pre-hospital time; while sex, comorbidity diagnosis, healthcare provider and the region of origin significantly influenced hospital time.
Conclusion: Deaths occurred mainly in males, seniors and on the coast, with considerable out-of-hospital deaths. Pre-hospital time was affected by age group, the diagnosis of comorbidities and the region of origin; while, hospital time was influenced by gender, the diagnosis of comorbidities, healthcare provider and the region of origin.
Databáze: MEDLINE