Risk factors for increased COVID-19 case-fatality in the United States: A county-level analysis during the first wave

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The ongoing COVID-19 pandemic is causing significant morbidity and mortality across the US. In this ecological study, we identified county-level variables associated with the COVID-19 case-fatality rate (CFR) using publicly available datasets and a negative binomial generalized linear model. Variabl...

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Detalles Bibliográficos
Autores principales: Millar, Jess A., Dao, Hanh Dung N., Stefopulos, Marianne E., Estevam, Camila G., Fagan-Garcia, Katharine, Taft, Diana H., Park, Christopher, Alruwaily, Amaal, Desai, Angel N., Majumder, Maimuna S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8516194/
https://www.ncbi.nlm.nih.gov/pubmed/34648525
http://dx.doi.org/10.1371/journal.pone.0258308
Descripción
Sumario:The ongoing COVID-19 pandemic is causing significant morbidity and mortality across the US. In this ecological study, we identified county-level variables associated with the COVID-19 case-fatality rate (CFR) using publicly available datasets and a negative binomial generalized linear model. Variables associated with decreased CFR included a greater number of hospitals per 10,000 people, banning religious gatherings, a higher percentage of people living in mobile homes, and a higher percentage of uninsured people. Variables associated with increased CFR included a higher percentage of the population over age 65, a higher percentage of Black or African Americans, a higher asthma prevalence, and a greater number of hospitals in a county. By identifying factors that are associated with COVID-19 CFR in US counties, we hope to help officials target public health interventions and healthcare resources to locations that are at increased risk of COVID-19 fatalities.

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