Examining socio-economic factors to understand the hospital case fatality rates of COVID-19 in the city of Sao Paulo, Brazil.

ABSTRACT:

Background

Understanding differences in hospital case fatality rates (HCFRs) of coronavirus disease 2019 (COVID-19) may help evaluate its severity and the capacity of the healthcare system to reduce mortality.

Methods

We examined the variability in HCFRs of COVID-19 in relation to spatial inequalities in socio-economic factors, hospital health sector and patient medical condition across the city of São Paulo, Brazil. We obtained the standardized hospital case fatality ratio adjusted indirectly by age and sex, which is the ratio between the HCFR of a specific spatial unit and the HCFR for the entire study area. We modelled it using a generalized linear mixed model with spatial random effects in a Bayesian context.

Results

We found that HCFRs were higher for men and for

SUBMITTER: Lorenz C 

PROVIDER: S-EPMC8499984 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature