Análisis de las tasas de letalidad de la infección por SARS-CoV-2 en las comunidades autónomas de España

  1. V. Martín-Sánchez 1
  2. A. Barquilla-García 2
  3. F. Vitelli-Storelli 1
  4. A. Segura-Fragoso 3
  5. A. Ruiz-García 4
  6. A. Serrano-Cumplido 5
  7. V. Olmo-Quintana 5
  8. A. Calderón-Montero 4
  1. 1 Área de Medicina Preventiva y Salud Pública, Universidad de León
  2. 2 EAP de Trujillo, Servicio Extremeño de Salud, Cáceres, España
  3. 3 Servicio de Salud de Castilla-La Mancha (SESCAM)
  4. 4 Servicio Madrileño de Salud (SERMAS)
  5. 5 Servicio Canario de Salud
    info

    Servicio Canario de Salud

    Santa Cruz de Tenerife, España

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Revista:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Año de publicación: 2020

Título del ejemplar: COVID19 en Atención Primaria

Número: 1

Páginas: 12-19

Tipo: Artículo

DOI: 10.1016/J.SEMERG.2020.06.013 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Semergen: revista española de medicina de familia

Objetivos de desarrollo sostenible

Resumen

Introduction The SARS-CoV-2 pandemic has posed a real challenge to health systems. In Spain, the heterogeneous distribution of the virus infection and the different health strategies have conditioned the morbidity and fatality rate. The aim of this study was to analyse the lethality of the infection by sex and age range in the Autonomous Communities (AC) of Spain. Material and methods To perform the analysis, data were extracted from the Ministry of Health, Regional and Public Health Departments of the different AC. The infected population was estimated from the results of the ENE-COVID19 and the population registered on 1 January 2020 (INE) for the validity of the IgG antibody test with 80% sensitivity and 100% specificity. The case fatality rate (TL) (deaths/1000 estimated infected) by sex and age (< 20 years, 20-64 and ≥ 65 years) was calculated for each AC. The standardized case fatality ratio (REL) was calculated by the exact method (EPIDAT). Results The estimated prevalence of SARS-CoV-2 infection in Spain was 6% (range, 1.4% [Ceuta] - 14.1% [Community of Madrid]). The TL in Spain was 9,6/1000, ranged per AC from 1/1000 in Melilla to 26.6/1000 in La Rioja, with no correlation between case fatality and prevalence of infection. The TL was higher in men (10.2/1000, ratio 1.17 with respect to women), except in Cataluña (ratio 0.92), and especially high in those over 64 years of age in La Rioja (143.5/1000), Asturias (69.2/1000) and Basque Country (46.6/1000). Overall excess REL was found to be over 30% in La Rioja (2.91; 95% CI: 2.36-3.57), Asturias (1.51; 95% CI: 1.27-1.80), Basque Country (1.42; 95% CI: 1.31-1.54) and Extremadura (1.37; 95% CI: 1.20-1.57) and in those over 64 years in Madrid and the Canary Islands. Conclusions SARs-CoV-2 virus infection has been very unevenly distributed in the different ACs, with notably differences in TL between ACs, particularly high in La Rioja, Asturias and the Basque Country. Is important to study the excess in TL the population over 64 years of age in the ACs of Madrid and the Canary Islands.

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Fuente de los datos: Dialnet