Cross-Country Comparison of Case Fatality Rates of COVID-19/SARS-COV-2

Osong Public Health and Research Perspectives 2020³â 11±Ç 2È£ p.74 ~ p.80

(Khafaie Morteza Abdullatif) - Ahvaz Jundishapur University of Medical Sciences Social Determinants of Health Research Center
(Rahim Fakher) - Ahvaz Jundishapur University of Medical Sciences Research Center for Thalassemia and Hemoglobinopathy

Abstract

Objectives: Case fatality rates (CFR) and recovery rates are important readouts during epidemics and pandemics. In this article, an international analysis was performed on the ongoing coronavirus disease 2019 (COVID-19) pandemic.

Methods: Data were retrieved from accurate databases according to the user¡¯s guide of data sources for patient registries, CFR and recovery rates were calculated for each country. A comparison of CFR between countries with total cases ¡Ã 1,000 was observed for 12th and 23rd March.

Results: Italy¡¯s CFR was the highest of all countries studied for both time points (12th March, 6.22% versus 23rd March, 9.26%). The data showed that even though Italy was the only European country reported on 12rd March, Spain and France had the highest CFR of 6.16 and 4.21%, respectively, on 23rd March, which was strikingly higher than the overall CFR of 3.61%.

Conclusion: Obtaining detailed and accurate medical history from COVID-19 patients, and analyzing CFR alongside the recovery rate, may enable the identification of the highest risk areas so that efficient medical care may be provided. This may lead to the development of point-of-care tools to help clinicians in stratifying patients based on possible requirements in the level of care, to increase the probabilities of survival from COVID-19 disease.

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coronavirus, COVID-19, case fatality rates
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The data showed that Italy was the only European country reported on 12th March, but by the 23rd March 2020, Spain and France had the highest CFR of 6.16 and 4.21%, respectively, which was strikingly higher than the overall CFR of 3.61%. The highest RR was observed in China, with RR values of 76.12% and 89.85% in both analysis time points, respectively, compared with the overall RR of 55.83% and 29.3% on the 12th and 23rd March 2020, respectively.
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