Profile of Patients with Novel Coronavirus Disease 2019 (COVID-19) in Osaka Prefecture, Japan: A Population-Based

Taro Takeuchi1, Tomoka Imanaka2, Yusuke Katayama2

  • 1Department of Social Medicine, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, Japan.

Journal of Clinical Medicine
|September 15, 2020
PubMed

Insights

In Osaka, Japan, COVID-19 patients most commonly experienced fever. Older adults faced significantly higher mortality risks from the disease, highlighting a critical public health concern.

Area of Science:

  • Epidemiology
  • Public Health
  • Infectious Diseases

Background:

  • Limited data exists on the epidemiological characteristics of coronavirus disease 2019 (COVID-19) patients in Japan.
  • Understanding these characteristics is crucial for effective public health interventions and resource allocation.

Purpose of the Study:

  • To describe the epidemiological features of COVID-19 patients in Osaka Prefecture, Japan.
  • To identify factors associated with mortality among COVID-19 patients.

Main Methods:

  • Retrospective observational study utilizing publicly collected data from February 1 to May 31, 2020.
  • Analysis of polymerase chain reaction (PCR)-confirmed COVID-19 cases in Osaka Prefecture.
  • Cox proportional-hazards model applied to assess mortality risk factors, including age group and sex.

Main Results:

  • 5.7% of individuals tested for COVID-19 were positive. Fever (76.6%) and cough (44.3%) were the most frequent symptoms.
  • A total of 86 deaths were recorded among 1782 confirmed cases.
  • Mortality risk increased substantially with age: HRs ranged from 12.02 for ages 60-69 to 144.71 for ages ≥90, compared to ages 0-59.

Conclusions:

  • Fever is the predominant symptom of COVID-19 in Osaka, Japan.
  • Advanced age is a significant risk factor for mortality in COVID-19 patients in this region.
  • Findings underscore the need for targeted protective measures for elderly populations during COVID-19 outbreaks.

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