Related Experiment Video
Updated: Dec 2, 2025

Author Spotlight: Advancements in Multiplex Detection of Respiratory Viruses
Published on: November 10, 2023
Explaining among-country variation in COVID-19 case fatality rate
Gabriele Sorci1, Bruno Faivre2, Serge Morand3,4
1Biogéosciences, CNRS UMR 6282, Université de Bourgogne Franche-Comté, 6 Boulevard Gabriel, 21000, Dijon, France. gabriele.sorci@u-bourgogne.fr.
COVID-19 case fatality rate (CFR) varied globally. Comorbidity factors like cardiovascular and cancer diseases, along with socio-economic elements such as GDP per capita and democracy levels, significantly influenced CFR across nations.
Area of Science:
- Epidemiology
- Public Health
- Health Economics
Background:
- The global spread of SARS-CoV-2 (COVID-19) has raised significant concerns regarding its associated mortality rate.
- Available data indicate temporal and spatial variations in the COVID-19 case fatality rate (CFR).
Purpose of the Study:
- To identify key factors contributing to the variability in COVID-19 CFR across different countries.
- To analyze the influence of comorbidity, demographic, economic, and political factors on temporal changes in CFR.
Main Methods:
- Utilized temporal CFR data from the European Centre for Disease Prevention and Control.
- Compiled country-specific data on comorbidities, demography, economy, and political regimes.
- Employed statistical analysis to associate these factors with CFR variations.
Main Results:
- Significant variations in temporal CFR trajectories were observed among countries.
- Higher DALYs (Disability-Adjusted Life Years) for cardiovascular, cancer, and respiratory diseases correlated with higher CFR.
- CFR was positively associated with smoking-related deaths in older adults, population share over 70, GDP per capita, and democracy levels.
- Negative associations were found with deaths from lower respiratory infections and hospital bed availability.
Conclusions:
- Comorbidity and socio-economic factors play a crucial role in driving COVID-19 CFR at the population level.
- Understanding these factors is essential for developing targeted public health interventions and policies to mitigate mortality.
Related Concept Videos
Pareto Chart
The Pareto chart is named after the Italian economist Vilfredo Pareto, who described the Pareto...
Pie Chart
In a pie chart, the central angle, the arc length of each slice, and the area are directly proportional to the quantity or percentage it represents. Some real-world examples that can be depicted using pie charts include marks obtained by students...
Causality in Epidemiology
Actuarial Approach
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Comparing the Survival Analysis of Two or More Groups
Assumptions of Survival Analysis
