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Updated: Oct 16, 2025

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Published on: November 10, 2023
Health related factors contributing to COVID-19 fatality rates in various communities across the world
Jamal Kareem Shakor1, Rawand Abdulrahman Isa2, Muhammed Babakir-Mina3
1Nursing Department, Sulaimani Polytechnic University, Sulaimani, KGR, Iraq.
Insights
Comorbidity, age, and male gender significantly increase COVID-19 fatality rates. Understanding these factors is crucial for managing the pandemic and implementing effective preventive measures.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- Coronavirus disease 2019 (COVID-19) presents varying severity and fatality rates.
- Demographic and comorbidity factors significantly influence patient outcomes.
Purpose of the Study:
- To review the fatality rate of COVID-19 based on comorbidity, age, gender, and laboratory markers.
- To analyze epidemiological reasons for high morbidity and mortality in different countries.
Main Methods:
- Systematic review of studies published between December 2019 and September 2020.
- Analysis of epidemiological data, comorbidity prevalence, age, and gender distribution related to COVID-19 outcomes.
Main Results:
- Comorbidity was a major factor in COVID-19 fatality, especially in the USA (93.9%) and Italy (68%).
- Higher fatality rates were observed in individuals over 60 years old, with males constituting 60% of deaths.
- Specific age groups (80-89) showed elevated fatality rates (e.g., 18.8% in Italy).
- Laboratory findings like lymphocytopenia (91% of deaths) and elevated C-reactive protein (40-60%) were associated with severe cases.
Conclusions:
- Comorbidity, advanced age, and male gender are key determinants of COVID-19 case fatality.
- Adherence to preventive measures is recommended to mitigate the impact of the pandemic.
Introduction:
Factors such as comorbidity, age and gender distribution are mostly related to hospitalization, numbers requiring intensive care and case fatality rate. In this review, the fatality rate of coronavirus disease 2019 (COVID-19) in different population health background according to comorbidity, age, gender distribution, and laboratory prognosis for COVID-19.
Methodology:
The current review was based on the data from copious studies that had homogeneity in relation to the review's objectives. It included the newest studies from December 2019 to September 2020. The epidemiological reasons for the high morbidity and mortality rates among COVID-19 patients were analyzed in different countries.
Results:
The highest comorbidity prevalence of COVID-19 was recorded in the United States of America (USA) (93.9%) and Italy (68%). Among population health background factors, comorbidity was the most common cause of COVID-19 fatality in the USA. The mean age of the most COVID-19 fatalities was more than 60 years old. Most of the studies show that 60% of COVID-19 patients were male. The fatality rates for the age group of 80-89 years-old in Korea, China, and Italy were 8.7 %, 14.7 %, and 18.8 % respectively. Lymphocytopenia has been observed in 91% of COVID-19 death cases. C - reactive protein had increased in 40-60% of COVID-19 patients.
Conclusions:
Many factors contribute to COVID-19 severity and fatality rates. Comorbidity, age, and gender were the main reasons for the Case Fatality Rate. This review recommends to follow preventive measures for overcoming the challenges faced during this emerging pandemic disease.
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