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[Influence of risk factors on mortality from COVID-19]
Jorge Ayón-Aguilar1, Socorro Méndez-Martínez2, Ricardo Toledo-Tapia3
1Instituto Mexicano del Seguro Social, Órgano de Operación Administrativa Desconcentrada, Coordinación Auxiliar Médica de Investigación en Salud. Puebla, Puebla, México.
Insights
Male gender is not a significant risk factor for COVID-19 mortality. However, advanced age (over 60), hypertension, diabetes, and obesity are confirmed risk factors for increased COVID-19 mortality.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- COVID-19 mortality risk factors remain debated globally.
- Previous studies show inconclusive evidence, particularly regarding male gender influence.
Purpose of the Study:
- To identify key risk factors associated with higher mortality rates from COVID-19.
- To clarify the role of various demographic and clinical factors in COVID-19 outcomes.
Main Methods:
- A case-control study involving 1190 RT-PCR positive patients.
- Analysis included demographic data, comorbidities (hypertension, diabetes, obesity, COPD, asthma), and lifestyle factors (smoking, vaccination status).
- Multivariate logistic regression was used to assess the influence of risk factors on mortality.
Main Results:
- No statistically significant difference in mortality was observed between genders.
- Increased mortality was associated with age over 60 years.
- Systemic arterial hypertension, diabetes mellitus, and obesity were significantly linked to higher COVID-19 mortality.
Conclusions:
- Male gender is not a predictor of increased COVID-19 mortality.
- Age over 60, hypertension, diabetes mellitus, and obesity are confirmed significant risk factors for COVID-19 mortality.
- These findings aid in identifying high-risk populations for targeted interventions.
Background:
The main risk factors studied that have an influence on mortality from COVID-19 have so far been inconclusive in the world literature, mainly in relation to the male gender.
Objective:
To determine which are the main risk factors that influence a higher mortality from COVID-19.
Material And Methods:
A case-control study was conducted, including 1190 patients with positive RT-PCR. The risk factors studied were: gender, age, systemic arterial hypertension (SAH), Diabetes mellitus (DM), obesity, Chronic Obstructive Pulmonary Disease (COPD), asthma, smoking, immunosuppressants, Human Immunodeficiency Virus (HIV), influenza vaccine. In the Group of Cases: they died from COVID-19 (n = 576), while in the Controls group: they survived (n = 614). The statistical plan included cross-tables and multivariate logistic regression model to determine the influence of these risk factors on mortality from COVID-19.
Results:
We found no statistically significant differences between cases and controls in relation to gender. However, the cases were aged >60 years, SAH, DM, obesity compared to controls.
Conclusions:
Male gender was not a risk factor for mortality from COVID-19, however, other risk factors such as age over 60 years, being hypertensive, diabetic and obese, were corroborated as such for a higher mortality from COVID-19.
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