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Published on: November 10, 2023
Clinical and epidemiological characteristics of COVID-19 mortality in Saudi Arabia: A retrospective multi-center
Mahmoud A Mahmoud1, Alaa Anwar Altaluoni2, Abdulrahman Abdullah Alshargi3
1Department of Public Health, College of Medicine, Imam Muhammad Ibn Saud University, Riyadh, Saudi Arabia.
Insights
Older age, male gender, and non-Saudi nationality are key risk factors for COVID-19 mortality. Intensive care unit admission significantly increases life expectancy for patients with coronavirus disease 2019.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- Coronavirus disease 2019 (COVID-19) has caused significant global morbidity and mortality.
- Understanding COVID-19 mortality patterns is crucial for healthcare systems.
Purpose of the Study:
- To describe the epidemiological and clinical characteristics of COVID-19 mortality.
- To identify factors influencing COVID-19 mortality rates.
Main Methods:
- Retrospective observational study in Saudi Arabia (March-June 2020).
- Analysis of epidemiological and clinical data for 3260 COVID-19 deaths.
Main Results:
- Mean age of deceased was 55 years, with highest mortality in ages 40-69.
- Males (76%) and non-Saudis (71%) had higher mortality rates.
- June saw the highest percentage of deaths (47%); Tabuk Region had the highest mortality.
Conclusions:
- Older age, male gender, and non-Saudi nationality are identified as risk factors for COVID-19 mortality.
- Intensive care unit (ICU) care was associated with a 6-day increase in life expectancy.
Background/Aim:
Coronavirus disease 2019 (COVID-19) increased morbidity and mortality in health institutions worldwide. The present study describes the epidemiological and clinical characteristics of COVID-19 mortality rates. Investigating the factors that affect COVID-19 mortality will be helpful in reducing the burden of morbidity and mortality in healthcare systems.
Materials And Methods:
The current retrospective observational study was carried out in the Kingdom of Saudi Arabia. COVID-19 cases resulting in death were admitted to hospitals from March 2020 to June 2020. The epidemiological and clinical characteristics of these cases of COVID-19-related death were collected and evaluated.
Results:
A total of 3260 COVID-19 death cases were included. The mean age of the subjects was 55 years. COVID-19 deaths more frequently in patients aged 50-59 years, 60-69 years, and 40-49 years (26%, 22%, and 17%, respectively). A greater percentage of COVID-19-related deaths (47%) was observed in June than in March (>1%), April (15%), and May (37%). Men accounted for most death cases (76%) compared to women. The COVID-19 mortality rate was higher among non-Saudi (71%) than Saudis (29%). The highest COVID-19 mortality was observed in Tabuk Region, whereas the lowest was observed in Najran. The mean stay duration of COVID-19 cases in the intensive care unit (ICU) was 11 days. The independent t-test indicated a statistically significant increase in the life expectancy (6 days) of ICU cases compared to non-ICU cases.
Conclusion:
The findings suggest that older age, male gender, and non-Saudi are risk factors that enhance COVID-19 mortality rates, while medical care increases the life expectancy of COVID-19 cases.
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