Demographic and Health Indicators in Correlation to Interstate Variability of Incidence, Confirmation, Hospitalization, and Lethality in Mexico: Preliminary Analysis from Imported and Community Acquired Cases during COVID-19 Outbreak

This study's objective is to analyze the incidence, lethality, hospitalization, and confirmation of COVID-19 cases in Mexico. Sentinel surveillance for COVID-19 cases in Mexico began after the confirmation of the first patient with community transmission. Methods This epidemiologic, cross-secti...

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Bibliographic Details
Published in:International journal of environmental research and public health 2020-06, Vol.17 (12), p.4281
Main Authors: Mendez-Dominguez, Nina, Alvarez-Baeza, Alberto, Carrillo, Genny
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Aged
Betacoronavirus
Coronavirus Infections - epidemiology
Coronavirus Infections - mortality
Coronaviruses
Correlation
COVID-19
Cross-Sectional Studies
Demographics
Dependent variables
Disease transmission
Ebola virus
Epidemics
Epidemiology
Female
Gender
Health services
Hospitalization
Hospitalization - statistics & numerical data
Hospitals
Humans
Incidence
Indicators
Laboratories
Male
Mexico - epidemiology
Middle Aged
Outbreaks
Pandemics
Patients
Pneumonia, Viral - epidemiology
Pneumonia, Viral - mortality
Population
Respiratory diseases
SARS-CoV-2
Sentinel Surveillance
Severe acute respiratory syndrome coronavirus 2
Surveillance
Urbanization
Variables
Young Adult
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Summary:This study's objective is to analyze the incidence, lethality, hospitalization, and confirmation of COVID-19 cases in Mexico. Sentinel surveillance for COVID-19 cases in Mexico began after the confirmation of the first patient with community transmission. Methods This epidemiologic, cross-sectional study includes all clinically suspected, and laboratory-confirmed cases nationwide from the beginning of the outbreak to 21 April 2020. State-cluster demographic data and health indicators were analyzed in reference to epidemiologic measures, with logistic regressions for the dependent variables of incidence, confirmation, and lethality. Results: The national incidence was 13.89/100,000 inhabitants with a 6.52% overall lethality and a confirmed-case mortality of 11.1%. The incidence variation significantly correlated with migration, but not urbanization. Pediatric patients were less prone to be tested (OR = -3.92), while geriatric individuals were a priority. State lethality positively correlated with the proportion of the population assisted at public hospitals and correlated inversely to the number of hospitals and clinics in the state. Conclusions Migration strongly correlated with incidence; elderly patients had lower odds of being hospitalized but were likely to die. Patients aged
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph17124281