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J Infect Dev Ctries . Prognostic factors of COVID-19 severity and mortality in the Yucatecan ethnic of México contrast with other populations

tetano

Editor, Senior Moderator
J Infect Dev Ctries


. 2023 Apr 30;17(4):425-431.
doi: 10.3855/jidc.17428. Prognostic factors of COVID-19 severity and mortality in the Yucatecan ethnic of México contrast with other populations

Gilma Guadalupe Sánchez-Burgos[SUP] 1 [/SUP], Julia Aymé Aguilar-Erosa[SUP] 2 [/SUP], Narces Ramón Alcocer-Ayuso[SUP] 3 [/SUP]



Affiliations
Abstract

Introduction: Previous studies that identified the prognostic factors for the severity of the new coronavirus disease 2019 (COVID-19) in different populations have generated controversial conclusions. The lack of a standard definition of COVID-19 severity and the differences between clinical diagnoses might make it difficult to provide optimum care according to the characteristics of each population.
Methodology: We investigated the factors that impacted the severe outcome or death from the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in patients treated at the Mexican Institute of Social Security in Yucatán, México in 2020. A cross-sectional study of COVID-19 confirmed cases was done to know the prevalence and association of the demographic and clinical characteristics with a severe or fatal outcome. Information from the National Epidemiological Surveillance System (SINAVE) database was used and SPSS v 21 was used for statistical analyses. We used the World Health Organization (WHO) and the Centers for Diseases Control and Prevention (CDC) symptomatology classifications to define severe cases.
Results: Diabetes and pneumonia increased the risk of death and having diabetes was a prognostic factor for severe illness following SARS-CoV-2 infection.
Conclusions: Our results highlight the influence of cultural and ethnic factors, the necessity to standardize the parameters for clinical diagnoses, and to use the same criteria for the definition of COVID-19 severity to establish the clinical conditions that contribute to the pathophysiology of this disease in each population.

Keywords: SARS-CoV-2; comorbidities; mortality; severity.

 
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