Demographic study of patients' mortality rate before and after the COVID‐19 outbreak: A cross‐sectional study

Abstract Background and Aim To better guide the health policies, it is essential to clarify the socio‐demographic and clinical risk factors affecting the mortality rate of patients with coronavirus disease 2019 (COVID‐19). Objective The purpose of this project is to separate hospital mortality stati...

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Main Authors: Mehran Kouchek, Kamran Aghakhani, Azadeh Memarian
Format: Article
Language:English
Published: Wiley 2024-02-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.1845
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author Mehran Kouchek
Kamran Aghakhani
Azadeh Memarian
author_facet Mehran Kouchek
Kamran Aghakhani
Azadeh Memarian
author_sort Mehran Kouchek
collection DOAJ
description Abstract Background and Aim To better guide the health policies, it is essential to clarify the socio‐demographic and clinical risk factors affecting the mortality rate of patients with coronavirus disease 2019 (COVID‐19). Objective The purpose of this project is to separate hospital mortality statistics into different groups, which will definitely help in planning to reduce the mortality rate. As well, we aimed to compare factors involved in COVID‐19 death between the period before and after its outbreak. Methods This cross‐sectional study was performed based on all death certificates of archived records in Rasool Akram Hospital during the years 2018 and the first half of 2019. A checklist was completed based on the variables, including death cases by time, gender, age, duration of hospitalization, department of place and time of death, cause of death, cases referred to forensic medicine, information of the patient, including educational and occupational level and birth certificate issuing city, neonatal death, and IUFD, classification of diseases according to the provided version of ICD 10 (international classification of diseases 10th edition). Results A number of 2632 deceased patients were included in this study, 1511 (57.4%) patients who died before the start of the COVID‐19 outbreak, and 1121 (42.6%) patients died in the hospital after the start of this pandemic. There were statistically significant differences in gender (higher prevalence of males), increased average age, lower occupational status, decreased number of infants, increased cause of death due to COVID‐19 and increased hospitalization in Royal ICU in dead patients (p < 0.05). Conclusion The findings show that the elderly cases are more at risk of COVID‐19 mortality than other age groups, which needs more attention to this group of society and clarifies other epidemiological factors, as well as clinicopathological and public healthcare practices.
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spelling doaj.art-109c301d42014ecbbd891a6a569302b62024-04-05T11:41:32ZengWileyHealth Science Reports2398-88352024-02-0172n/an/a10.1002/hsr2.1845Demographic study of patients' mortality rate before and after the COVID‐19 outbreak: A cross‐sectional studyMehran Kouchek0Kamran Aghakhani1Azadeh Memarian2Department of Anesthesiology, School of Medicine, ImamHossein Hospital Shahid Beheshti University of Medical Sciences Tehran IranDepartment of Forensic Medicine, School of Medicine, Hazrat Rasoul Akram Hospital Iran University of Medical Sciences Tehran IranDepartment of Emergency Medicine, School of Medicine Mazandaran University of Medical Sciences Sari IranAbstract Background and Aim To better guide the health policies, it is essential to clarify the socio‐demographic and clinical risk factors affecting the mortality rate of patients with coronavirus disease 2019 (COVID‐19). Objective The purpose of this project is to separate hospital mortality statistics into different groups, which will definitely help in planning to reduce the mortality rate. As well, we aimed to compare factors involved in COVID‐19 death between the period before and after its outbreak. Methods This cross‐sectional study was performed based on all death certificates of archived records in Rasool Akram Hospital during the years 2018 and the first half of 2019. A checklist was completed based on the variables, including death cases by time, gender, age, duration of hospitalization, department of place and time of death, cause of death, cases referred to forensic medicine, information of the patient, including educational and occupational level and birth certificate issuing city, neonatal death, and IUFD, classification of diseases according to the provided version of ICD 10 (international classification of diseases 10th edition). Results A number of 2632 deceased patients were included in this study, 1511 (57.4%) patients who died before the start of the COVID‐19 outbreak, and 1121 (42.6%) patients died in the hospital after the start of this pandemic. There were statistically significant differences in gender (higher prevalence of males), increased average age, lower occupational status, decreased number of infants, increased cause of death due to COVID‐19 and increased hospitalization in Royal ICU in dead patients (p < 0.05). Conclusion The findings show that the elderly cases are more at risk of COVID‐19 mortality than other age groups, which needs more attention to this group of society and clarifies other epidemiological factors, as well as clinicopathological and public healthcare practices.https://doi.org/10.1002/hsr2.1845COVID‐19demographicshospitalizationmortalitySARS‐COV2
spellingShingle Mehran Kouchek
Kamran Aghakhani
Azadeh Memarian
Demographic study of patients' mortality rate before and after the COVID‐19 outbreak: A cross‐sectional study
Health Science Reports
COVID‐19
demographics
hospitalization
mortality
SARS‐COV2
title Demographic study of patients' mortality rate before and after the COVID‐19 outbreak: A cross‐sectional study
title_full Demographic study of patients' mortality rate before and after the COVID‐19 outbreak: A cross‐sectional study
title_fullStr Demographic study of patients' mortality rate before and after the COVID‐19 outbreak: A cross‐sectional study
title_full_unstemmed Demographic study of patients' mortality rate before and after the COVID‐19 outbreak: A cross‐sectional study
title_short Demographic study of patients' mortality rate before and after the COVID‐19 outbreak: A cross‐sectional study
title_sort demographic study of patients mortality rate before and after the covid 19 outbreak a cross sectional study
topic COVID‐19
demographics
hospitalization
mortality
SARS‐COV2
url https://doi.org/10.1002/hsr2.1845
work_keys_str_mv AT mehrankouchek demographicstudyofpatientsmortalityratebeforeandafterthecovid19outbreakacrosssectionalstudy
AT kamranaghakhani demographicstudyofpatientsmortalityratebeforeandafterthecovid19outbreakacrosssectionalstudy
AT azadehmemarian demographicstudyofpatientsmortalityratebeforeandafterthecovid19outbreakacrosssectionalstudy