Estimation of the case fatality rate based on stratification for the COVID-19 outbreak.

This work is motivated by the recent worldwide pandemic of the novel coronavirus disease (COVID-19). When an epidemiological disease is prevalent, estimating the case fatality rate, the proportion of deaths out of the total cases, accurately and quickly is important as the case fatality rate is one...

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Main Authors: Byungwon Kim, Seonghong Kim, Woncheol Jang, Sungkyu Jung, Johan Lim
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0246921
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author Byungwon Kim
Seonghong Kim
Woncheol Jang
Sungkyu Jung
Johan Lim
author_facet Byungwon Kim
Seonghong Kim
Woncheol Jang
Sungkyu Jung
Johan Lim
author_sort Byungwon Kim
collection DOAJ
description This work is motivated by the recent worldwide pandemic of the novel coronavirus disease (COVID-19). When an epidemiological disease is prevalent, estimating the case fatality rate, the proportion of deaths out of the total cases, accurately and quickly is important as the case fatality rate is one of the crucial indicators of the risk of a disease. In this work, we propose an alternative estimator of the case fatality rate that provides more accurate estimate during an outbreak by reducing the downward bias (underestimation) of the naive CFR, the proportion of deaths out of confirmed cases at each time point, which is the most commonly used estimator due to the simplicity. The proposed estimator is designed to achieve the availability of real-time update by using the commonly reported quantities, the numbers of confirmed, cured, deceased cases, in the computation. To enhance the accuracy, the proposed estimator adapts a stratification, which allows the estimator to use information from heterogeneous strata separately. By the COVID-19 cases of China, South Korea and the United States, we numerically show the proposed stratification-based estimator plays a role of providing an early warning about the severity of a epidemiological disease that estimates the final case fatality rate accurately and shows faster convergence to the final case fatality rate.
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spelling doaj.art-5fc60a129a12474bb8ad1b663549a3e92022-12-21T17:16:39ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01162e024692110.1371/journal.pone.0246921Estimation of the case fatality rate based on stratification for the COVID-19 outbreak.Byungwon KimSeonghong KimWoncheol JangSungkyu JungJohan LimThis work is motivated by the recent worldwide pandemic of the novel coronavirus disease (COVID-19). When an epidemiological disease is prevalent, estimating the case fatality rate, the proportion of deaths out of the total cases, accurately and quickly is important as the case fatality rate is one of the crucial indicators of the risk of a disease. In this work, we propose an alternative estimator of the case fatality rate that provides more accurate estimate during an outbreak by reducing the downward bias (underestimation) of the naive CFR, the proportion of deaths out of confirmed cases at each time point, which is the most commonly used estimator due to the simplicity. The proposed estimator is designed to achieve the availability of real-time update by using the commonly reported quantities, the numbers of confirmed, cured, deceased cases, in the computation. To enhance the accuracy, the proposed estimator adapts a stratification, which allows the estimator to use information from heterogeneous strata separately. By the COVID-19 cases of China, South Korea and the United States, we numerically show the proposed stratification-based estimator plays a role of providing an early warning about the severity of a epidemiological disease that estimates the final case fatality rate accurately and shows faster convergence to the final case fatality rate.https://doi.org/10.1371/journal.pone.0246921
spellingShingle Byungwon Kim
Seonghong Kim
Woncheol Jang
Sungkyu Jung
Johan Lim
Estimation of the case fatality rate based on stratification for the COVID-19 outbreak.
PLoS ONE
title Estimation of the case fatality rate based on stratification for the COVID-19 outbreak.
title_full Estimation of the case fatality rate based on stratification for the COVID-19 outbreak.
title_fullStr Estimation of the case fatality rate based on stratification for the COVID-19 outbreak.
title_full_unstemmed Estimation of the case fatality rate based on stratification for the COVID-19 outbreak.
title_short Estimation of the case fatality rate based on stratification for the COVID-19 outbreak.
title_sort estimation of the case fatality rate based on stratification for the covid 19 outbreak
url https://doi.org/10.1371/journal.pone.0246921
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