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. 2020 Apr;11(2):74-80.
doi: 10.24171/j.phrp.2020.11.2.03.

Cross-Country Comparison of Case Fatality Rates of COVID-19/SARS-COV-2

Morteza Abdullatif Khafaie  1 , Fakher Rahim  2
Affiliations

Cross-Country Comparison of Case Fatality Rates of COVID-19/SARS-COV-2

Morteza Abdullatif Khafaie et al. Osong Public Health Res Perspect. 2020 Apr.

Abstract

Objectives: Case fatality rates (CFR) and recovery rates are important readouts during epidemics and pandemics. In this article, an international analysis was performed on the ongoing coronavirus disease 2019 (COVID-19) pandemic.

Methods: Data were retrieved from accurate databases according to the user's guide of data sources for patient registries, CFR and recovery rates were calculated for each country. A comparison of CFR between countries with total cases ≥ 1,000 was observed for 12th and 23rd March.

Results: Italy's CFR was the highest of all countries studied for both time points (12th March, 6.22% versus 23rd March, 9.26%). The data showed that even though Italy was the only European country reported on 12rd March, Spain and France had the highest CFR of 6.16 and 4.21%, respectively, on 23rd March, which was strikingly higher than the overall CFR of 3.61%.

Conclusion: Obtaining detailed and accurate medical history from COVID-19 patients, and analyzing CFR alongside the recovery rate, may enable the identification of the highest risk areas so that efficient medical care may be provided. This may lead to the development of point-of-care tools to help clinicians in stratifying patients based on possible requirements in the level of care, to increase the probabilities of survival from COVID-19 disease.

Keywords: COVID-19; case fatality rates; coronavirus.

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Conflict of interest statement

Conflicts of Interest The authors have no conflict of interest to declare.

Figures

Figure 1
Figure 1
The cross-country comparison of case fatality rate (CFR) between different countries (n = 116). The circles showed the countries with highest outbreak and positive cases of COVID-19. Countries with CFR value zero has not been illustrated here.
Figure 2
Figure 2
The cross-country comparison of recovery rate (RR) between different countries (n = 116). The circles showed the countries with highest outbreak and positive cases of COVID-19. Countries with RR value zero has not been illustrated here.
Figure 3
Figure 3
The cross-country comparison of case fatality rate (CFR) between different known infectious and viral diseases (n = 116). The circles showed the estimated value and the reported range of CFR of COVID-19.
See this image and copyright information in PMC

References

    1. Worlometers [Internet] COVID-19 Coronavirus Pandemic. 2020 Available from: https://www.worldometers.info/coronavirus/
    1. World Health Organization [Internet] Coronavirus disease 2019 (COVID-19): Situation Report - 43. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/2....
    1. Xu XW, Wu XX, Jiang XG, et al. Clinical findings in a group of patients infected with the 2019 novel coronavirus (SARS-Cov-2) outside of Wuhan, China: Retrospective case series. BMJ. 2020;368:m606. doi: 10.1136/bmj.m606. - DOI - PMC - PubMed
    1. Lauer SA, Grantz KH, Bi Q, et al. The Incubation Period of Coronavirus Disease 2019 (COVID-19) From Publicly Reported Confirmed Cases: Estimation and Application. Ann Intern Med. 2020 doi: 10.7326/M20-0504. [Epub ahead of print] Epub 2020 Mar 10. - DOI - PMC - PubMed
    1. Guan W, Ni Z, Hu Y, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020 doi: 10.1056/NEJMoa2002032. [Epub ahead of print] Epub 2020 Mar 6. - DOI - PMC - PubMed