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Revista de la Facultad de Medicina Humana

English Title

Distribución regional de mortalidad COVID-19 en Perú

Keywords

Mortality, Coronavirus infections, COVID-19

Abstract

Objectives: Compare the death rate from COVID-19 at the national level by regions and departments from March to September 2020. Methods: Quantitative, observational, cross-sectional, ecological and retrospective study. The data was extracted from the National Death System (SINADEF) in Microsoft Excel 2016 and imported into Stata. The variables were described as frequencies and percentages. Mortality was obtained by dividing the total deaths over the total population according to the last census. An adjusted exploratory analysis was performed using robust regression methods to evaluate the association between mortality by department and regions adjusted for age and sex of the deceased. P <0.05 was considered significant. Results: 32535 deaths were reported, 69.84% were male and the median was 67. The mortality rate in the Costa region 145 deaths were calculated (n = 24,276), followed by Sierra with 51 (n = 4434) and Selva with 63 (n = 2545). There were significant differences in mortality according to the region, in the comparison of the coast with the Sierra region a beta coefficient of -96.28 was found (p <0.001 IC -123.76 -68.77), while in the comparison with the Selva it was determined a coefficient of -50.38 (p 0.01 95% CI -91.47 -9.29). No significant association was found between the mortality rate and the average age or sex of the deceased by department. Conclusion: The death rate from COVID-19 at the national level was 101 per 100 000 inhabitants. The mortality rate found was higher on the Costa region than in the Sierra and Selva, regardless of the proportion of men, women or age.

English Abstract

Objetivos: Comparar la tasa de mortalidad por COVID-19 a nivel nacional por regiones y departamentos desde marzo a septiembre del 2020. Métodos: Estudio cuantitativo, observacional, transversal, ecológico y retrospectivo. La data fue extraída del Sistema Nacional de Defunciones (SINADEF) en Microsoft Excel 2016 y se importó a Stata. Se obtuvo la mortalidad dividiendo el total de muertes sobre la población total de acuerdo al último censo. Se utilizó frecuencias y porcentajes, se realizó un análisis exploratorio ajustado con métodos de regresión robusta para evaluar la asociación entre mortalidad por departamento y regiones ajustado a edad y sexo. Se consideró significativo p< 0.05. Resultados: Se reportaron 32535 fallecidos, el 69.84% fueron varones y la mediana de edad fue 67. La mortalidad por mil habitantes, en la región Costa se calculó en 145 muertes (n=24276), seguido de Sierra con 51 (n=4434) y Selva con 63 (n=2545). Existieron diferencias significativas de mortalidad de acuerdo a la región, en la comparación de la costa con la sierra se halló un coeficiente beta de -96.28 (p <0.001 IC -123.76 -68.77), mientras que en la comparación con la selva se determinó un coeficiente de -50.38 (p 0.01 IC 95% -91.47 -9.29). No se encontró asociación significativa entre la mortalidad y la edad o el sexo de los fallecidos por departamento. Conclusión: La tasa de mortalidad por COVID-19 en Perú fue de 101 por 100000 habitantes, fue mayor en la costa que en la sierra y la selva independientemente de la proporción de varones, mujeres o la edad.

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