Case fatality rates of COVID-19 during epidemic periods of variants of concern : A meta-analysis by continents

Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved..

OBJECTIVES: To calculate the case fatality rates (CFR) of COVID-19 during epidemic periods of different variants of concern (VOC) by continents.

METHODS: We systematically searched five authoritative databases (Web of Science, PubMed, Embase, Cochrane Library, and MedRxiv) for epidemiological studies on the CFR of COVID-19 published between January 1, 2020, and March 31, 2023. After identifying the epidemic trends of variants, we used a random-effects model to calculate the pooled CFRs during periods of different VOCs. This meta-analysis was conducted following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and registered with PROSPERO (CRD42023431572).

RESULTS: There were variations in the CFRs among different variants of COVID-19 (Alpha: 2.62%, Beta: 4.19%, Gamma: 3.60%, Delta: 2.01%, Omicron: 0.70%), and disparities in CFRs also existed among continents. On the whole, the CFRs of COVID-19 in Europe and Oceania were slightly lower than in other continents. There was a statistically significant association between the variant, HDI value, age distribution, coverage of full vaccination of cases, and the CFR.

CONCLUSIONS: The CFRs of COVID-19 varied across the epidemic periods of different VOCs, and disparities existed among continents. The CFR value reflected combined effects of various factors within a certain context. Caution should be exercised when comparing CFRs due to disparities in testing capabilities and age distribution among countries, etc.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:141

Enthalten in:

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases - 141(2024) vom: 01. März, Seite 106950

Sprache:

Englisch

Beteiligte Personen:

Xia, Qianhang [VerfasserIn]
Yang, Yujie [VerfasserIn]
Wang, Fengling [VerfasserIn]
Huang, Zhongyue [VerfasserIn]
Qiu, Wuqi [VerfasserIn]
Mao, Ayan [VerfasserIn]

Links:

Volltext

Themen:

Case fatality rate
Covid-19
Journal Article
Meta-Analysis
Meta-analysis
Sars-cov-2
Systematic Review
Variants of concern

Anmerkungen:

Date Completed 15.03.2024

Date Revised 15.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ijid.2024.01.017

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367989409