Estimating clinical severity of COVID-19 from the transmission dynamics in Wuhan, China

dc.creatorWu, Joseph T.
dc.creatorLeung, Kathy
dc.creatorBushman, Mary
dc.creatorKishore, Nishant
dc.creatorNiehus, Rene
dc.creatorde Salazar, Pablo M.
dc.creatorCowling, Benjamin J.
dc.creatorLipsitch, Marc
dc.creatorLeung, Gabriel M.
dc.date.accessioned2020-07-17T22:31:07Z
dc.date.available2020-07-17T22:31:07Z
dc.date.created2020-03-19
dc.description.abstractenglishAs of 29 February 2020 there were 79,394 confirmed cases and 2,838 deaths from COVID-19 in mainland China. Of these, 48,557 cases and 2,169 deaths occurred in the epicenter, Wuhan. A key public health priority during the emergence of a novel pathogen is estimating clinical severity, which requires properly adjusting for the case ascertainment rate and the delay between symptoms onset and death. Using public and published information, we estimate that the overall symptomatic case fatality risk (the probability of dying after developing symptoms) of COVID-19 in Wuhan was 1.4% (0.9–2.1%), which is substantially lower than both the corresponding crude or naïve confirmed case fatality risk (2,169/48,557 = 4.5%) and the approximator1 of deaths/deaths + recoveries (2,169/2,169 + 17,572 = 11%) as of 29 February 2020. Compared to those aged 30–59 years, those aged below 30 and above 59 years were 0.6 (0.3–1.1) and 5.1 (4.2–6.1) times more likely to die after developing symptoms. The risk of symptomatic infection increased with age (for example, at ~4% per year among adults aged 30–60 years).spa
dc.format.extent13 páginasspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.doihttps://doi.org/10.1038/s41591-020-0822-7spa
dc.identifier.issn1546-170Xspa
dc.identifier.otherhttps://www.nature.com/articles/s41591-020-0822-7spa
dc.identifier.urihttps://hdl.handle.net/20.500.12010/10815
dc.publisherScience Directeng
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.sourcereponame:Expeditio Repositorio Institucional UJTLspa
dc.sourceinstname:Universidad de Bogotá Jorge Tadeo Lozanospa
dc.subjectGravedad clínicaspa
dc.subject.keywordClinical severityspa
dc.subject.lembSíndrome respiratorio agudo gravespa
dc.subject.lembCOVID-19spa
dc.subject.lembSARS-CoV-2spa
dc.subject.lembCoronavirusspa
dc.titleEstimating clinical severity of COVID-19 from the transmission dynamics in Wuhan, Chinaspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.type.localArtículospa

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