{"id":840,"date":"2020-11-18T09:44:47","date_gmt":"2020-11-18T14:44:47","guid":{"rendered":"https:\/\/covidqanda.org\/?p=840"},"modified":"2020-11-18T09:44:47","modified_gmt":"2020-11-18T14:44:47","slug":"who-is-more-less-likely-to-survive-covid-infection","status":"publish","type":"post","link":"https:\/\/covidqanda.org\/?p=840","title":{"rendered":"Who is more\/less likely to survive COVID infection?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong><u>Question:\u00a0<\/u><\/strong>\u00a0The new acceleration in COVID cases has me worried.\u00a0 Would you please remind me of the data about those who do not survive it? Average age, pre-existing conditions, etc?<br><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration: underline;\">Answer:\u00a0<\/span><\/strong>The acceleration of cases, hospitalizations, and deaths across the country is deeply worrisome.\u00a0 You may feel a wee bit heartened to know that as the pandemic has progressed, patient outcomes have improved.\u00a0 In fact, case fatality rates (e.g. the proportion of deaths among cases) have dramatically declined.\u00a0 <em>Nature<\/em>\u00a0had a great article\u00a0on this trend just last week, &#8220;<a href=\"https:\/\/www.nature.com\/articles\/d41586-020-03132-4\">Why do COVID death rates seem to be falling?<\/a>&#8221;\u00a0 Meanwhile, a couple of friends\/colleagues, <a href=\"https:\/\/www.isquared.global\/YJ\">Dr. YJ Choi<\/a> and <a href=\"https:\/\/www.jhsph.edu\/faculty\/directory\/profile\/59\/david-m-bishai\">Dr. David Bishai<\/a>, and I dug into CDC&#8217;s case surveillance data to understand how national case fatality rates have changed over time by age and race.\u00a0 Just yesterday, we <a href=\"https:\/\/www.medrxiv.org\/content\/10.1101\/2020.11.15.20232066v2\">published our results on medRxiv<\/a>\u00a0(a\u00a0preprint server for health sciences).\u00a0 Read on to learn more about our findings.\u00a0 In the meantime, know that case fatality increases with age, racial\/ethnic minority status, and <a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/69\/wr\/mm6924e2.htm\">underlying conditions<\/a>.\u00a0 If you&#8217;re curious to see the most recent (August) case fatality rates by age and race\/ethnicity, check out <strong>Figure 2<\/strong>.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br><strong><em>Selected findings from our paper, &#8220;<a href=\"https:\/\/www.medrxiv.org\/content\/10.1101\/2020.11.15.20232066v2\">Deaths among COVID Cases in the United States: Racial and Ethnic Disparities Persist<\/a>&#8220;<\/em><\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>CFR has declined over time for all racial, ethnic and age groups <strong>(Figure 1)<\/strong>;<\/li><li>CFR disparities by race and ethnicity are narrowing;<\/li><li>CFR disparities by race and ethnicity persist:&nbsp; &nbsp;&nbsp;<ul><li>Whites consistently experience lower case fatality.<\/li><li>Blacks generally experience higher case fatality among younger patients.<\/li><li>Asians generally experience higher case fatality among older patients.&nbsp;<\/li><li>High case fatality among Asians has been imperceptible in commonly reported mortality rates.<\/li><\/ul><\/li><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Figure 1.\u00a0Monthly age-specific case fatality rates across race\/ethnicity groups, March-August<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"545\" height=\"654\" src=\"https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/11\/image-3.png?resize=545%2C654&#038;ssl=1\" alt=\"\" class=\"wp-image-841\" srcset=\"https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/11\/image-3.png?w=545&amp;ssl=1 545w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/11\/image-3.png?resize=250%2C300&amp;ssl=1 250w\" sizes=\"auto, (max-width: 545px) 100vw, 545px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Figure 2. Most recent (August) case fatality rates by race and age<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"723\" height=\"633\" src=\"https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/11\/image-4.png?resize=723%2C633&#038;ssl=1\" alt=\"\" class=\"wp-image-842\" srcset=\"https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/11\/image-4.png?resize=1024%2C896&amp;ssl=1 1024w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/11\/image-4.png?resize=300%2C263&amp;ssl=1 300w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/11\/image-4.png?resize=768%2C672&amp;ssl=1 768w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/11\/image-4.png?resize=1536%2C1344&amp;ssl=1 1536w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/11\/image-4.png?w=1843&amp;ssl=1 1843w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/11\/image-4.png?w=1446&amp;ssl=1 1446w\" sizes=\"auto, (max-width: 723px) 100vw, 723px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Question:\u00a0\u00a0The new acceleration in COVID cases has me worried.\u00a0 Would you please remind me of the data about those who do not survive it? Average age, pre-existing conditions, etc? Answer:\u00a0The acceleration of cases, hospitalizations, and deaths across the country is deeply worrisome.\u00a0 You may feel a wee bit heartened to know that as the pandemic [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":841,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[40,22,60],"tags":[105,86],"class_list":["post-840","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-disease-severity","category-mortality","category-risk","tag-race","tag-underlying-conditions","fallback-thumbnail"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/11\/image-3.png?fit=545%2C654&ssl=1","_links":{"self":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/840","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=840"}],"version-history":[{"count":1,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/840\/revisions"}],"predecessor-version":[{"id":844,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/840\/revisions\/844"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/media\/841"}],"wp:attachment":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=840"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=840"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=840"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}