RT Journal Article T1 [Case fatality rate of COVID-19: absence of epidemiological pattern]. T2 Letalidad de la COVID-19: ausencia de patrón epidemiológico. A1 Medeiros de Figueiredo, Alexandre A1 Daponte, Antonio A1 Moreira Marculino de Figueiredo, Daniela Cristina A1 Gil-García, Eugenia A1 Kalache, Alexandre K1 Communicable diseases K1 Coronavirus K1 Epidemics K1 Epidemiological monitoring K1 Epidemiology AB Analyze a set of indicators to understand the variability of the evolution and impact of the COVID-19 epidemic in a set of selected countries. Ecological study of a group of countries with more than 200 reported cases. Demographic variables, health expenditure variables, and variables about characteristics of health services were included as explanatory variables. and incidence, mortality and fatality rates have been analyzed as response variables. In addition, a relative fatality index has been created. Data are from international organizations. Spearman's correlation coefficient was used to estimate the magnitude of the associations. Number of tests and of medical professionals are associated with a higher incidence rate. Mortality and case fatality rate are not associated with demographic, health expenditure, or health services variables. Differences suggest a general underestimation of the magnitude of the epidemic. Improvement of case identification and effectiveness of epidemiological surveillance systems is necessary. YR 2020 FD 2020-04-04 LK http://hdl.handle.net/10668/15473 UL http://hdl.handle.net/10668/15473 LA es DS RISalud RD Apr 7, 2025