4.6 Article

Estimating spatiotemporal patterns of deaths by COVID-19 outbreak on a global scale

期刊

BMJ OPEN
卷 11, 期 8, 页码 -

出版社

BMJ PUBLISHING GROUP
DOI: 10.1136/bmjopen-2020-047002

关键词

epidemiology; COVID-19

资金

  1. CNPq [306023/2018-0]
  2. FAPESP [2018/04654-9]
  3. Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) [001]
  4. Instituto Escolhas

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The study aims to estimate the trend of COVID-19 deaths globally and found that spatiotemporal models are more accurate in capturing patterns of COVID-19 related deaths, indicating the importance of spatial dynamics in the epidemic process.
Objective Our main objective is to estimate the trend of deaths by COVID-19 on a global scale, considering the six continents. Study design The study design was a retrospective observational study conducted using the secondary data provided by the Our World in Data project on a public domain. Setting This study was conducted based on worldwide deaths by COVID-19 recorded for the Our World in Data project from 29 February 2020 to 17 February 2021. Methods Estimating the trend in COVID-19 deaths is not a trivial task due to the problems associated with the COVID-19 data, such as the spatial and temporal heterogeneity, observed seasonality and the delay between the onset of symptoms and diagnosis, indicating a relevant measurement error problem and changing the series' dependency structure. To bypass the aforementioned problems, we propose a method to estimate the components of trend, seasonality and cycle in COVID-19 data, controlling for the presence of measurement error and considering the spatial heterogeneity. We used the proposed model to estimate the trend component of deaths by COVID-19 on a global scale. Results The model was able to capture the patterns in the occurrence of deaths related to COVID-19, overcoming the problems observed in COVID-19 data. We found compelling evidence that spatiotemporal models are more accurate than univariate models to estimate the patterns of the occurrence of deaths. Based on the measures of dispersion of the models' prediction in relation to observed deaths, it is possible to note that the models with spatial component are significantly superior to the univariate model. Conclusion The findings suggested that the spatial dynamics have an important role in the COVID-19 epidemic process since the results provided evidence that spatiotemporal models are more accurate to estimate the general patterns of the occurrence of deaths related to COVID-19.

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