{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T11:57:44Z","timestamp":1765886264016,"version":"3.37.3"},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 2","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ci\u00eanc. sa\u00fade coletiva"],"abstract":"<jats:p>Abstract We investigated the predictors of delay in the diagnosis and mortality of patients with COVID-19 in Rio de Janeiro, Brazil. A cohort of 3,656 patients were evaluated (Feb-Apr 2020) and patients\u2019 sociodemographic characteristics, and social development index (SDI) were used as determinant factors of diagnosis delays and mortality. Kaplan-Meier survival analyses, time-dependent Cox regression models, and multivariate logistic regression analyses were conducted. The median time from symptoms onset to diagnosis was eight days (interquartile range [IQR] 7.23-8.99 days). Half of the patients recovered during the evaluated period, and 8.3% died. Mortality rates were higher in men. Delays in diagnosis were associated with male gender (p = 0.015) and patients living in low SDI areas (p &lt; 0.001). The age groups statistically associated with death were: 70-79 years, 80-89 years, and 90-99 years. Delays to diagnosis greater than eight days were also risk factors for death. Delays in diagnosis and risk factors for death from COVID-19 were associated with male gender, age under 60 years, and patients living in regions with lower SDI. Delays superior to eight days to diagnosis increased mortality rates.<\/jats:p>","DOI":"10.1590\/1413-812320202510.2.26882020","type":"journal-article","created":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T18:52:35Z","timestamp":1601578355000},"page":"4131-4140","source":"Crossref","is-referenced-by-count":35,"title":["Risk factors associated with delay in diagnosis and mortality in patients with COVID-19 in the city of Rio de Janeiro, Brazil"],"prefix":"10.1590","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6642-3928","authenticated-orcid":false,"given":"Alexandre de F\u00e1tima","family":"Cobre","sequence":"first","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0025-2315","authenticated-orcid":false,"given":"Beatriz","family":"B\u00f6ger","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5918-4738","authenticated-orcid":false,"given":"Mariana Millan","family":"Fachi","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8942-0591","authenticated-orcid":false,"given":"Raquel de Oliveira","family":"Vilhena","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8474-3984","authenticated-orcid":false,"given":"Eric Luiz","family":"Domingos","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4262-8608","authenticated-orcid":false,"given":"Fernanda Stumpf","family":"Tonin","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7049-4363","authenticated-orcid":false,"given":"Roberto","family":"Pontarolo","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}]}],"member":"530","published-online":{"date-parts":[[2020,10]]},"reference":[{"year":"2020","series-title":"Coronavirus disease (COVID-2019) situation reports 2020","key":"ref1"},{"issue":"18","key":"ref2","doi-asserted-by":"crossref","first-page":"1708","DOI":"10.1056\/NEJMoa2002032","article-title":"Clinical characteristics of coronavirus disease 2019 in China","volume":"382","author":"Guan WJ","year":"2020","journal-title":"N Engl J Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"101613","DOI":"10.1016\/j.tmaid.2020.101613","article-title":"COVID-19 in Latin America: the implications of the first confirmed case in Brazil","volume":"35","author":"Rodriguez-Morales AJ","year":"2020","journal-title":"Travel Med Infect Dis"},{"issue":"3","key":"ref4","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1007\/s11524-020-00438-6","article-title":"Slum Health: arresting COVID-19 and improving well-being in urban informal settlements","volume":"97","author":"Corburn J","year":"2020","journal-title":"J Urban Health"},{"issue":"10223","key":"ref5","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1016\/S0140-6736(20)30185-9","article-title":"A novel coronavirus outbreak of global health concern","volume":"395","author":"Wang C","year":"2020","journal-title":"Lancet"},{"issue":"4","key":"ref6","article-title":"A sensitive and specific antigen detection assay for Middle East respiratory syndrome coronavirus","volume":"4","author":"Chen Y","year":"2015","journal-title":"Emerg Microbes Infect"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.virusres.2014.03.018","article-title":"Serological assays for emerging corona-viruses: challenges and pitfalls","volume":"194","author":"Meyer B","year":"2014","journal-title":"Virus Res"},{"key":"ref8","doi-asserted-by":"crossref","DOI":"10.1016\/j.bjid.2020.04.003","article-title":"COVID-19: a meta-analysis of diagnostic test accuracy of commercial assays registered in Brazil","author":"Castro R","year":"2020","journal-title":"Braz J Infect Dis"},{"issue":"12","key":"ref9","doi-asserted-by":"crossref","DOI":"10.1016\/S2214-109X(14)70339-0","article-title":"Ebola in urban slums: the elephant in the room","volume":"2","author":"Snyder RE","year":"2014","journal-title":"Lancet Glob Health"},{"year":"2015","series-title":"Uma agenda para o Rio de Janeiro: estrat\u00e9gias e pol\u00edticas p\u00fablicas para o desenvolvimento socioecon\u00f4mico","author":"Os\u00f3rio M","key":"ref10"},{"year":"2020","series-title":"Coronav\u00edrus Brasil. 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Sa\u00fade Coletiva"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/csc\/v25s2\/1413-8123-csc-25-s2-4131.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,23]],"date-time":"2021-01-23T23:57:32Z","timestamp":1611446252000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1413-81232020006804131&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":31,"journal-issue":{"issue":"suppl 2","published-online":{"date-parts":[[2020,10]]}},"alternative-id":["S1413-81232020006804131"],"URL":"https:\/\/doi.org\/10.1590\/1413-812320202510.2.26882020","relation":{},"ISSN":["1678-4561","1413-8123"],"issn-type":[{"type":"electronic","value":"1678-4561"},{"type":"print","value":"1413-8123"}],"subject":[],"published":{"date-parts":[[2020,10]]}}}