Evidence map›Paper›PMID 32679369›Full record

ArticleRespiratory physiology & neurobiology2020

High altitude reduces infection rate of COVID-19 but not case-fatality rate.

Jose Segovia-Juarez, Jesús M Castagnetto, Gustavo F Gonzales

Registry-linked trialAbstract read
In one paragraph

Article in Respiratory physiology & neurobiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04604249 (Prevalence of COVID-19 and Risk Factors Associated With Seroconversion in La Rinconada, the Highest City of the World - 5,100 m), which is not on this map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04604249 unknown statusnot on this map

Prevalence of COVID-19 and Risk Factors Associated With Seroconversion in La Rinconada, the Highest City of the World - 5,100 m

TypeobservationalSponsorCentre d'Expertise sur l'Altitude EXALTRan2020 to 2021Enrolled200ConditionsCovid19, High AltitudeArmsSARS-CoV-2 rapid diagnostic test (COVID-PRESTO® IgM/IgG, AAZ, Boulogne-Billancourt, France)
3 · Its place in the literature

Who cites it

54 citing papers in PubMed.

  1. Trial
  2. Altitude and case fatality rate from COVID-19 during the pandemic in Peru, 2020-2022.Revista peruana de medicina experimental y salud publica · 2026
    Article
  3. Review
  4. Article
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  17. Environment and COVID-19 incidence: A critical review.Journal of environmental sciences (China) · 2023
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Jose Segovia-JuarezDepartment of Computer Science, Universidad Nacional de Ingeniería, Lima, Peru. Electronic address: jsegoviaj@uni.edu.pe.
Jesús M CastagnettoUniversity Informatics & Systems Office, Universidad de Lima, Lima, Peru.
Gustavo F GonzalesHigh Altitude Research Institute, Laboratories of Investigation and Development (LID), Department of Biological and Physiological Sciences, Faculty of Sciences and Philosophy, Universidad Peruana Cayetano Heredia, Lima, Peru.

Funding

Building U.S. Research Capacity Through International Environmental Health Science on Air Pollution, Cardiorespiratory Disease, and Alzheimer’s Disease (Research U01)U01TW010107 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI William Checkley, Stella Maria Hartinger · 2015 to 2026
$3.5M
FIC NIH HHS U01 TW010107
6 · The paper itself

Abstract

Coronavirus disease 19 (COVID-19) is a pandemic caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). It is suggested that life at high altitude may reduce COVID-19 infections and case-fatality rates (cases/deaths). We study data from Peru COVID-19 pandemics, which first case was recorded on March 6th, 2020. By June 13, 2020 there were 6498 deaths, and 224,132 SARS-CoV-2 positives. Using data from 185 capitals of provinces with altitudes ranging from 3 to 4342 m, we confirm previous reports that infection with COVID-19 at high altitude is reduced. However, case-fatality rate is not dependent of altitude. We have also presented first evidence that female protection towards death by COVID-19 is reduced as altitude of residence increases.

Indexed as

AltitudeBetacoronavirusCoronavirus InfectionsCOVID-19HumansMortalityPandemicsPeruPneumonia, ViralSARS-CoV-2AltitudeCOVID-19Fatality rateHypoxia

Identifiers

PMID32679369
PMCPMC7361094

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.