Commentary: Measuring excess mortality due to the COVID-19 pandemic: progress and persistent challenges.

Commentary: Measuring excess mortality due to the COVID-19 pandemic: progress and persistent challenges.
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DOI:
10.1093/ije/dyab260
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发表时间:
2022-02-18
影响因子:
7.7
通讯作者:
Queiroz BL
Queiroz BL
中科院分区:
医学1区
文献类型:
--
作者:
Helleringer S;Queiroz BL

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自COVID-19大流行开始以来,全球卫生当局定期报告COVID-19病例和死亡。这些“官方”统计主要是根据实验室和医院收集的数据汇总而成,1它们并不完全记录了COVID-19对人口健康的影响。2-4由于检测有限,病例数是部分的5,死亡数可能会遗漏卫生设施以外发生的COVID死亡。6这些数字还不包括非COVID死亡,这些死亡是由大流行间接造成的(例如由于医疗服务中断)。[7]“超额死亡率”概念更可靠地反映了大流行病的总体影响。这是在大流行期间发生的死亡人数(任何原因)与在没有大流行的情况下发生的死亡人数之间的差异。许多分析师认为,超额死亡率是“COVID-19死亡人数最客观的可能指标”。[8]最近发表在《国际流行病学杂志》上的四篇论文使用了这种反事实的方法,描绘了COVID-19影响的微妙图景。9-12于二零二零年,日本12及丹麦10等国家的死亡率低于预期,而美国、英国及其他国家的死亡率则大幅上升。9-11死亡率过高对老年人的影响不成比例,但在美国和其他地方,工作年龄人口的死亡率有所上升。9各国在超额死亡率方面的性别差异各不相同。过多的死亡也集中在社会经济处境不利的群体。11
Since the beginning of the COVID-19 pandemic, health authorities worldwide periodically report COVID-19 cases and deaths. These ‘official’counts are aggregated primarily from data compiled by laboratories and hospitals, 1 and they document, imperfectly, the effects of COVID-19 on population health. 2–4 Case counts are partial due to limited testing 5 and death counts might miss COVID deaths that occur outside of health facilities. 6 These figures also exclude non-COVID deaths which are indirectly a result of the pandemic (eg because of disrupted health services). 7 The total effects of the pandemic are more reliably captured by the concept of ‘excess mortality’. This is the difference between the number of deaths (from any cause) that occur during the pandemic and the number of deaths that would have occurred in the absence of the pandemic. Many analysts consider excess mortality as ‘the most objective possible indicator of the COVID-19 death toll’. 8 Four recent papers in the International Journal of Epidemiology used this counterfactual approach to paint a nuanced picture of the impact of COVID-19. 9–12 In 2020, countries like Japan 12 and Denmark 10 experienced lower than expected mortality, whereas deaths have increased substantially in the USA, UK and other countries. 9–11 Excess mortality has affected older adults disproportionately, but increases in mortality among people of working age were observed in the USA and elsewhere. 9 Gender differences in excess mortality have varied across countries. Excess deaths were also concentrated in socioeconomically disadvantaged groups. 11
DOI: 10.1038/s41597-020-00688-8
发表时间: 2020-10-08
期刊: Scientific data
影响因子: 9.8
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Hasell J;Mathieu E;Beltekian D;Macdonald B;Giattino C;Ortiz-Ospina E;Roser M;Ritchie H
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发表时间: 2021
期刊: Genus
影响因子: --
作者:
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发表时间: 2020-09-30
影响因子: 3.3
作者:
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DOI: 10.1093/ije/dyab123
发表时间: 2022-02-18
影响因子: 7.7
作者:
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