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Variation in Cause-Specific Mortality Rates in Italy during the First Wave of the Covid-19 Pandemic

A Study Based on Nationwide Data

Bibliographic Data

ID15507657
AuthorsEnrico Grande (0000-0003-3382-2708, Istituto Nazionale di Statistica, corresponding author), Ugo Fedeli (0000-0002-9939-3398, Regione del Veneto), Marilena Pappagallo (0000-0003-0655-4541, Istituto Nazionale di Statistica), Roberta Crialesi (0000-0003-2599-0189, Istituto Nazionale di Statistica), Stefano Marchetti (0000-0002-5765-9522, Istituto Nazionale di Statistica), Giada Minelli (0000-0002-2752-9989, Istituto Superiore di Sanità), Ivano Iavarone (0000-0001-5856-9484, Istituto Superiore di Sanità), Luisa Frova (0000-0002-4594-1125, Istituto Nazionale di Statistica), Graziano Onder (0000-0003-3400-4491, Istituto Superiore di Sanità), Francesco Grippo (0000-0001-5471-8964, Istituto Nazionale di Statistica)
Year2022
Volume19
Issue2
Pages805-805
Publication date2022-01-12
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19020805
PMID35055627
OpenAlexW4206037545
LanguageEN
Citations received10
References cited25

Italy was a country severely hit by the first coronavirus disease 2019 (COVID-19) pandemic wave in early 2020. Mortality studies have focused on the overall excess mortality observed during the pandemic. This paper investigates the cause-specific mortality in Italy from March 2020 to April 2020 and the variation in mortality rates compared with those in 2015-2019 regarding sex, age, and epidemic area. Causes of death were derived from the national cause-of-death register. COVID-19 was the leading cause of death among males and the second leading cause among females. Chronic diseases, such as diabetes and hypertensive, ischemic heart, and cerebrovascular diseases, with decreasing or stable mortality rates in 2015-2019, showed a reversal in the mortality trend. Moreover, mortality due to pneumonia and influenza increased. No increase in neoplasm mortality was observed. Among external causes of death, mortality increased for accidental falls but reduced for transport accidents and suicide. Mortality from causes other than COVID-19 increased similarly in both genders and more at ages 65 years or above. Compared with other areas in Italy, the Lombardy region showed the largest excess in mortality for all leading causes. Underdiagnosis of COVID-19 at the beginning of the pandemic may, to some extent, explain the mortality increase for some causes of death, especially pneumonia and other respiratory diseases

Accidental · Cause of death · Coronavirus disease 2019 (COVID-19 · Disease · Excess mortality · Infectious disease (medical specialty · Mortality rate · Pandemic · Pneumonia · Climate Change and Health Impacts · COVID-19 and healthcare impacts · Demography · Healthcare cost, quality, practices · Medicine · Internal Medicine

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Unique citing works10
Citations per year2,5
Citation span2022 - 2025 (4)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 10
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