Excess Mortality in Italy During the Covid-19 Pandemic
Assessing the Differences Between the First and the Second Wave, Year 2020
Bibliographic Data
COVID-19 dramatically influenced mortality worldwide, in Italy as well, the first European country to experience the Sars-Cov2 epidemic. Many countries reported a two-wave pattern of COVID-19 deaths; however, studies comparing the two waves are limited. The objective of the study was to compare all-cause excess mortality between the two waves that occurred during the year 2020 using nationwide data. All-cause excess mortalities were estimated using negative binomial models with time modeled by quadratic splines. The models were also applied to estimate all-cause excess deaths “not directly attributable to COVD-19”, i.e., without a previous COVID-19 diagnosis. During the first wave (25th February−31st May), we estimated 52,437 excess deaths (95% CI: 49,213–55,863) and 50,979 (95% CI: 50,333–51,425) during the second phase (10th October−31st December), corresponding to percentage 34.8% (95% CI: 33.8%–35.8%) in the second wave and 31.0% (95%CI: 27.2%–35.4%) in the first. During both waves, all-cause excess deaths percentages were higher in northern regions (59.1% during the first and 42.2% in the second wave), with a significant increase in the rest of Italy (from 6.7% to 27.1%) during the second wave. Males and those aged 80 or over were the most hit groups with an increase in both during the second wave. Excess deaths not directly attributable to COVID-19 decreased during the second phase with respect to the first phase, from 10.8% (95% CI: 9.5%–12.4%) to 7.7% (95% CI: 7.5%–7.9%), respectively. The percentage increase in excess deaths from all causes suggests in Italy a different impact of the SARS-CoV-2 virus during the second wave in 2020. The decrease in excess deaths not directly attributable to COVID-19 may indicate an improvement in the preparedness of the Italian health care services during this second wave, in the detection of COVID-19 diagnoses and/or clinical practice toward the other severe diseases
Disease · Excess mortality · Pandemic · Population · Climate Change and Health Impacts · COVID-19 and healthcare impacts · COVID-19 Clinical Research Studies · Demography · Medicine · Internal Medicine
Assessing Covid-19-Related Excess Mortality Using Multiple Approaches—Italy, 2020–2021
Assessment of Excess Mortality in Italy in 2020–2021 as a Function of Selected Macro-Factors
Labour demand in the wake of a shock
Unmasking pandemic patterns
The Psychological Impact of Covid-19 among Women Accessing Family Care Centers during Pregnancy and the Postnatal Period in Italy
Cognitive and Relational Processes Associated to Mental Health in Italian High School Students during Covid-19 and Russian–Ukrainian War Outbreaks
Variation in Cause-Specific Mortality Rates in Italy during the First Wave of the Covid-19 Pandemic
The Effect of Covid-19 Pandemic on Overall and Cause-Specific Mortality in Pavia, Northern Italy
Long-Term Survival among Patients Hospitalized for Covid-19 during the First Three Epidemic Waves
The Impact of the Covid-19 Pandemic on the Mental Health of Healthcare Workers in Italy
Effects of non-pharmaceutical interventions on Covid-19 transmission
Mortality rates from asbestos-related diseases in Italy during the first year of the Covid-19 pandemic
Comparison of out-of-hospital cardiac arrests during the Covid-19 pandemic with those before the pandemic
Social inequalities in mental and physical health derived from the Covid-19 pandemic in Spain beyond Sars-CoV-2 infection
Statistical approaches for assessing excess mortality during the Covid-19 pandemic
| Unique citing works | 15 |
|---|---|
| Citations per year | 3,75 |
| Citation span | 2022 - 2025 (4) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 12 |