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Mortality Related to Chronic Obstructive Pulmonary Disease during the Covid-19 Pandemic

An Analysis of Multiple Causes of Death through Different Epidemic Waves in Veneto, Italy

Bibliographic Data

ID15459014
AuthorsUgo Fedeli (0000-0002-9939-3398, Regione del Veneto, corresponding author), Claudio Barbiellini Amidei (0000-0002-7792-3781, Regione del Veneto), Alessandro Marcon (0000-0002-2778-658X, University of Verona), Veronica Casotto (0000-0001-5846-1377, Regione del Veneto), Francesco Grippo (0000-0001-5471-8964, Istituto Nazionale di Statistica), Enrico Grande (0000-0003-3382-2708, Istituto Nazionale di Statistica), Thomas Gaisl (0000-0002-9017-6143, University Hospital of Zurich), Stefano Barco (0000-0002-2618-347X, Johannes Gutenberg University Mainz)
Year2022
Volume19
Issue19
Pages12844-12844
Publication date2022-10-07
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/ijerph191912844
PMID36232144
OpenAlexW4303696668
LanguageEN
Citations received1
References cited34

Mortality related to chronic obstructive pulmonary disease (COPD) during the COVID-19 pandemic is possibly underestimated by sparse available data. The study aimed to assess the impact of the pandemic on COPD-related mortality by means of time series analyses of causes of death data. We analyzed the death certificates of residents in Veneto (Italy) aged ≥40 years from 2008 to 2020. The age-standardized rates were computed for COPD as the underlying cause of death (UCOD) and as any mention in death certificates (multiple cause of death-MCOD). The annual percent change (APC) in the rates was estimated for the pre-pandemic period. Excess COPD-related mortality in 2020 was estimated by means of Seasonal Autoregressive Integrated Moving Average models. Overall, COPD was mentioned in 7.2% (43,780) of all deaths. From 2008 to 2019, the APC for COPD-related mortality was -4.9% (95% CI -5.5%, -4.2%) in men and -3.1% in women (95% CI -3.8%, -2.5%). In 2020 compared to the 2018-2019 average, the number of deaths from COPD (UCOD) declined by 8%, while COPD-related deaths (MCOD) increased by 14% (95% CI 10-18%), with peaks corresponding to the COVID-19 epidemic waves. Time series analyses confirmed that in 2020, COPD-related mortality increased by 16%. Patients with COPD experienced significant excess mortality during the first year of the pandemic. The decline in COPD mortality as the UCOD is explained by COVID-19 acting as a competing cause, highlighting how an MCOD approach is needed

Cause of death · COPD · Coronavirus disease 2019 (COVID-19 · Disease · Infectious disease (medical specialty · Mortality rate · Pandemic · Pulmonary disease · Chronic Obstructive Pulmonary Disease (COPD) Research · Climate Change and Health Impacts · COVID-19 and healthcare impacts · Demography · Medicine · Internal Medicine

  • Estimating Overall and Cause-Specific Excess Mortality during the Covid-19 Pandemic

    Open Access•Claudio Barbiellini Amidei, Ugo Fedeli et al.•International Journal of…•2023

  • Global, regional, and national deaths, prevalence, disability-adjusted life years, and years lived with disability for chronic obstructive pulmonary disease and asthma, 1990–2015

    Open Access•Joan B Soriano, Amanuel Alemu Abajobir et al.•The Lancet Respiratory Medicine•2017

  • The unequal burden of the Covid-19 pandemic

    Open Access•Anneliese N Luck, H Preston et al.•SSM - Population Health•2021

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

    Open Access•Enrico Grande, Ugo Fedeli et al.•International Journal of…•2022

Citations per year0.33
Citation span2023 - 2023 (1)
Highly citedNo

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