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The Covid-19 pandemic as an inflection point in US mortality trends from hematologic and circulatory system diseases:
Amirali Koohi Bachemir1, Zhenshan Sun2, Melika Safari1
1Department of Cellular and Molecular Biology, TMS.C, Islamic Azad University, Tehran, Iran.
Insights
The COVID-19 pandemic increased mortality rates for hematologic-immune and circulatory diseases in the US. Vulnerable groups, including older adults and younger males, were disproportionately affected, necessitating ongoing surveillance.
Area of Science:
- Public Health
- Epidemiology
- Biostatistics
Background:
- The COVID-19 pandemic significantly disrupted healthcare systems globally.
- Potential impacts on mortality trends for hematologic-immune disorders (D50-D89) and circulatory system diseases (I00-I99) require investigation.
Purpose of the Study:
- To evaluate US mortality trends from 2010 to 2023.
- To assess potential pandemic-related shifts in mortality for specific disease categories.
Main Methods:
- Utilized CDC WONDER mortality data from 2010-2023.
- Employed spline regression modeling to quantify trend shifts.
- Analyzed age-adjusted and sex/age-stratified mortality rates.
Main Results:
- Post-2019 mortality showed significant increases in D50-D89 and I00-I99 diseases.
- Notable increases observed in older adults and younger males.
- Specific findings include ~2.6% annual increase in D50-D89 for females ≥65 and ~4.5% for males 15-34.
Conclusions:
- The COVID-19 pandemic has had a lasting impact on mortality from hematologic and circulatory diseases.
- Continued monitoring of mortality trends in vulnerable populations is crucial.
- Findings underscore the need for public health interventions targeting these disease categories.
Background:
The COVID-19 pandemic disrupted healthcare systems and may have influenced mortality trends in hematologic-immune disorders (D50-D89) and Diseases of the circulatory system (I00-I99). This study evaluates US mortality trends from 2010 to 2023 to assess potential pandemic-related changes.
Methods:
We utilized spline regression modeling on CDC WONDER mortality data (2010-2023) to quantify post-pandemic trend shifts in both age-adjusted and sex/age-stratified mortality rates.
Result:
Post-2019 mortality trends for D50-D89 and I00-I99 diseases showed significant increases, particularly among older adults and younger males. D50-D89 mortality in females ≥ 65 increased ~ 2.6% (95% CI 1.70% to 3.68%) annually, while males ≥ 65 increased ~ 1.6% (95% CI 0.28% to 3.07%) annually; younger males (15-34 years) showed a 4.5% (95% CI 0.49% to 8.87%) annual increase. I00-I99 mortality increases were most pronounced in older females (~ 1.4% annual increase, 95% CI 0.49 to 2.31). Analysis of standardized rates in all groups except for men in I00-I99 showed a positive slope-shift after 2019. (p < 0.05)".
Conclusion:
These findings highlight the persistent impact of the COVID-19 pandemic on hematologic and circulatory system disease mortality, emphasizing the need for continued monitoring of vulnerable populations.
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