挪威的非COVID-19死亡率过高 2020-202222年挪威的非COVID-19死亡率过高
Guttorm Raknes1,2,3, Stephanie Jebsen Fagerås4, Kari Anne Sveen5
1Department of Health Registry Research and Development, Norwegian Institute of Public Health, Postboks 973 Sentrum, NO-5808, Bergen, Norway. guttorm.raknes@fhi.no.
BMC public health
|January 23, 2024
概括
在挪威,在2020年3月至2022年12月期间,观察到过多的非COVID-19死亡,主要来自心血管疾病. 然而,在此期间,呼吸道疾病和痴呆症的死亡率有所下降.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 死亡率研究 死亡率研究
背景情况:
- 在全球范围内,COVID-19大流行严重影响了死亡率.
- 了解非COVID-19死亡原因对于评估整体流行病影响至关重要.
- 疫情期间的过度死亡率可能受到直接COVID-19感染以外的因素的影响.
研究的目的:
- 调查挪威非COVID-19死亡原因的变化.
- 在大流行期间量化特定非COVID-19原因的过度死亡率.
- 将观察到的死亡率与基于大流行前趋势的预测水平进行比较.
主要方法:
- 使用挪威死亡原因登记处数据 (2010-2022) 进行基于人口的横截面研究.
- 对主要死亡原因群体的年龄标准化死亡率 (ASMR) 的分析.
- 使用基于2010-2019年数据的一般线性回归模型预测预期死亡和ASMR.
主要成果:
- 在2021-2022年因所有原因和心血管疾病观察到显著的过度死亡率.
- 心血管疾病和恶性瘤的年龄标准化死亡率 (ASMR) 增加.
- 呼吸道疾病 (不包括COVID-19) 和痴呆症的死亡人数比预期的要少.
结论:
- 挪威在2020年3月至2022年12月期间经历了相当高的非COVID-19死亡率.
- 过度的心血管死亡是这种死亡率增加的主要驱动因素.
- 肺部疾病和痴呆症的死亡率在大流行期间低于预期.
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