从2021年4月起所有原因死亡率高于预期的解释:范围审查
F Scott1, G McCartney2, D Walsh3
1Public Health Scotland, Edinburgh, UK.
Public health
|December 6, 2024
概括
过多的死亡人数持续超过了最初的Covid-19大流行浪潮. 本审查确定了提出的解释,优先考虑对COVID-19直接影响,其后果,卫生服务压力和社会经济因素的研究.
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:
- 许多国家报告称,在最初的COVID-19大流行峰值之后,死亡率上升.
- 了解持续过度死亡率对于公共卫生政策至关重要.
研究的目的:
- 识别和分类COVID-19流行病第一年以外的高于预期的死亡率的拟议解释.
- 优先考虑高收入国家持续过度死亡率的研究领域.
主要方法:
- 进行了对英语文学和灰色来源的范围审查.
- 搜索重点是从2021年4月起对过度死亡率的假设.
- 结果进行了叙事综合,并使用现有框架确定了研究优先事项.
主要成果:
- 确定了70篇符合条件的论文,主要是意见稿或趋势分析.
- 提出的解释包括直接的COVID-19,感染后的后果,卫生服务的影响和社会经济因素.
- 与直接COVID-19相关的假设,后果,卫生服务和社会经济因素被优先考虑进行进一步调查.
结论:
- 基于证据的政策需要清楚地了解过度死亡的原因.
- 本综述强调了研究优先事项,承认它们的特定环境性质.
- 在英国,流行病的社会经济影响可能加剧了预期寿命停滞的现有趋势.
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