Excess mortality during the COVID-19 pandemic and its spatial distribution in the state of Pernambuco, Brazil: an ecological study.
Epidemiol Serv Saude
; 33: e20231014, 2024.
Article
em En, Pt
| MEDLINE
| ID: mdl-39082583
ABSTRACT
OBJECTIVE:
To investigate excess mortality during the COVID-19 pandemic and its spatial distribution in Pernambuco, Brazil.METHODS:
This was an ecological, descriptive and analytical study of deaths, by municipality, recorded on the Mortality Information System, in 2020 and 2021. Excess mortality was measured by comparing observed and expected deaths, the latter estimated by calculating standardized mortality ratio (SMR). SMR and respective confidence intervals (95%CI) were calculated. Spatial analysis was performed by calculating the Global and Local Moran Index.RESULTS:
Excess mortality was 20.6% and 27.5%, respectively, in 2020 and 2021, with positive spatial correlation (p-value < 0.05). More populous municipalities (2020 SMR = 1.26; 95%CI 1.24;1.27 and 2021 SMR = 1.34; 95%CI 1.32;1.34), more developed municipalities (2020 SMR = 1.43; 95%CI 1.41;1.44 and 2021 SMR = 1.51;95%CI 1.50;1.53) and municipalities in the Sertão region (2020SMR = 1.31;95%CI 1.30;1.33 and 2021 SMR = 1.44; 95%CI 1.42;1.46) showed greater excess deaths.CONCLUSION:
Excess mortality coincided with peak periods of COVID-19 transmission.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Análise Espacial
/
COVID-19
Limite:
Humans
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
/
Pt
Revista:
Epidemiol Serv Saude
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil