[Temporal variations in excess mortality during phase 1 and phase 2 of the COVID-19 epidemic in Italy]. / Variazioni temporali della mortalità totale e nei decessi per COVID-19 durante la fase 1 e la fase 2 dell'epidemia in Italia.
Epidemiol Prev
; 44(5-6 Suppl 2): 236-243, 2020.
Article
in Italian
| MEDLINE | ID: covidwho-1068144
ABSTRACT
OBJECTIVES:
to assess the temporal variation in excess total mortality and the portion of excess explained by COVID-19 deaths by geographical area, gender, and age during the COVID-19 epidemic.DESIGN:
descriptive analysis of temporal variations of total excess deaths and COVID-19 deaths in the phase 1 and phase 2 of the epidemic in Italy. SETTING ANDPARTICIPANTS:
12 Northern cities and 20 Central-Southern cities from December 2019 to June 2020 daily mortality from the National Surveillance System of Daily Mortality (SiSMG) and COVID-19 deaths from the integrated COVID-19 surveillance system. MAIN OUTCOMEMEASURES:
total mortality excess and COVID-19 deaths, defined as deaths in microbiologically confirmed cases of SARS-CoV-2, by gender and age groups.RESULTS:
the largest excess mortality was observed in the North and during the first phase of the epidemic. The portion of excess mortality explained by COVID-19 decreases with age, decreasing to 51% among the very old (>=85 years). In phase 2 (until June 2020), the impact was more contained and totally attributable to COVID-19 deaths and this suggests an effectiveness of social distancing measures.CONCLUSIONS:
mortality surveillance is a sensible information basis for the monitoring of health impact of the different phases of the epidemic and supporting decision making at the local and national level on containment measures to put in place in coming months.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Mortality
/
SARS-CoV-2
/
COVID-19
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
/
Young adult
Country/Region as subject:
Europa
Language:
Italian
Journal:
Epidemiol Prev
Journal subject:
Epidemiology
Year:
2020
Document Type:
Article
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