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[Impact of COVID-19 on mortality in the autonomous community of Castilla y León (Spain)]. / Impacto de la COVID-19 en la mortalidad de la comunidad autónoma de Castilla y León.
Ochoa Sangrador, Carlos; Garmendia Leiza, José Ramón; Pérez Boillos, María José; Pastrana Ara, Fernando; Lorenzo Lobato, María Del Pilar; Andrés de Llano, Jesús María.
  • Ochoa Sangrador C; Servicio de Pediatría, Oficina de Apoyo a la Investigación Clínico-Epidemiológica, Complejo Asistencial de Zamora, Zamora, España. Electronic address: cochoas2@gmail.com.
  • Garmendia Leiza JR; Dirección General de Sistema de Información, Calidad y Prestación Farmacéutica, Gerencia Regional de Salud de Castilla y León, Sacyl, Valladolid, España.
  • Pérez Boillos MJ; Servicio de Pediatría, Complejo Asistencial Universitario de Palencia, Palencia, España.
  • Pastrana Ara F; Dirección General de Sistema de Información, Calidad y Prestación Farmacéutica, Gerencia Regional de Salud de Castilla y León, Sacyl, Valladolid, España.
  • Lorenzo Lobato MDP; Dirección General de Sistema de Información, Calidad y Prestación Farmacéutica, Gerencia Regional de Salud de Castilla y León, Sacyl, Valladolid, España.
  • Andrés de Llano JM; Servicio de Pediatría, Complejo Asistencial Universitario de Palencia, Palencia, España.
Gac Sanit ; 35(5): 459-464, 2021.
Article in Spanish | MEDLINE | ID: covidwho-1459399
ABSTRACT

OBJECTIVE:

To estimate the increase in mortality associated with the SARS-CoV-2 coronavirus pandemic in the autonomous community of Castilla y León (Spain).

METHOD:

Ecological study based on population and death data for the months of March 2016 to 2020 in Castilla y León. The general and provincial standardized rates, the relative risks of the year 2020 with respect to previous years and the risks adjusted by sex, periods and province, using Poisson regression, were calculated. Trend analysis was performed using joinpoint linear regression.

RESULTS:

An increase in mortality was observed in March 2020 with respect to previous years, with an increase of 39% for men (relative risk [RR] 1.39; 95% confidence interval [95%CI] 1.32-1.47) and 28% for women (RR 1.28; 95%CI 1.21-1.35). The model predicts excess mortality of 775 deaths. In the trend analysis there is a significant turning point in 2019 in men, globally and for almost all provinces. The increase in mortality is general, although heterogeneous by sex, age group and province.

CONCLUSIONS:

Although the observed increase in mortality cannot be totally attributed to the disease, it is the best estimate we have of the real impact on deaths directly or indirectly related to it. The number of declared deaths only reaches two thirds of the increase in mortality observed.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male Country/Region as subject: Europa Language: Spanish Journal: Gac Sanit Journal subject: Public Health Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male Country/Region as subject: Europa Language: Spanish Journal: Gac Sanit Journal subject: Public Health Year: 2021 Document Type: Article