Excess Mortality Associated With the COVID-19 Pandemic-Los Angeles County, March-September 2020.
Adult
Aged
Aged, 80 and over
COVID-19
/ epidemiology
Cause of Death
Cities
/ epidemiology
Female
Humans
Influenza, Human
/ epidemiology
Los Angeles
/ epidemiology
Male
Middle Aged
Pandemics
/ statistics & numerical data
Pneumonia
/ epidemiology
Population Surveillance
Public Health
/ statistics & numerical data
SARS-CoV-2
Journal
Journal of public health management and practice : JPHMP
ISSN: 1550-5022
Titre abrégé: J Public Health Manag Pract
Pays: United States
ID NLM: 9505213
Informations de publication
Date de publication:
Historique:
entrez:
25
3
2021
pubmed:
26
3
2021
medline:
14
4
2021
Statut:
ppublish
Résumé
To more comprehensively estimate COVID-19-related mortality in Los Angeles County by determining excess all-cause mortality and pneumonia, influenza, or COVID (PIC) mortality. We reviewed vital statistics data to identify deaths registered in Los Angeles County between March 15, 2020, and August 15, 2020. Deaths with an ICD-10 (International Classification of Diseases, Tenth Revision) code for pneumonia, influenza, or COVID-19 listed as an immediate or underlying cause of death were classified as PIC deaths. Expected deaths were calculated using negative binomial regression. Excess mortality was determined by subtracting the expected from the observed number of weekly deaths. The Department of Public Health conducts surveillance for COVID-19-associated deaths: persons who died of nontraumatic/nonaccidental causes within 60 days of a positive COVID-19 test result were classified as confirmed COVID-19 deaths. Deaths without a reported positive SARS-Cov-2 polymerase chain reaction result were classified as probable COVID-19 deaths if COVID-19 was listed on their death certificate or the death occurred 60 to 90 days of a positive test. We compared excess PIC deaths with the number of confirmed and probable COVID-19 deaths ascertained by surveillance. Los Angeles County. Residents of Los Angeles County who died. Excess mortality. There were 7208 excess all-cause and 5128 excess PIC deaths during the study period. The Department of Public Health also reported 5160 confirmed and 323 probable COVID-19-associated deaths. The number of excess PIC deaths estimated by our model was approximately equal to the number of confirmed and probable COVID-19 deaths identified by surveillance. This suggests our surveillance definition for confirmed and probable COVID-19 deaths might be sufficiently sensitive for capturing the true burden of deaths caused directly or indirectly by COVID-19.
Identifiants
pubmed: 33762539
doi: 10.1097/PHH.0000000000001344
pii: 00124784-202105000-00005
doi:
Types de publication
Journal Article
Langues
eng
Pagination
233-239Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
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