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Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Gac+Sanit 2021 ; 35 (5): 459-464 Nephropedia Template TP
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Impacto de la COVID-19 en la mortalidad de la comunidad autonoma de Castilla y Leon #MMPMID32446595
Ochoa Sangrador C; Garmendia Leiza JR; Perez Boillos MJ; Pastrana Ara F; Lorenzo Lobato MDP; Andres de Llano JM
Gac Sanit 2021[Sep]; 35 (5): 459-464 PMID32446595show ga
OBJECTIVE: To estimate the increase in mortality associated with the SARS-CoV-2 coronavirus pandemic in the autonomous community of Castilla y Leon (Spain). METHOD: Ecological study based on population and death data for the months of March 2016 to 2020 in Castilla y Leon. 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.