Estimating and Characterizing COVID-19 Deaths, Puerto Rico, March–July 2020
| Autor: | Diana Valencia, Maritza Cruz, Alejandro Azofeifa, Miguel Valencia-Prado, Joshua E Villafañe-Delgado, Edén Montañez-Báez, Betzaida Tejada-Vera, Devin Hayes, Carmen J Rodriguez, Jessica J Cabrera |
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| Rok vydání: | 2021 |
| Předmět: |
Male
2019-20 coronavirus outbreak Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 01 natural sciences excess deaths 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine 0101 mathematics SARS-CoV-2 business.industry Research Puerto Rico 010102 general mathematics Public Health Environmental and Occupational Health COVID-19 mortality Virology Epidemiological Monitoring surveillance Female business |
| Zdroj: | Public Health Reports |
| ISSN: | 1468-2877 0033-3549 |
| Popis: | Objectives Using the Council of State and Territorial Epidemiologists (CSTE) classification guidelines, we characterized coronavirus disease 2019 (COVID-19)–associated confirmed and probable deaths in Puerto Rico during March–July 2020. We also estimated the total number of possible deaths due to COVID-19 in Puerto Rico during the same period. Methods We described data on COVID-19–associated mortality, in which the lower bound was the sum of confirmed and probable COVID-19 deaths and the upper bound was excess mortality, estimated as the difference between observed deaths and average expected deaths. We obtained data from the Puerto Rico Department of Health COVID-19 Mortality Surveillance System, the Centers for Disease Control and Prevention’s National Electronic Disease Surveillance System Base System, and the National Center for Health Statistics. Results During March–July 2020, 225 COVID-19–associated deaths were identified in Puerto Rico (119 confirmed deaths and 106 probable deaths). The median age of decedents was 73 (interquartile range, 59-83); 60 (26.7%) deaths occurred in the Metropolitana region, and 140 (62.2%) deaths occurred among men. Of the 225 decedents, 180 (83.6%) had been hospitalized and 93 (41.3%) had required mechanical ventilation. Influenza and pneumonia (48.0%), sepsis (28.9%), and respiratory failure (27.1%) were the most common conditions contributing to COVID-19 deaths based on death certificates. Based on excess mortality calculations, as many as 638 COVID-19–associated deaths could have occurred during the study period, up to 413 more COVID-19–associated deaths than originally reported. Conclusions Including probable deaths per the CSTE guidelines and monitoring all-cause excess mortality can lead to a better estimation of COVID-19–associated deaths and serve as a model to enhance mortality surveillance in other US jurisdictions. |
| Databáze: | OpenAIRE |
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