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1,005 Results Found

  • Article
  • Open Access
2 Citations
5,304 Views
27 Pages

COVID-19 and Excess Mortality: An Actuarial Study

  • Camille Delbrouck and
  • Jennifer Alonso-García

30 March 2024

The study of mortality is an ever-active field of research, and new methods or combinations of methods are constantly being developed. In the actuarial domain, the study of phenomena disrupting mortality and leading to excess mortality, as in the cas...

  • Article
  • Open Access
24 Citations
6,408 Views
9 Pages

During the COVID-19 pandemic, an excess of all-cause mortality has been recorded in several countries, including Peru. Most excess deaths were likely attributable to COVID-19. In this study, we compared the excess all-cause mortality and COVID-19 mor...

  • Article
  • Open Access
10 Citations
5,266 Views
13 Pages

Estimation of Excess All-Cause Mortality Due to COVID-19 in Thailand

  • Chaiwat Wilasang,
  • Charin Modchang,
  • Thanchanok Lincharoen and
  • Sudarat Chadsuthi

Thailand has experienced the most prominent COVID-19 outbreak in 2021, resulting in a new record for COVID-19 cases and deaths. To assess the influence of the COVID-19 outbreak on mortality, we estimated excess all-cause and pneumonia mortality in Th...

  • Article
  • Open Access
1 Citations
2,258 Views
12 Pages

20 February 2024

Excess mortality is often used to estimate the effect of a certain crisis on the population. It is defined as the number of deaths during a crisis exceeding the expected number based on historical trends. Here, we calculated excess mortality due to t...

  • Article
  • Open Access
5 Citations
3,221 Views
11 Pages

Excess Mortality of Males Due to Malignant Lung Cancer in OECD Countries

  • Waclaw Moryson and
  • Barbara Stawinska-Witoszynska

Excess mortality of men has been observed since the beginning of the 20th century. One of the main causes of this phenomenon is malignant cancers, with lung cancer as the main reason. At the turn of the 20th and 21st centuries, a decline in male exce...

  • Article
  • Open Access
18 Citations
4,176 Views
9 Pages

The Impact of COVID-19 on Mortality in Spain: Monitoring Excess Mortality (MoMo) and the Surveillance of Confirmed COVID-19 Deaths

  • Inmaculada León-Gómez,
  • Clara Mazagatos,
  • Concepción Delgado-Sanz,
  • Luz Frías,
  • Lorena Vega-Piris,
  • Ayelén Rojas-Benedicto and
  • Amparo Larrauri

3 December 2021

Measuring mortality has been a challenge during the COVID-19 pandemic. Here, we compared the results from the Spanish daily mortality surveillance system (MoMo) of excess mortality estimates, using a time series analysis, with those obtained for the...

  • Systematic Review
  • Open Access
49 Citations
11,487 Views
17 Pages

Global Excess Mortality during COVID-19 Pandemic: A Systematic Review and Meta-Analysis

  • Weijing Shang,
  • Yaping Wang,
  • Jie Yuan,
  • Zirui Guo,
  • Jue Liu and
  • Min Liu

12 October 2022

Background: Currently, reported COVID-19 deaths are inadequate to assess the impact of the pandemic on global excess mortality. All-cause excess mortality is a WHO-recommended index for assessing the death burden of COVID-19. However, the global exce...

  • Article
  • Open Access
22 Citations
4,282 Views
12 Pages

Admission Lactate Concentration, Base Excess, and Alactic Base Excess Predict the 28-Day Inward Mortality in Shock Patients

  • Piotr Smuszkiewicz,
  • Natalia Jawień,
  • Jakub Szrama,
  • Marta Lubarska,
  • Krzysztof Kusza and
  • Przemysław Guzik

18 October 2022

Base excess (BE) and lactate concentration may predict mortality in critically ill patients. However, the predictive values of alactic BE (aBE; the sum of BE and lactate), or a combination of BE and lactate are unknown. The study aimed to investigate...

  • Article
  • Open Access
1,806 Views
8 Pages

8 February 2024

At present, female life expectancy exceeds male life expectancy almost worldwide. However, numerous studies indicate that this disparity is gradually decreasing. In Poland, the gender gap in life expectancy peaked in 1991 when it amounted to 9.2 year...

  • Article
  • Open Access
6 Citations
3,359 Views
13 Pages

Estimating Overall and Cause-Specific Excess Mortality during the COVID-19 Pandemic: Methodological Approaches Compared

  • Claudio Barbiellini Amidei,
  • Ugo Fedeli,
  • Nicola Gennaro,
  • Laura Cestari,
  • Elena Schievano,
  • Manuel Zorzi,
  • Paolo Girardi and
  • Veronica Casotto

During the COVID-19 pandemic, excess mortality has been reported worldwide, but its magnitude has varied depending on methodological differences that hinder between-study comparability. Our aim was to estimate variability attributable to different me...

  • Article
  • Open Access
10 Citations
5,153 Views
10 Pages

Estimation of Excess Mortality and Years of Life Lost to COVID-19 in Norway and Sweden between March and November 2020

  • Martin Rypdal,
  • Kristoffer Rypdal,
  • Ola Løvsletten,
  • Sigrunn Holbek Sørbye,
  • Elinor Ytterstad and
  • Filippo Maria Bianchi

We estimate the weekly excess all-cause mortality in Norway and Sweden, the years of life lost (YLL) attributed to COVID-19 in Sweden, and the significance of mortality displacement. We computed the expected mortality by taking into account the decli...

  • Article
  • Open Access
1 Citations
2,365 Views
20 Pages

This study aims to assess the short-term effects of extreme heat, cold, and air pollution episodes on excess mortality from natural causes in Luxembourg over 1998–2023. Using a high-resolution dataset from downscaled and bias-corrected temperat...

  • Article
  • Open Access
2 Citations
8,567 Views
15 Pages

During the COVID-19 pandemic, most of the deaths in Peru were related to COVID-19; however, cancer deaths have also been exacerbated in the first months of the pandemic. Despite this, excess mortalities of prostate, breast, and uterus cancer are not...

  • Article
  • Open Access
4 Citations
3,679 Views
16 Pages

The impact of Coronavirus Disease 2019 (COVID-19) on cause-specific mortality has been investigated on a global scale. However, less is known about the excess all-cause mortality and air pollution-human activity responses. This study estimated the we...

  • Article
  • Open Access
6 Citations
3,018 Views
22 Pages

Excess Mortality on Italian Small Islands during the SARS-CoV-2 Pandemic: An Ecological Study

  • Matteo Riccò,
  • Pietro Ferraro,
  • Simona Peruzzi,
  • Alessandro Zaniboni,
  • Elia Satta and
  • Silvia Ranzieri

26 May 2022

Small islands have been considered at an advantage when dealing with infectious diseases, including COVID-19, but the evidence is still lacking. Crude mortality rates (CMRs) and excess mortality rates (EMRs) were calculated for 35 municipalities on t...

  • Article
  • Open Access
6 Citations
2,822 Views
16 Pages

No Excess of Mortality from Lung Cancer during the COVID-19 Pandemic in an Area at Environmental Risk: Results of an Explorative Analysis

  • Francesco Addabbo,
  • Massimo Giotta,
  • Antonia Mincuzzi,
  • Aldo Sante Minerba,
  • Rosa Prato,
  • Francesca Fortunato,
  • Nicola Bartolomeo and
  • Paolo Trerotoli

Background: The COVID-19 pandemic and the restrictive measures associated with it placed enormous pressure on health facilities and may have caused delays in the treatment of other diseases, leading to increases in mortality compared to the expected...

  • Article
  • Open Access
14 Citations
13,688 Views
15 Pages

Understanding COVID-19 Vaccine Effectiveness against Death Using a Novel Measure: COVID Excess Mortality Percentage

  • Vladimir Atanasov,
  • Natalia Barreto,
  • Jeff Whittle,
  • John Meurer,
  • Benjamin W. Weston,
  • Qian (Eric) Luo,
  • Lorenzo Franchi,
  • Andy Ye Yuan,
  • Ruohao Zhang and
  • Bernard Black

7 February 2023

COVID-19 vaccines have saved millions of lives; however, understanding the long-term effectiveness of these vaccines is imperative to developing recommendations for booster doses and other precautions. Comparisons of mortality rates between more and...

  • Article
  • Open Access
4 Citations
3,687 Views
9 Pages

15 December 2022

COVID-19 represents the greatest health crisis in recent human history. To date, it is still difficult to estimate its impact on mortality. This paper investigates the excess crude mortality in 27 European countries. The differences between the value...

  • Article
  • Open Access
2 Citations
1,189 Views
9 Pages

Background/Objectives: The 1742–1743 plague epidemic had a profound impact on populations along the Royal Road (Camino Real), the principal trade route connecting Buenos Aires and Lima. This study aimed to quantify the demographic and socioecon...

  • Article
  • Open Access
5 Citations
3,160 Views
13 Pages

Assessing COVID-19-Related Excess Mortality Using Multiple Approaches—Italy, 2020–2021

  • Emiliano Ceccarelli,
  • Maria Dorrucci,
  • Giada Minelli,
  • Giovanna Jona Lasinio,
  • Sabrina Prati,
  • Marco Battaglini,
  • Gianni Corsetti,
  • Antonino Bella,
  • Stefano Boros and
  • Patrizio Pezzotti
  • + 2 authors

Introduction: Excess mortality (EM) is a valid indicator of COVID-19’s impact on public health. Several studies regarding the estimation of EM have been conducted in Italy, and some of them have shown conflicting values. We focused on three est...

  • Article
  • Open Access
13 Citations
3,161 Views
22 Pages

To investigate the dynamic issues behind intra- and international variation in EWM (Excess Winter Mortality) using a rolling monthly EWM calculation. This is used to reveal seasonal changes in the EWM calculation and is especially relevant nearer to...

  • Article
  • Open Access
1,806 Views
14 Pages

Worldwide excess mortality (EM) data have the potential to provide a better estimation of the impact of the pandemic. This study aims to investigate and map the inequalities in EM in Istanbul during the pre-vaccination era of the COVID-19 pandemic in...

  • Article
  • Open Access
1 Citations
3,129 Views
17 Pages

No Excess Mortality up to 10 Years in Early Stages of Breast Cancer in Women Adherent to Oral Endocrine Therapy: A Probabilistic Graphical Modeling Approach

  • Ramon Clèries,
  • Maria Buxó,
  • Mireia Vilardell,
  • Alberto Ameijide,
  • José Miguel Martínez,
  • Rebeca Font,
  • Rafael Marcos-Gragera,
  • Montse Puigdemont,
  • Gemma Viñas and
  • Josep Maria Borràs
  • + 3 authors

Breast cancer (BC) is globally the most frequent cancer in women. Adherence to endocrine therapy (ET) in hormone-receptor-positive BC patients is active and voluntary for the first five years after diagnosis. This study examines the impact of adheren...

  • Article
  • Open Access
13 Citations
6,268 Views
17 Pages

14 January 2021

There is increasing evidence that rising temperatures and heatwaves in the United Kingdom are associated with an increase in heat-related mortality. However, the Public Health England (PHE) Heatwave mortality monitoring reports, which use provisional...

  • Proceeding Paper
  • Open Access
1,708 Views
6 Pages

Air pollution is an important environmental risk factor associated with increased morbidity and excess mortality. Fine particulate matter (PM2.5) is a complex mixture of both organic and inorganic compounds, depending on emissions sources and atmosph...

  • Article
  • Open Access
54 Citations
6,281 Views
16 Pages

Excess Mortality in Istanbul during Extreme Heat Waves between 2013 and 2017

  • Günay Can,
  • Ümit Şahin,
  • Uğurcan Sayılı,
  • Marjolaine Dubé,
  • Beril Kara,
  • Hazal Cansu Acar,
  • Barış İnan,
  • Özden Aksu Sayman,
  • Germain Lebel and
  • Pierre Gosselin
  • + 2 authors

Heat waves are one of the most common direct impacts of anthropogenic climate change and excess mortality their most apparent impact. While Turkey has experienced an increase in heat wave episodes between 1971 and 2016, no epidemiological studies hav...

  • Article
  • Open Access
4 Citations
4,842 Views
9 Pages

Estimating the Excess Mortality Risk during Two Red Alert Periods in Beijing, China

  • Weilin Zeng,
  • Lingling Lang,
  • Yue Li,
  • Lingchuan Guo,
  • Hualiang Lin,
  • Yonghui Zhang,
  • Tao Liu,
  • Jianpeng Xiao,
  • Xing Li and
  • Wenjun Ma
  • + 4 authors

The magnitude of excess mortality risk due to exposures to heavy air pollution during the red alert periods in Beijing remains unknown. A health impact assessment tool combined with the PM2.5-mortality relationship was applied to estimate the number...

  • Article
  • Open Access
6 Citations
3,878 Views
23 Pages

21 April 2022

Unexpected outcomes are usually associated with interventions in complex systems. Excess winter mortality (EWM) is a measure of the net effect of all competing forces operating each winter, including influenza(s) and non-influenza pathogens. In this...

  • Article
  • Open Access
4 Citations
3,378 Views
12 Pages

Mining is a recognized high-risk industry with a relatively high occurrence of occupational injuries and disease. In this study, we looked at the differences in mortality between male and female miners in South Africa. Data from Statistics South Afri...

  • Article
  • Open Access
6 Citations
2,626 Views
14 Pages

Assessment of Excess Mortality in Italy in 2020–2021 as a Function of Selected Macro-Factors

  • Emiliano Ceccarelli,
  • Giada Minelli,
  • Viviana Egidi and
  • Giovanna Jona Lasinio

Background: Excess mortality (EM) can reliably capture the impact of a pandemic, this study aims at assessing the numerous factors associated with EM during the COVID-19 pandemic in Italy. Methods: Mortality records (ISTAT 2015–2021) aggregated...

  • Article
  • Open Access
1,126 Views
13 Pages

Purpose: Our aim was to determine the benefits of serum lactate, albumin, and base excess (BE) values in predicting prognosis and mortality in sepsis when evaluated together. Methods: We performed a prospective observational study. We included 217 pa...

  • Article
  • Open Access
2 Citations
4,859 Views
11 Pages

Is there sufficient scientific evidence for excess mortality caused by COVID-19? The German population, similar to the population of many other countries, is subject to fluctuations caused by multiple factors, including migration and aging. COVID-19...

  • Article
  • Open Access
21 Citations
3,754 Views
12 Pages

The issue whether official Polish COVID-19 death statistics correctly reflect the actual number of deaths is a contentious issue in public discourse and an important policy-wise question in Poland although it has not been the subject of thorough rese...

  • Communication
  • Open Access
11 Citations
10,009 Views
9 Pages

Assessing the Influence of COVID-19 Vaccination Coverage on Excess Mortality across 178 Countries: A Cross-Sectional Study

  • Oliver Mendoza-Cano,
  • Xóchitl Trujillo,
  • Miguel Huerta,
  • Mónica Ríos-Silva,
  • José Guzmán-Esquivel,
  • Agustin Lugo-Radillo,
  • Verónica Benites-Godínez,
  • Jaime Alberto Bricio-Barrios,
  • Martha Irazema Cárdenas-Rojas and
  • Efrén Murillo-Zamora
  • + 5 authors

28 July 2023

The COVID-19 pandemic has had a devastating impact on global health, necessitating urgent and effective strategies to mitigate its consequences. Vaccination programs have been implemented worldwide to combat virus transmission and reduce the disease...

  • Article
  • Open Access
13 Citations
4,448 Views
19 Pages

10 November 2022

After initially having low levels of SARS-CoV-2 infections for much of the year, Bulgaria experienced a major epidemic surge at the end of 2020, which caused the highest recorded excess mortality in Europe, among the highest in the word (Excess Morta...

  • Article
  • Open Access
6 Citations
3,626 Views
19 Pages

Excess Mortality by Multimorbidity, Socioeconomic, and Healthcare Factors, amongst Patients Diagnosed with Diffuse Large B-Cell or Follicular Lymphoma in England

  • Matthew James Smith,
  • Aurélien Belot,
  • Matteo Quartagno,
  • Miguel Angel Luque Fernandez,
  • Audrey Bonaventure,
  • Susan Gachau,
  • Sara Benitez Majano,
  • Bernard Rachet and
  • Edmund Njeru Njagi

19 November 2021

(1) Background: Socioeconomic inequalities of survival in patients with lymphoma persist, which may be explained by patients’ comorbidities. We aimed to assess the association between comorbidities and the survival of patients diagnosed with diffuse...

  • Article
  • Open Access
63 Citations
16,204 Views
19 Pages

This study aimed to assess the impacts of heat waves during the summer of 2015 on mortality in the Czech Republic and to compare them with those of heat waves back to the previous record-breaking summer of 1994. We analyzed daily natural-cause mortal...

  • Article
  • Open Access
2 Citations
2,267 Views
10 Pages

The Effect of COVID-19 Pandemic on Overall and Cause-Specific Mortality in Pavia, Northern Italy: Updated Estimates for the Year 2021

  • Paola Bertuccio,
  • Pietro Perotti,
  • Giansanto Mosconi,
  • Simona Dalle Carbonare,
  • Federica Manzoni,
  • Lorenza Boschetti,
  • Stefano Marguati,
  • Paolo Paraluppi,
  • Lorenzo Blandi and
  • Anna Odone
  • + 2 authors

Excess mortality estimates are considered relevant indicators of direct and indirect pandemic effects on the population. Scant data have been published on cause-specific excess mortality. Using individual-level administrative data covering the Pavia...

  • Article
  • Open Access
8 Citations
11,572 Views
5 Pages

Second Hand Smoke Exposure and Excess Heart Disease and Lung Cancer Mortality among Hospital Staff in Crete, Greece: A Case Study

  • Constantine I. Vardavas,
  • Izolde Mpouloukaki,
  • Manolis Linardakis,
  • Penelope Ntzilepi,
  • Nikos Tzanakis and
  • Anthony Kafatos

Exposure to secondhand smoke (SHS) is a serious threat to public health, and a significant cause of lung cancer and heart disease among non-smokers. Even though Greek hospitals have been declared smoke free since 2002, smoking is still evident. Keepi...

  • Article
  • Open Access
34 Citations
8,471 Views
16 Pages

Mortality during a Large-Scale Heat Wave by Place, Demographic Group, Internal and External Causes of Death, and Building Climate Zone

  • Lauren Joe,
  • Sumi Hoshiko,
  • Dina Dobraca,
  • Rebecca Jackson,
  • Svetlana Smorodinsky,
  • Daniel Smith and
  • Martha Harnly

Mortality increases during periods of elevated heat. Identification of vulnerable subgroups by demographics, causes of death, and geographic regions, including deaths occurring at home, is needed to inform public health prevention efforts. We calcula...

  • Article
  • Open Access
16 Citations
4,944 Views
24 Pages

Trends in excess winter mortality (EWM) were investigated from the winter of 1900/01 to 2019/20. During the 1918–1919 Spanish flu epidemic a maximum EWM of 100% was observed in both Denmark and the USA, and 131% in Sweden. During the Spanish fl...

  • Article
  • Open Access
1 Citations
2,647 Views
19 Pages

Is the Social Gradient in Net Survival Observed in France the Result of Inequalities in Cancer-Specific Mortality or Inequalities in General Mortality?

  • Laure Tron,
  • Laurent Remontet,
  • Mathieu Fauvernier,
  • Bernard Rachet,
  • Aurélien Belot,
  • Ludivine Launay,
  • Ophélie Merville,
  • Florence Molinié,
  • Olivier Dejardin and
  • Guy Launoy

20 January 2023

Background: In cancer net survival analyses, if life tables (LT) are not stratified based on socio-demographic characteristics, then the social gradient in mortality in the general population is ignored. Consequently, the social gradient estimated on...

  • Article
  • Open Access
15 Citations
5,385 Views
17 Pages

Mortality and Years of Potential Life Lost Due to COVID-19 in Brazil

  • André Peres Barbosa de Castro,
  • Marina Figueiredo Moreira,
  • Paulo Henrique de Souza Bermejo,
  • Waldecy Rodrigues and
  • David Nadler Prata

In November 2020, Brazil ranked third in the number of cases of coronavirus disease 2019 (COVID-19) and second in the number of deaths due to the disease. We carried out a descriptive study of deaths, mortality rate, years of potential life lost (YPL...

  • Article
  • Open Access
1 Citations
2,181 Views
14 Pages

The Association between Compound Hot Extremes and Mortality Risk in Shandong Province, China: A Time-Series Analysis

  • Yue Xing,
  • Danru Liu,
  • Kejia Hu,
  • Zilong Lu,
  • Jie Chu,
  • Xiaohui Xu,
  • Peng Lu,
  • Haitao Wang,
  • Yanwen Cao and
  • Wei Ma
  • + 3 authors

21 November 2023

Background: The occurrence of compound hot extreme (CHE) events in China is increasingly frequent. This study aimed to investigate the association between CHEs and all-cause mortality in Shandong Province and to estimate the attributable excess death...

  • Article
  • Open Access
13 Citations
2,436 Views
11 Pages

General and COVID-19-Related Mortality by Pre-Existing Chronic Conditions and Care Setting during 2020 in Emilia-Romagna Region, Italy

  • Nicola Caranci,
  • Chiara Di Girolamo,
  • Letizia Bartolini,
  • Daniela Fortuna,
  • Elena Berti,
  • Stefano Sforza,
  • Paolo Giorgi Rossi and
  • Maria Luisa Moro

In 2020, the number of deaths increased in Italy, mainly because of the COVID-19 pandemic; mortality was among the highest in Europe, with a clear heterogeneity among regions and socio-demographic strata. The present work aims to describe trends in m...

  • Article
  • Open Access
35 Citations
5,227 Views
14 Pages

In this study, the effects on daily mortality in Stockholm associated with short-term exposure to ultrafine particles (measured as number of particles with a diameter larger than 4 nm, PNC4), black carbon (BC) and coarse particles (PM2.5–10) ha...

  • Article
  • Open Access
693 Views
12 Pages

Statistical Analysis of COVID-19 Impact on Italian Mortality

  • Girolamo Franchetti,
  • Carmela Iorio and
  • Massimiliano Politano

24 July 2025

This study presents a methodology for evaluating the impact of the pandemic on mortality rates in Italy. The primary objectives are to define criteria for identifying a ‘rise in mortality’, establish a robust evaluation approach, and asse...

  • Article
  • Open Access
1,836 Views
16 Pages

The Cost of Heat: Health and Economic Burdens in Three Brazilian Cities

  • Daniela Debone,
  • Nilton Manuel Évora do Rosário and
  • Simone Georges El Khouri Miraglia

20 June 2025

Excess mortality due to heat is a major public health concern globally. In this study, we investigated the association between extreme heat and mortality in three distinct locations in São Paulo state, Brazil—São Paulo city (the c...

  • Article
  • Open Access
6 Citations
4,284 Views
17 Pages

24 June 2022

(1) Background: Between March 2020 and January 2022 severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) caused five infection waves in Europe. The first and the second wave was caused by wildtype SARS-CoV-2, while the following waves we...

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