Centre for Research in Health Economics, Universitat Pompeu Fabra, 08002, Barcelona, Spain.
Max Planck Institute for Demographic Research, 18057, Rostock, Germany.
Sci Rep. 2021 Feb 18;11(1):3504. doi: 10.1038/s41598-021-83040-3.
Understanding the mortality impact of COVID-19 requires not only counting the dead, but analyzing how premature the deaths are. We calculate years of life lost (YLL) across 81 countries due to COVID-19 attributable deaths, and also conduct an analysis based on estimated excess deaths. We find that over 20.5 million years of life have been lost to COVID-19 globally. As of January 6, 2021, YLL in heavily affected countries are 2-9 times the average seasonal influenza; three quarters of the YLL result from deaths in ages below 75 and almost a third from deaths below 55; and men have lost 45% more life years than women. The results confirm the large mortality impact of COVID-19 among the elderly. They also call for heightened awareness in devising policies that protect vulnerable demographics losing the largest number of life-years.
了解 COVID-19 的死亡率影响不仅需要统计死亡人数,还需要分析死亡的提前程度。我们计算了全球 81 个国家因 COVID-19 死亡而导致的生命损失年数(YLL),并根据估计的超额死亡人数进行了分析。我们发现,全球因 COVID-19 而损失了超过 2050 万年的生命。截至 2021 年 1 月 6 日,受影响严重国家的 YLL 是季节性流感的 2-9 倍;四分之三的 YLL 是由 75 岁以下人群的死亡导致的,近三分之一是由 55 岁以下人群的死亡导致的;男性比女性失去了 45%的生命年数。这些结果证实了 COVID-19 对老年人的巨大死亡率影响。它们还呼吁在制定政策时提高认识,以保护失去最多生命年数的脆弱人群。