Quapper Dagoberto Duarte
Centro Asistencial Docente-Departamento de Salud, Municipal de Quillota, Chile.
Rev Med Chil. 2021 Nov;149(11):1525-1531. doi: 10.4067/S0034-98872021001101525.
Excess all-cause mortality is an epidemiologic tool to assess the impact of pandemics or other events on the population.
To assess the impact that the COVID-19 pandemic had on excess all-cause mortality in Chile.
Mortality databases available at the website of the Department of Statistics of the Chilean Ministry of Health were analyzed. Monthly mortality in the 2015-2019 period and was used as a criterion for comparison with the mortality observed in the first six months of 2020. The number of expected deaths (95% CI) and their monthly rates are calculated. The impact of the pandemic on the mortality of two territorial groupings (Metropolitan region and the other regions) and different age groups was evaluated.
At the country level there was an excess of 8,336 deaths between March and June 2020. In the same period, 10,105 deaths from COVID-19 were observed (7,020 confirmed by laboratory and 3,085 probable). The highest mortality was observed in the Metropolitan region and the higher rates were observed during May and June. People aged between 60 and 80 years had the greatest mortality rates.
The oldest age groups were the most vulnerable in terms of mortality during the COVID-19 pandemic in Chile.
全因死亡率过高是一种流行病学工具，用于评估大流行或其他事件对人群的影响。
评估新冠疫情对智利全因死亡率过高情况的影响。
分析了智利卫生部统计司网站上提供的死亡率数据库。将2015 - 2019年期间的月度死亡率作为与2020年前六个月观察到的死亡率进行比较的标准。计算预期死亡人数（95%置信区间）及其月度死亡率。评估了疫情对两个地域分组（首都大区和其他地区）以及不同年龄组死亡率的影响。
在国家层面，2020年3月至6月期间有8336例额外死亡。同期，观察到10105例新冠死亡病例（7020例经实验室确诊，3085例可能病例）。首都大区的死亡率最高，5月和6月的死亡率更高。60至80岁的人群死亡率最高。
在智利的新冠疫情期间，就死亡率而言，年龄最大的群体最为脆弱。
