Department of Healthcare and Public Health Research, Korea National Rehabilitation Center, Rehabilitation Research Institute, Seoul, Republic of Korea.
Front Public Health. 2024 Jul 25;12:1414515. doi: 10.3389/fpubh.2024.1414515. eCollection 2024.
To investigate temporal trends in mortality rates and underlying causes of death in persons with disabilities before and during the coronavirus disease 2019 (COVID-19) pandemic.
Annual mortality rates and causes of death were analyzed using data covering the 2017-2022 period.
The mortality rate among people with disabilities increased from 2017 to 2022; the rate was five times higher during COVID-19 in this population than in the general population. When analyzing the cause of death, the incidence of infectious diseases and tuberculosis decreased after COVID-19. In contrast, the incidence of other bacillary disorders (A30-A49) increased. The incidence of respiratory system diseases (J00-J99), influenza and pneumonia (J09-J18), and other acute lower respiratory infections (J20-J22) decreased before COVID-19, while the incidence of lung diseases due to external agents (J60-J70), other respiratory diseases principally affecting the interstitium (J80-J84), and other diseases of the pleura (J90-J94) increased during the pandemic. The risk of COVID-19 death among people with disabilities was 1.1-fold higher for female patients (95% CI = 1.06-1.142), 1.41-fold for patients aged 70 years and older (95% CI = 1.09-1.82), and 1.24-fold higher for people with severe disabilities (95% CI = 1.19-1.28).
The mortality rate in people with disabilities significantly increased during COVID-19, compared with that before the pandemic. People with disabilities had a higher mortality rate during COVID-19 compared with the general population. Risk factors must be reduced to prevent high mortality rates in this population.
调查 2019 年冠状病毒病（COVID-19）大流行前后残疾人群的死亡率和死亡原因的时间趋势。
使用涵盖 2017-2022 年期间的数据分析了年度死亡率和死亡原因。
残疾人群的死亡率从 2017 年增加到 2022 年；在 COVID-19 期间，该人群的死亡率是普通人群的五倍。在分析死亡原因时，传染病和结核病的发病率在 COVID-19 后下降。相比之下，其他细菌疾病（A30-A49）的发病率增加。呼吸系统疾病（J00-J99）、流感和肺炎（J09-J18）以及其他急性下呼吸道感染（J20-J22）在 COVID-19 前下降，而由于外部因素导致的肺部疾病（J60-J70）、主要影响间质的其他呼吸系统疾病（J80-J84）和其他胸膜疾病（J90-J94）在大流行期间增加。残疾人群 COVID-19 死亡的风险女性患者高 1.1 倍（95%CI=1.06-1.142），70 岁及以上患者高 1.41 倍（95%CI=1.09-1.82），严重残疾患者高 1.24 倍（95%CI=1.19-1.28）。
与大流行前相比，COVID-19 期间残疾人群的死亡率显著增加。与普通人群相比，残疾人群在 COVID-19 期间的死亡率更高。必须减少风险因素，以防止该人群的高死亡率。
