Priore José
University of the Republic. Uruguay.
Rev Esp Sanid Penit. 2025 Jan-Apr;27(1):17-25. doi: 10.18176/resp.00101.
To examine the excess deaths due to non-COVID-19 pathologies in Uruguayan prisons in 2021 vs. 2014-2023, and analyse the factors that contributed to them.
A non-experimental case study with quantitative and qualitative retrospective analysis was conducted. All available data on the causes and circumstances of prisoner deaths from the year 2021 vs. 2014-2023 were analysed. Contingency and risk tables were prepared. A care process analysis tool was used in the qualitative study.
In 2021, a significant increase of deaths caused by diseases not due to COVID-19 was documented (rate person-years 296.35 vs. X̄ = 165.53 [P <0.001]). The risk was also significant for the period (OR = 2.01 [CI 1,42-2,83]) and there was also an association with prison security (P <0.05). A total of 63.4% of the deaths were associated with difficulties in the healthcare process.
The excess non-COVID-19 mortality in Uruguay prisons in 2021 was mainly due to restrictions on movement in prison and priority in the care of respiratory patients, which generated difficulties in accessing prison health services, delays in diagnosis and treatment of other pathologies.
研究2021年与2014 - 2023年乌拉圭监狱中因非新冠病毒疾病导致的超额死亡情况，并分析造成这些死亡的因素。
开展了一项进行定量和定性回顾性分析的非实验性案例研究。分析了2021年与2014 - 2023年期间所有关于囚犯死亡原因和情况的可用数据。编制了列联表和风险表。在定性研究中使用了护理过程分析工具。
2021年，记录到非新冠病毒疾病导致的死亡人数显著增加（人年率为296.35，而均值X̄ = 165.53 [P <0.001]）。该时期的风险也很显著（比值比OR = 2.01 [置信区间CI 1.42 - 2.83]），并且与监狱安全也存在关联（P <0.05）。共有63.4%的死亡与医疗过程中的困难有关。
2021年乌拉圭监狱中非新冠病毒导致的超额死亡率主要归因于监狱内行动受限以及对呼吸道疾病患者护理的优先性，这导致了获取监狱医疗服务困难、其他疾病诊断和治疗延误。
