Excess mortality from COVID 19 in Costa Rica: a registry based study using Poisson regression
| dc.creator | Fantin, Romain Clement | |
| dc.creator | Barboza Solís, Cristina | |
| dc.creator | Hildesheim, Allan | |
| dc.creator | Herrero, Rolando | |
| dc.date.accessioned | 2024-08-14T16:15:39Z | |
| dc.date.available | 2024-08-14T16:15:39Z | |
| dc.date.issued | 2023 | |
| dc.description.abstract | Excess mortality from COVID 19 in Costa Rica: a registry based study using Poisson regression Romain Fantin,a ,b ,c ,∗ Cristina Barboza-Solís,c Allan Hildesheim,b and Rolando Herrerob a Centro Centroamericano de Población, Universidad de Costa Rica, San Pedro, Costa Rica b Agencia Costarricense de Investigaciones Biomédicas – Fundación Inciensa, San José, Costa Rica c Facultad de Odontología, Universidad de Costa Rica, San Pedro, Costa Rica Summary Background Official death toll related to COVID-19 has been considerably underestimated in reports from some Latin American countries. This study aimed to analyze the mortality associated with the COVID-19 pandemic in Costa Rica between March 2020 and December 2021. Methods A registry based study based on 2017–2021 data from the National Institute of Statistics and Census was designed (N = 128,106). Excess deaths were defined by the WHO as “the difference in the total number of deaths in a crisis compared to those expected under normal conditions”; and were estimated using a Poisson regression, and mortality and years of potential life lost (YPLL) rates were calculated. Findings The COVID-19 pandemic represented 15% of the deaths in Costa Rica between March 2020 and December 2021. The mortality rate related to COVID-19 was 83 per 100,000 person-years. Between March and July 2020 (low- incidence period), observed number of deaths was 9%-lower than expected, whereas it was 15% and 24% higher than expected between July 2020 and March 2021 (high incidence period - no vaccination), and between March 2021 and December 2021 (high incidence period – progressive vaccination) respectively. Between July 2020 and December 2021, excess deaths observed and COVID-19 deaths reported were comparable (7461 and 7620 respectively). Nevertheless, there were more deaths than expected for conditions that predispose to COVID-19 deaths. YPLL and mortality rates increased with age, but significant excess deaths were observed in all age-groups older than 30–39 years. No large differences were noted by districts’ socioeconomic characteristics although excess death rate was lower in rural compared to urban areas | en_CR |
| dc.description.pages | 1-11 | |
| dc.description.uri | https://www.thelancet.com/journals/lanam/article/PIIS2667-193X(23)00025-X/fulltext | |
| dc.identifier.issn | 2667-193X | es_CR |
| dc.identifier.uri | https://repositorio.sibdi.ucr.ac.cr/handle/123456789/22493 | |
| dc.language.iso | eng | en_CR |
| dc.publisher | The Lancet Regional Health - Americas, Vol.20 | en_CR |
| dc.subject | MORTALITY | es_CR |
| dc.subject | EXCESS DEATHS | es_CR |
| dc.subject | MIDDLE INCOME COUNTRY | es_CR |
| dc.subject | COVID-19 | es_CR |
| dc.subject | YPLL | es_CR |
| dc.subject | COSTA RICA | es_CR |
| dc.title | Excess mortality from COVID 19 in Costa Rica: a registry based study using Poisson regression | en_CR |
| dc.type | Article |
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