Patterns of COVID-19 related excess mortality in the municipalities of Northern Italy during the first wave of the pandemic

Gibertoni, Dino; Adja, Kadjo Yves Cedric; Golinelli, Davide; Reno, Chiara; Regazzi, Luca; Lenzi, Jacopo; Sanmarchi, Francesco; Fantini, Maria Pia

doi:10.1016/j.healthplace.2021.102508

Cited by 43 publications

(37 citation statements)

References 20 publications

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“…Our findings indicate that the reduction of ED visits and hospitalizations started two weeks before the beginning of the national lockdown, after school closures and the first Italian case hospitalized for COVID-19 in Codogno [1], when no cases of local transmission had been still recorded in BMA. As already reported [2,6,[19][20][21][22][23], a possible explanation is that the population response is likely to be more affected by the national level authority risk message than the real local situation. Several possible reasons have been put forward to explain, at least partially, a reduction in ED visits and hospitalizations [6,7], such as lifestyle changes or fear of the contagion, as well as the increasingly stringent lockdown measures and the postponement of elective procedures, or the sense of civic responsibility of the population [7].…”

Section: Plos Onementioning

confidence: 86%

“…Globally, Italy has been the first Western country to experience the disruptive effect of the pandemic in terms of cases, deaths and the related burden on healthcare services [1][2][3]14]. Since the beginning of the pandemic, a reduction of ED visits and hospitalizations overall [6] and for specific diseases [14][15][16][17][18] have been reported worldwide.…”

Section: Discussionmentioning

confidence: 99%

“…The first case of local transmission of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in Italy was confirmed in a thirty eight-year-old man in the municipality of Codogno (Lombardy region) on February 19 th , 2020 [1], while on February 21 st , a resident of Vo', a small town near Padua (Veneto Region), died of pneumonia due to SARS-CoV-2 infection. [2,3] In the following weeks, an exponential growth in the number of cases and deaths in the neighboring regions of northern Italy was observed. As a consequence, the national government enforced as containment measures a complete country lockdown on March 10 th , 2020: at that stage the confirmed cases in Italy were 10,149 and 631 deaths [4].…”

Section: Introductionmentioning

confidence: 98%

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Non-COVID-19 patients in times of pandemic: Emergency department visits, hospitalizations and cause-specific mortality in Northern Italy

et al. 2021

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The COVID-19 pandemic forced healthcare services organization to adjust to mutating healthcare needs. Not exhaustive data are available on the consequences of this on non-COVID-19 patients. The aim of this study was to assess the impact of the pandemic on non-COVID-19 patients living in a one-million inhabitants’ area in Northern Italy (Bologna Metropolitan Area-BMA), analyzing time trends of Emergency Department (ED) visits, hospitalizations and mortality. We conducted a retrospective observational study using data extracted from BMA healthcare informative systems. Weekly trends of ED visits, hospitalizations, in- and out-of-hospital, all-cause and cause-specific mortality between December 1st, 2019 to May 31st, 2020, were compared with those of the same period of the previous year. Non-COVID-19 ED visits and hospitalizations showed a stable trend until the first Italian case of COVID-19 has been recorded, on February 19th, 2020, when they dropped simultaneously. The reduction of ED visits was observed in all age groups and across all severity and diagnosis groups. In the lockdown period a significant increase was found in overall out-of-hospital mortality (43.2%) and cause-specific out-of-hospital mortality related to neoplasms (76.7%), endocrine, nutritional and metabolic (79.5%) as well as cardiovascular (32.7%) diseases. The pandemic caused a sudden drop of ED visits and hospitalizations of non-COVID-19 patients during the lockdown period, and a concurrent increase in out-of-hospital mortality mainly driven by deaths for neoplasms, cardiovascular and endocrine diseases. As recurrencies of the COVID-19 pandemic are underway, the scenario described in this study might be useful to understand both the population reaction and the healthcare system response at the early phases of the pandemic in terms of reduced demand of care and systems capability in intercepting it.

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Section: Plos Onementioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

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Non-COVID-19 patients in times of pandemic: Emergency department visits, hospitalizations and cause-specific mortality in Northern Italy

et al. 2021

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“…The copyright holder for this preprint this version posted July 6, 2021. ; https://doi.org/10.1101/2021.07.02.21259910 doi: medRxiv preprint Piacenza, Emilia-Romagna, was one of the areas of Italy hardest hit by the pandemic due to its proximity to the epicenter of the first outbreak in Lombardy [16,23,24].…”

Section: Context and Setting Of The Studymentioning

confidence: 99%

“…In late February of 2020, the novel coronavirus disease (COVID-19) [16,17] started to spread aggressively around many bordering provinces of the largest and most productive regions of northern Italy: Lombardy, Emilia-Romagna, Veneto, and Piedmont.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 and regional differences in the timeliness of hip-fracture surgery: an interrupted time-series analysis

Golinelli

Lenzi

Adorno

et al. 2021

Preprint

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Background. It is of great importance to examine the impact of the healthcare reorganization adopted to confront the COVID19 pandemic on the quality of care provided by healthcare systems to non COVID 19 patients. The aim of this study is to assess the impact of the COVID19 national lockdown (March 9, 2020) on the quality of care provided to patients with hip fracture (HF) in Piedmont and Emilia-Romagna, 2 large regions of northern Italy severely hit by the pandemic. Methods. We calculated the percentage of HF patients undergoing surgery within 2 days of hospital admission. An interrupted time-series analysis was performed on weekly data from December 11, 2019 to June 9, 2020 (6 months), interrupting the series in the 2nd week of March. The same data observed the year before were included as a control time series with no intervention (lockdown) in the middle of the observation period. Results. Before the lockdown, 2day surgery was 69.9% in Piedmont and 79.2% in Emilia-Romagna; after the lockdown, these proportions were equal to 69.8% (-0.1%) and 69.3% (-9.9%), respectively. While Piedmont did not experience any drop in the amount of surgery, Emilia-Romagna exhibited a significantly decline at a weekly rate of -1.29% (95% CI = -1.71 to -0.88). Divergent trend patterns in the 2 study regions reflect local differences in pandemic timing as well as in healthcare services capacity, management, and emergency preparedness.

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Preliminary Spatiotemporal Analysis of Mortality in Northern Italy During COVID-19 First Wave

Bertazzon

Couloigner²,

Hanes³

2022

Geomatics for Green and Digital Transition

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Patterns of COVID-19 related excess mortality in the municipalities of Northern Italy during the first wave of the pandemic

Cited by 43 publications

References 20 publications

Non-COVID-19 patients in times of pandemic: Emergency department visits, hospitalizations and cause-specific mortality in Northern Italy

Non-COVID-19 patients in times of pandemic: Emergency department visits, hospitalizations and cause-specific mortality in Northern Italy

COVID-19 and regional differences in the timeliness of hip-fracture surgery: an interrupted time-series analysis

Preliminary Spatiotemporal Analysis of Mortality in Northern Italy During COVID-19 First Wave

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