Exceso de mortalidad durante la pandemia de covid-19 y su distribución espacial en el estado de Pernambuco, Brasil: un estudio ecológico

Silva, Letícia Moreira; Silva, Amanda Priscila de Santana Cabral; Galvão, Maria Helena Rodrigues; Silva, Ana Lúcia Andrade da; Maia, Lívia Teixeira de Souza

Letícia Moreira Silva

contributed to the study concept and design

analysis and interpretation of the results

preparing the preliminary versions

critically reviewing important intellectual content

approving the final version of the manuscript

The authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal de Pernambuco, Núcleo de Saúde Coletiva, Vitória de Santo Antão, PE, Brazil

https://orcid.org/0000-0003-0823-7494

Amanda Priscila de Santana Cabral Silva

contributed to the study concept and design

analysis and interpretation of the results

preparing the preliminary versions

critically reviewing important intellectual content

approving the final version of the manuscript

The authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal de Pernambuco, Núcleo de Saúde Coletiva, Vitória de Santo Antão, PE, Brazil

https://orcid.org/0000-0003-2337-9925

Maria Helena Rodrigues Galvão

contributed to the study concept and design

analysis and interpretation of the results

preparing the preliminary versions

critically reviewing important intellectual content

approving the final version of the manuscript

The authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal de Pernambuco, Núcleo de Saúde Coletiva, Vitória de Santo Antão, PE, Brazil

https://orcid.org/0000-0003-1344-2863

Ana Lúcia Andrade da Silva

contributed to the study concept and design

analysis and interpretation of the results

preparing the preliminary versions

critically reviewing important intellectual content

approving the final version of the manuscript

The authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal de Pernambuco, Núcleo de Saúde Coletiva, Vitória de Santo Antão, PE, Brazil

https://orcid.org/0000-0002-2502-7643

Lívia Teixeira de Souza Maia

contributed to the study concept and design

analysis and interpretation of the results

preparing the preliminary versions

critically reviewing important intellectual content

approving the final version of the manuscript

The authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal de Pernambuco, Núcleo de Saúde Coletiva, Vitória de Santo Antão, PE, Brazil

https://orcid.org/0000-0002-0161-7729

Correspondence: Letícia Moreira Silva | leticia.moreirasilva@ufpe.br

CONFLICTS OF INTEREST

The authors have no conflicts of interest to declare.

Associate editor:

Thaynã Ramos Flores

Variables	SMRate^b (average)	Deaths exepcted	Deaths found	Excess mortality		SMR^c	95%CI^d
Variables	SMRate^b (average)	Deaths exepcted	Deaths found	No. of deaths	%	SMR^c	95%CI^d
Population size
Size 1	5.79	5,581	6,479	898	15.01	1.16	(1.13;119)
Size 2	5.89	13,128	14,430	1,302	9.92	1.10	(1.10;1.12)
Size 3	6.28	9,599	10,691	1,092	11.38	1.11	(1.10;1.14)
Size 4	5.89	28,854	36,259	7,405	25.67	1.26	(1.24;1.27)
MHDI ^a
MHDI - C1	5.46	5,327	5,730	403	7.57	1.10	(1.05;1.10)
MHDI - C2	6.10	14,509	16,368	1,859	12.81	1.13	(1.11;1.15)
MHDI - C3	6.15	15,077	17,151	2,074	13.75	1.14	(1.12;1.16)
MHDI - C4	5.26	20,053	28,610	8,557	42.67	1.43	(1.41;1.44)
Macroregion
Agreste	6.04	15,120	17,585	2,465	16.30	1.16	(1.15;1.18)
Mata	6.14	12,026	14,273	2,247	18.68	1.19	(1.17;1.20)
Metropolitana	5.69	8,629	10,526	1,897	21.98	1.22	(1.20;1.24)
São Francisco	5.39	3,739	3,599	-140	-3.75	0.96	(0.93;0.99)
Sertão	5.66	16,669	21,876	5,207	31.24	1.31	(1.30;1.33)
Pernambuco	6.25	56,254	67,859	11,605	20.63	1.21	(1.20;1.21)

Variables	SMRate^b (average)	Expected deaths	Deaths found	Excess mortality		SMR^c	95%CI^d
Variables	SMRate^b (average)	Expected deaths	Deaths found	No. of deaths	%	SMR^c	95%CI^d
Population size
Size 1	5.79	5,598	6,855	1,257	22.46	1.22	(1.96;-1.25)
Size 2	5.89	13,203	15,252	2,049	15.52	1.15	(1.13;-1.17)
Size 3	6.28	9,658	11,267	1,609	16.67	1.16	(1.15;-1.19)
Size 4	5.89	29,049	38,802	9,753	33.57	1.34	(1.32;-1.35)
MHDI ^a
MHDI - C1	5.46	6,429	7,250	821	12.77	1.13	(1.10;-1.16)
MHDI - C2	6.10	13,859	16,375	2,516	18.16	1.18	(1.64;-1.20)
MHDI - C3	6.15	14,583	17,638	3,055	20.95	1.21	(1.20;-1.23)
MHDI - C4	5.26	20,439	30,913	10,474	51.24	1.51	(1.50;-1.53)
Macroregion
Agreste	6.04	15,214	18,280	3,066	20.15	1.20	(1.18;-1.22)
Mata	6.14	12,077	14,721	2,644	21.89	1.22	(1.20;-1.24)
Metropolitana	5.69	8,689	10,934	2,245	25.83	1.26	(1.24;-1.28)
São Francisco	5.39	3,779	4,183	404	10.69	1.11	(1.10;-1.41)
Sertão	5.66	16,762	24,058	7,296	43.53	1.44	(1.42;-1.46)
Pernambuco	6.25	56 ,595	72,176	15,581	27.53	1.28	(1.27;-1.29)

[1] Correspondence: Letícia Moreira Silva | leticia.moreirasilva@ufpe.br

Brasil

Brasil

Exceso de mortalidad durante la pandemia de covid-19 y su distribución espacial en el estado de Pernambuco, Brasil: un estudio ecológico

RESUMEN

Objetivo

Métodos

Resultados

Conclusión