{"id":20048,"date":"2021-04-12T04:59:00","date_gmt":"2021-04-11T20:59:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=20048"},"modified":"2021-04-13T05:39:22","modified_gmt":"2021-04-12T21:39:22","slug":"bmj%e5%8f%91%e8%a1%a8%e8%ae%ba%e6%96%87%ef%bc%9a%e6%ad%a6%e6%b1%89%e5%b8%82%e5%8f%8a%e4%b8%ad%e5%9b%bd%e5%85%b6%e4%bb%96%e5%9c%b0%e5%8c%ba%e6%96%b0%e5%86%a0%e7%96%ab%e6%83%853%e4%b8%aa%e6%9c%88","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=20048","title":{"rendered":"[BMJ\u53d1\u8868\u8bba\u6587]\uff1a\u6b66\u6c49\u5e02\u53ca\u4e2d\u56fd\u5176\u4ed6\u5730\u533a\u65b0\u51a0\u75ab\u60c53\u4e2a\u6708\u671f\u95f4\u7684\u989d\u5916\u6b7b\u4ea1\uff1a\u5168\u56fd\u6b7b\u4ea1\u6ce8\u518c\u7814\u7a76\u53d1\u73b0"},"content":{"rendered":"\n

Research<\/strong><\/p>\n\n\n\n

Excess mortality in Wuhan city and other parts of China during the three months of the covid-19 outbreak: findings from nationwide mortality registries<\/h1>\n\n\n\n

Jiangmei Liu, Lan Zhang, \u00a0Yaqiong Yan, et al<\/h3>\n\n\n\n

BMJ<\/em>\u00a02021;\u00a0372: n415\u00a0doi:\u00a0https:\/\/doi.org\/10.1136\/bmj.n415<\/a>\u00a0(Published 24 February 2021)<\/h3>\n\n\n\n

Abstract<\/h2>\n\n\n\n

Objective<\/strong><\/h3>\n\n\n\n

To assess excess all cause and cause specific mortality during the three months (1 January to 31 March 2020) of the coronavirus disease 2019 (covid-19) outbreak in Wuhan city and other parts of China.<\/p>\n\n\n\n

Design<\/strong><\/h3>\n\n\n\n

Nationwide mortality registries.<\/p>\n\n\n\n

Setting<\/strong><\/h3>\n\n\n\n

605 urban districts and rural counties in China\u2019s nationally representative Disease Surveillance Point (DSP) system.<\/p>\n\n\n\n

Participants<\/strong><\/h3>\n\n\n\n

More than 300 million people of all ages.<\/p>\n\n\n\n

Main outcome measures<\/strong><\/h3>\n\n\n\n

Observed overall and weekly mortality rates from all cause and cause specific diseases for three months (1 January to 31 March 2020) of the covid-19 outbreak compared with the predicted (or mean rates for 2015-19) in different areas to yield rate ratio.<\/p>\n\n\n\n

Results<\/strong><\/h3>\n\n\n\n

The DSP system recorded 580\u2009819 deaths from January to March 2020. In Wuhan DSP districts (n=3), the observed total mortality rate was 56% (rate ratio 1.56, 95% confidence interval 1.33 to 1.87) higher than the predicted rate (1147\u00a0v<\/em>\u00a0735 per 100\u2009000), chiefly as a result of an eightfold increase in deaths from pneumonia (n=1682; 275\u00a0v<\/em>\u00a033 per 100\u2009000; 8.32, 5.19 to 17.02), mainly covid-19 related, but a more modest increase in deaths from certain other diseases, including cardiovascular disease (n=2347; 408\u00a0v<\/em>\u00a0316 per 100\u2009000; 1.29, 1.05 to 1.65) and diabetes (n=262; 46\u00a0v<\/em>\u00a025 per 100\u2009000; 1.83, 1.08 to 4.37). In Wuhan city (n=13 districts), 5954 additional (4573 pneumonia) deaths occurred in 2020 compared with 2019, with excess risks greater in central than in suburban districts (50%\u00a0v<\/em>\u00a015%). In other parts of Hubei province (n=19 DSP areas), the observed mortality rates from pneumonia and chronic respiratory diseases were non-significantly 28% and 23% lower than the predicted rates, despite excess deaths from covid-19 related pneumonia. Outside Hubei (n=583 DSP areas), the observed total mortality rate was non-significantly lower than the predicted rate (675\u00a0v<\/em>715 per 100\u2009000), with significantly lower death rates from pneumonia (0.53, 0.46 to 0.63), chronic respiratory diseases (0.82, 0.71 to 0.96), and road traffic incidents (0.77, 0.68 to 0.88).<\/p>\n\n\n\n

\"\"\/<\/figure>\n\n\n\n
\"\"\/<\/figure>\n\n\n\n
\"\"\/<\/figure>\n\n\n\n

Conclusion<\/strong>s<\/h3>\n\n\n\n

Except in Wuhan, no increase in overall mortality was found during the three months of the covid-19 outbreak in other parts of China. The lower death rates from certain non-covid-19 related diseases might be attributable to the associated behaviour changes during lockdown.<\/p>\n","protected":false},"excerpt":{"rendered":"

Research Excess mortality in Wuhan city and other parts […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[32,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/20048"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=20048"}],"version-history":[{"count":1,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/20048\/revisions"}],"predecessor-version":[{"id":20049,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/20048\/revisions\/20049"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20048"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20048"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20048"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}