Regional excess mortality in France during COVID-19 pandemic: the first three epidemic periods (March 2020–June 2021) Article Swipe
Marlène Faisant
,
Nicolas Vincent
,
Bruno Hubert
,
Alain Le Tertre
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/eurpub/ckae032
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/eurpub/ckae032
Background This study aimed to describe the mortality excess during the three first epidemic periods of COVID-19 in all regions of France. Methods Two complementary approaches were implemented. First, we described the number of death of patients infected with or diagnosed with COVID-19 in health care (HC) and medico-social (MS) institutions. Then, we estimated general all-cause mortality excess (all ages) by comparing the mortality observed with the expected mortality. We used a daily number of death model according to a negative binomial distribution, as a function of the long-term trend in mortality (penalized spline function of time) and its seasonal variation (cyclic spline function). The model provided expected mortality during epidemic periods with a 95% credibility interval. Each region defined three epidemic periods, including the overseas territories. Results The two approaches were consistent in the most affected regions but there are major regional disparities that vary according to the epidemic period. There is an east–west gradient in the relative excess of deaths from all-causes during each epidemic period. The deaths observed in HC and MS institutions alone do not explain the excess (or deficit) of mortality in each region and epidemic period. Conclusion An analysis by age group according to the two approaches and a comparison of death specific causes could provide a better understanding of these differences. Electronic death registration system (mortality by medical causes) would allow a rapid mortality related estimation to an emerging pathology like Coronavirus Disease-2019 (COVID-19) but is still insufficient for real-time medical causes of death monitoring.
Related Topics
Concepts
Coronavirus disease 2019 (COVID-19)
Pandemic
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Excess mortality
Virology
Coronavirus Infections
Betacoronavirus
Geography
Demography
Medicine
Environmental health
Outbreak
Population
Infectious disease (medical specialty)
Internal medicine
Disease
Sociology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/eurpub/ckae032
- OA Status
- gold
- Cited By
- 2
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4392120525
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4392120525Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/eurpub/ckae032Digital Object Identifier
- Title
-
Regional excess mortality in France during COVID-19 pandemic: the first three epidemic periods (March 2020–June 2021)Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-02-22Full publication date if available
- Authors
-
Marlène Faisant, Nicolas Vincent, Bruno Hubert, Alain Le TertreList of authors in order
- Landing page
-
https://doi.org/10.1093/eurpub/ckae032Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1093/eurpub/ckae032Direct OA link when available
- Concepts
-
Coronavirus disease 2019 (COVID-19), Pandemic, 2019-20 coronavirus outbreak, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Excess mortality, Virology, Coronavirus Infections, Betacoronavirus, Geography, Demography, Medicine, Environmental health, Outbreak, Population, Infectious disease (medical specialty), Internal medicine, Disease, SociologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 1Per-year citation counts (last 5 years)
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22Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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