COVID-19: years of life lost (YLL) and saved (YLS) as an expression of the role of vaccination

Abstract When evaluating vaccine efficacy, the conventional measures include reduction of risk of hospitalization and death. The number of patients dying with or without vaccination is often in the public spotlight. However, when evaluating public health interventions or the burden of disease, it is...

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Main Authors: Klára Hulíková Tesárková, Dagmar Dzúrová
Format: Article
Language:English
Published: Nature Portfolio 2022-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-23023-0
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author Klára Hulíková Tesárková
Dagmar Dzúrová
author_facet Klára Hulíková Tesárková
Dagmar Dzúrová
author_sort Klára Hulíková Tesárková
collection DOAJ
description Abstract When evaluating vaccine efficacy, the conventional measures include reduction of risk of hospitalization and death. The number of patients dying with or without vaccination is often in the public spotlight. However, when evaluating public health interventions or the burden of disease, it is more illustrative to use mortality metrics taking into account also prematurity of the deaths, such as years of life lost (YLL) or years of life saved (YLS) thanks to the vaccination. We develop this approach for evaluation of the difference in YLL and YLS between COVID-19 victims with or without completed vaccination in the autumn pandemic wave (2021, October–December) in Czechia. For the analysis, individual data about all COVID-19 deaths in the country (N = 5797, during the studied period) was used. While 40.6% of the deaths are in cohorts with completed vaccination, this corresponds to 35.1% of years of life lost. The role of vaccination is expressed using YLS and hypothetical numbers of deaths. The registered number of deaths is approximately 3.5 times lower than it would be expected without vaccination. The results illustrate that vaccination is more effective in saving lives than suggested by simplistic comparisons.
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spelling doaj.art-32e94730d40e4bde90406c88c09ad1ae2022-12-22T03:22:31ZengNature PortfolioScientific Reports2045-23222022-10-011211910.1038/s41598-022-23023-0COVID-19: years of life lost (YLL) and saved (YLS) as an expression of the role of vaccinationKlára Hulíková Tesárková0Dagmar Dzúrová1Department of Demography and Geodemography, Faculty of Sciences, Charles UniversityDepartment of Social Geography and Regional Development, Faculty of Sciences, Charles UniversityAbstract When evaluating vaccine efficacy, the conventional measures include reduction of risk of hospitalization and death. The number of patients dying with or without vaccination is often in the public spotlight. However, when evaluating public health interventions or the burden of disease, it is more illustrative to use mortality metrics taking into account also prematurity of the deaths, such as years of life lost (YLL) or years of life saved (YLS) thanks to the vaccination. We develop this approach for evaluation of the difference in YLL and YLS between COVID-19 victims with or without completed vaccination in the autumn pandemic wave (2021, October–December) in Czechia. For the analysis, individual data about all COVID-19 deaths in the country (N = 5797, during the studied period) was used. While 40.6% of the deaths are in cohorts with completed vaccination, this corresponds to 35.1% of years of life lost. The role of vaccination is expressed using YLS and hypothetical numbers of deaths. The registered number of deaths is approximately 3.5 times lower than it would be expected without vaccination. The results illustrate that vaccination is more effective in saving lives than suggested by simplistic comparisons.https://doi.org/10.1038/s41598-022-23023-0
spellingShingle Klára Hulíková Tesárková
Dagmar Dzúrová
COVID-19: years of life lost (YLL) and saved (YLS) as an expression of the role of vaccination
Scientific Reports
title COVID-19: years of life lost (YLL) and saved (YLS) as an expression of the role of vaccination
title_full COVID-19: years of life lost (YLL) and saved (YLS) as an expression of the role of vaccination
title_fullStr COVID-19: years of life lost (YLL) and saved (YLS) as an expression of the role of vaccination
title_full_unstemmed COVID-19: years of life lost (YLL) and saved (YLS) as an expression of the role of vaccination
title_short COVID-19: years of life lost (YLL) and saved (YLS) as an expression of the role of vaccination
title_sort covid 19 years of life lost yll and saved yls as an expression of the role of vaccination
url https://doi.org/10.1038/s41598-022-23023-0
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