Disability adjusted life years associated with COVID-19 in Denmark in the first year of the pandemic
Abstract Background Burden of disease studies measure the public health impact of a disease in a society. The aim of this study was to quantify the direct burden of COVID-19 in the first 12 months of the epidemic in Denmark. Methods We collected national surveillance data on positive individuals for...
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-022-13694-9 |
| _version_ | 1828304669826351104 |
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| author | Sara M. Pires Hernan G. Redondo Laura Espenhain Lea S. Jakobsen Rebecca Legarth Marianna Meaidi Anders Koch Siri Tribler Tomas Martin-Bertelsen Steen Ethelberg |
| author_facet | Sara M. Pires Hernan G. Redondo Laura Espenhain Lea S. Jakobsen Rebecca Legarth Marianna Meaidi Anders Koch Siri Tribler Tomas Martin-Bertelsen Steen Ethelberg |
| author_sort | Sara M. Pires |
| collection | DOAJ |
| description | Abstract Background Burden of disease studies measure the public health impact of a disease in a society. The aim of this study was to quantify the direct burden of COVID-19 in the first 12 months of the epidemic in Denmark. Methods We collected national surveillance data on positive individuals for SARS-CoV-2 with RT-PCR, hospitalization data, and COVID-19 mortality reported in the period between 26th of February, 2020 to 25th of February, 2021. We calculated disability adjusted life years (DALYs) based on the European Burden of Disease Network consensus COVID-19 model, which considers mild, severe, critical health states, and premature death. We conducted sensitivity analyses for two different death-registration scenarios, within 30 and 60 days after first positive test, respectively. Results We estimated that of the 211,823 individuals who tested positive to SARS-CoV-2 by RT-PCR in the one-year period, 124,163 (59%; 95% uncertainty interval (UI) 112,782–133,857) had at least mild symptoms of disease. The total estimated disease burden was 30,180 DALYs (95% UI 30,126; 30,242), corresponding to 520 DALYs/100,000. The disease burden was higher in the age groups above 70 years of age, particularly in men. Years of life lost (YLL) contributed with more than 99% of total DALYs. The results of the scenario analysis showed that defining COVID-19-related fatalities as deaths registered up to 30 days after the first positive test led to a lower YLL estimate than when using a 60-days window. Conclusion COVID-19 led to a substantial public health impact in Denmark in the first full year of the epidemic. Our estimates suggest that it was the the sixth most frequent cause of YLL in Denmark in 2020. This impact will be higher when including the post-acute consequences of COVID-19 and indirect health outcomes. |
| first_indexed | 2024-04-13T14:14:25Z |
| format | Article |
| id | doaj.art-a3290f8c51494bc2af94eea224233f55 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-13T14:14:25Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-a3290f8c51494bc2af94eea224233f552022-12-22T02:43:41ZengBMCBMC Public Health1471-24582022-07-012211910.1186/s12889-022-13694-9Disability adjusted life years associated with COVID-19 in Denmark in the first year of the pandemicSara M. Pires0Hernan G. Redondo1Laura Espenhain2Lea S. Jakobsen3Rebecca Legarth4Marianna Meaidi5Anders Koch6Siri Tribler7Tomas Martin-Bertelsen8Steen Ethelberg9Risk Benefit Research Group, National Food Institute, Technical University of DenmarkRisk Benefit Research Group, National Food Institute, Technical University of DenmarkDepartment of Infectious Disease Epidemiology and Prevention, Statens Serum InstitutRisk Benefit Research Group, National Food Institute, Technical University of DenmarkDepartment of Infectious Disease Epidemiology and Prevention, Statens Serum InstitutData Integration and Analysis, Division of Infection Preparedness, Statens Serum InstitutDepartment of Infectious Disease Epidemiology and Prevention, Statens Serum InstitutDepartment of Infectious Disease Epidemiology and Prevention, Statens Serum InstitutData Integration and Analysis, Division of Infection Preparedness, Statens Serum InstitutDepartment of Infectious Disease Epidemiology and Prevention, Statens Serum InstitutAbstract Background Burden of disease studies measure the public health impact of a disease in a society. The aim of this study was to quantify the direct burden of COVID-19 in the first 12 months of the epidemic in Denmark. Methods We collected national surveillance data on positive individuals for SARS-CoV-2 with RT-PCR, hospitalization data, and COVID-19 mortality reported in the period between 26th of February, 2020 to 25th of February, 2021. We calculated disability adjusted life years (DALYs) based on the European Burden of Disease Network consensus COVID-19 model, which considers mild, severe, critical health states, and premature death. We conducted sensitivity analyses for two different death-registration scenarios, within 30 and 60 days after first positive test, respectively. Results We estimated that of the 211,823 individuals who tested positive to SARS-CoV-2 by RT-PCR in the one-year period, 124,163 (59%; 95% uncertainty interval (UI) 112,782–133,857) had at least mild symptoms of disease. The total estimated disease burden was 30,180 DALYs (95% UI 30,126; 30,242), corresponding to 520 DALYs/100,000. The disease burden was higher in the age groups above 70 years of age, particularly in men. Years of life lost (YLL) contributed with more than 99% of total DALYs. The results of the scenario analysis showed that defining COVID-19-related fatalities as deaths registered up to 30 days after the first positive test led to a lower YLL estimate than when using a 60-days window. Conclusion COVID-19 led to a substantial public health impact in Denmark in the first full year of the epidemic. Our estimates suggest that it was the the sixth most frequent cause of YLL in Denmark in 2020. This impact will be higher when including the post-acute consequences of COVID-19 and indirect health outcomes.https://doi.org/10.1186/s12889-022-13694-9Burden of diseaseDALYYLDYLLPopulation healthDenmark |
| spellingShingle | Sara M. Pires Hernan G. Redondo Laura Espenhain Lea S. Jakobsen Rebecca Legarth Marianna Meaidi Anders Koch Siri Tribler Tomas Martin-Bertelsen Steen Ethelberg Disability adjusted life years associated with COVID-19 in Denmark in the first year of the pandemic BMC Public Health Burden of disease DALY YLD YLL Population health Denmark |
| title | Disability adjusted life years associated with COVID-19 in Denmark in the first year of the pandemic |
| title_full | Disability adjusted life years associated with COVID-19 in Denmark in the first year of the pandemic |
| title_fullStr | Disability adjusted life years associated with COVID-19 in Denmark in the first year of the pandemic |
| title_full_unstemmed | Disability adjusted life years associated with COVID-19 in Denmark in the first year of the pandemic |
| title_short | Disability adjusted life years associated with COVID-19 in Denmark in the first year of the pandemic |
| title_sort | disability adjusted life years associated with covid 19 in denmark in the first year of the pandemic |
| topic | Burden of disease DALY YLD YLL Population health Denmark |
| url | https://doi.org/10.1186/s12889-022-13694-9 |
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