Impacts of COVID-19 pandemic through decomposition of life expectancy according to leading causes and place of death in Czechia

Abstract While the direct effects of the pandemic are well documented, less is known about the indirect ones, including changes in healthcare provision or human behavior. This paper aims to study the impact of indirect consequences on mortality, focusing on two leading causes (cardiovascular disease...

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Main Authors: Klára Hulíková Tesárková, Dagmar Dzúrová
Format: Article
Language:English
Published: Nature Portfolio 2023-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-47949-1
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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 While the direct effects of the pandemic are well documented, less is known about the indirect ones, including changes in healthcare provision or human behavior. This paper aims to study the impact of indirect consequences on mortality, focusing on two leading causes (cardiovascular diseases, COVID-19) and places of death in Czechia, during the COVID-19 pandemic, one of the most severely affected European countries. The analysis was performed using data from the Czech Statistical Office and the Institute of Health Information and Statistics. The study compares annual mortality changes during three time periods: pre-pandemic (2018–2019), pandemic beginning and peaking (2020–2021), and pandemic fading (2022). Pandemic years were covered by the WHO public health emergency of international concern. Abridged life tables were computed, and Pollard's decomposition was used to calculate the contributions of causes and places of death on annual differences in life expectancy. Seasonal decomposition of monthly time series revealed an increase in cardiovascular mortality at home or in social care facilities corresponding to limitations in healthcare. While COVID-19 had a systemic negative effect on life expectancy during the pandemic, the impact of cardiovascular mortality according to place of death changed over time. This study contributes to the evidence base of systemic risks during health crises and emergency response.
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spelling doaj.art-c96ff04f48fd4eb0b4a6e9261404718e2023-11-26T12:51:54ZengNature PortfolioScientific Reports2045-23222023-11-0113111210.1038/s41598-023-47949-1Impacts of COVID-19 pandemic through decomposition of life expectancy according to leading causes and place of death in CzechiaKlára Hulíková Tesárková0Dagmar Dzúrová1Department of Demography and Geodemography, Faculty of Sciences, Charles UniversityDepartment of Social Geography and Regional Development, Faculty of Sciences, Charles UniversityAbstract While the direct effects of the pandemic are well documented, less is known about the indirect ones, including changes in healthcare provision or human behavior. This paper aims to study the impact of indirect consequences on mortality, focusing on two leading causes (cardiovascular diseases, COVID-19) and places of death in Czechia, during the COVID-19 pandemic, one of the most severely affected European countries. The analysis was performed using data from the Czech Statistical Office and the Institute of Health Information and Statistics. The study compares annual mortality changes during three time periods: pre-pandemic (2018–2019), pandemic beginning and peaking (2020–2021), and pandemic fading (2022). Pandemic years were covered by the WHO public health emergency of international concern. Abridged life tables were computed, and Pollard's decomposition was used to calculate the contributions of causes and places of death on annual differences in life expectancy. Seasonal decomposition of monthly time series revealed an increase in cardiovascular mortality at home or in social care facilities corresponding to limitations in healthcare. While COVID-19 had a systemic negative effect on life expectancy during the pandemic, the impact of cardiovascular mortality according to place of death changed over time. This study contributes to the evidence base of systemic risks during health crises and emergency response.https://doi.org/10.1038/s41598-023-47949-1
spellingShingle Klára Hulíková Tesárková
Dagmar Dzúrová
Impacts of COVID-19 pandemic through decomposition of life expectancy according to leading causes and place of death in Czechia
Scientific Reports
title Impacts of COVID-19 pandemic through decomposition of life expectancy according to leading causes and place of death in Czechia
title_full Impacts of COVID-19 pandemic through decomposition of life expectancy according to leading causes and place of death in Czechia
title_fullStr Impacts of COVID-19 pandemic through decomposition of life expectancy according to leading causes and place of death in Czechia
title_full_unstemmed Impacts of COVID-19 pandemic through decomposition of life expectancy according to leading causes and place of death in Czechia
title_short Impacts of COVID-19 pandemic through decomposition of life expectancy according to leading causes and place of death in Czechia
title_sort impacts of covid 19 pandemic through decomposition of life expectancy according to leading causes and place of death in czechia
url https://doi.org/10.1038/s41598-023-47949-1
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