Please use this identifier to cite or link to this item:
http://hdl.handle.net/20.500.12188/14622
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lada Trajcheska | en_US |
dc.contributor.author | Aleksandra Canevska | en_US |
dc.contributor.author | Nikola Gjorgjievski | en_US |
dc.contributor.author | Mimoza Milenkova | en_US |
dc.contributor.author | Adrijana Spasovska-Vasilevska | en_US |
dc.contributor.author | Galina Severova-Andreevska | en_US |
dc.contributor.author | Daniela Mladenovska | en_US |
dc.contributor.author | Vladimir Pushevski | en_US |
dc.contributor.author | Maja Kuzmanovska | en_US |
dc.contributor.author | Elizabeta Janceska | en_US |
dc.contributor.author | Golubinka Bosevska | en_US |
dc.contributor.author | Irena Rambabova Busljetik | en_US |
dc.contributor.author | Gjulsen Selim | en_US |
dc.contributor.author | Goce Spasovski | en_US |
dc.date.accessioned | 2021-09-09T08:00:04Z | - |
dc.date.available | 2021-09-09T08:00:04Z | - |
dc.date.issued | 2020-12-20 | - |
dc.identifier.uri | http://hdl.handle.net/20.500.12188/14622 | - |
dc.description.abstract | BACKGROUND: Excess mortality is defined as mortality above what would be expected based on the non-crisis mortality rate in the population of interest. AIM: In this study, we aimed to access weather the coronavirus disease (COVID)-19 pandemic had impact on the in-hospital mortality during the first 6 months of the year and compare it with the data from the previous years. METHODS: A retroprospective study was conducted at the University Clinic of Nephrology Skopje, Republic of Macedonia. In-hospital mortality rates were calculated for the first half of the year (01.01–30.06) from 2015 until 2020, as monthly number of dead patients divided by the number of non-elective hospitalized patents in the same period. The excess mortality rate (p-score) was calculated as ratio or percentage of excess deaths relative to expected average deaths: (Observed mortality rate–expected average death rate)/expected average death rate *100%. RESULTS: The expected (average) overall death mortality rate for the period 2015–2019 was 8.9% and for 2020 was 15.3%. The calculated overall excess mortality in 2020 was 72% (pscore 0.72). CONCLUSION: In this pragmatic study, we have provided clear evidence of high excess mortality at our nephrology clinic during the 1st months of the COVID-19 pandemic. The delayed referral of patients due to the patient and health care system-related factors might partially explain the excess mortality during pandemic crises. Further analysis is needed to estimate unrecognized probable COVID-19 deaths. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Scientific foundation Spiroski | en_US |
dc.relation.ispartof | Open Access Macedonian Journal of Medical Sciences | en_US |
dc.title | Excess Mortality in a Nephrology Clinic during First Months of Coronavirus Disease-19 Pandemic: A Pragmatic Approach | en_US |
dc.type | Article | en_US |
dc.identifier.doi | https://doi.org/10.3889/oamjms.2020.5508 | - |
item.grantfulltext | none | - |
item.fulltext | No Fulltext | - |
crisitem.author.dept | Faculty of Medicine | - |
crisitem.author.dept | Faculty of Medicine | - |
crisitem.author.dept | Faculty of Medicine | - |
crisitem.author.dept | Faculty of Medicine | - |
crisitem.author.dept | Faculty of Medicine | - |
crisitem.author.dept | Faculty of Medicine | - |
crisitem.author.dept | Faculty of Medicine | - |
Appears in Collections: | Faculty of Medicine: Journal Articles |
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