Understanding excess mortality in 2022: The dual impact of COVID-19 and heatwaves on the Italian elderly population

Health Place. 2024 Nov:90:103357. doi: 10.1016/j.healthplace.2024.103357. Epub 2024 Oct 1.

Abstract

In this study, we employ a comprehensive approach to model the concurrent effects of the COVID-19 epidemic and heatwaves on all-cause excess mortality. Our investigation uncovers distinct peaks in excess mortality, notably among individuals aged 80 years and older, revealing a strong positive correlation with excess temperatures (ET) during the summer of 2022 in Italy. Furthermore, we identify a notable role played by COVID-19 hospitalizations, exhibiting regional disparities, particularly during the winter months. Leveraging functional data regression, we offer robust and coherent insights into the excess mortality trends observed in Italy throughout 2022.

Keywords: Excess mortality; Functional regression; Heatwave; Public health.

MeSH terms

  • Aged
  • Aged, 80 and over
  • COVID-19* / epidemiology
  • COVID-19* / mortality
  • Female
  • Hospitalization / statistics & numerical data
  • Hot Temperature / adverse effects
  • Humans
  • Italy / epidemiology
  • Male
  • Middle Aged
  • Mortality* / trends
  • SARS-CoV-2
  • Seasons