Evidence map›Paper›PMID 34960692›Full record

ArticleViruses2021

The Impact of COVID-19 on Mortality in Spain: Monitoring Excess Mortality (MoMo) and the Surveillance of Confirmed COVID-19 Deaths.

Inmaculada León-Gómez, Clara Mazagatos, Concepción Delgado-Sanz, Luz Frías, Lorena Vega-Piris, Ayelén Rojas-Benedicto, Amparo Larrauri

Abstract read
In one paragraph

Article in Viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Observational
  2. Exploring all-cause mortality surveillance during the Iberian Peninsula power outage, Spain, 28 April 2025.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  3. Observational
  4. Observational
  5. Article
  6. Article
  7. Assessing COVID-19-Related Excess Mortality Using Multiple Approaches-Italy, 2020-2021.International journal of environmental research and public health · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Inmaculada León-GómezNational Centre of Epidemiology, Institute of Health Carlos III, 28029 Madrid, Spain.
Clara MazagatosNational Centre of Epidemiology, Institute of Health Carlos III, 28029 Madrid, Spain.ORCID 0000-0002-6909-6923
Concepción Delgado-SanzNational Centre of Epidemiology, Institute of Health Carlos III, 28029 Madrid, Spain.
Luz FríasCIRCITER S.L., 28005 Madrid, Spain.
Lorena Vega-PirisNational Centre of Epidemiology, Institute of Health Carlos III, 28029 Madrid, Spain.
Ayelén Rojas-BenedictoNational Centre of Epidemiology, Institute of Health Carlos III, 28029 Madrid, Spain.
Amparo LarrauriNational Centre of Epidemiology, Institute of Health Carlos III, 28029 Madrid, Spain.ORCID 0000-0002-1704-2245

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Measuring mortality has been a challenge during the COVID-19 pandemic. Here, we compared the results from the Spanish daily mortality surveillance system (MoMo) of excess mortality estimates, using a time series analysis, with those obtained for the confirmed COVID-19 deaths reported to the National Epidemiological Surveillance Network (RENAVE). The excess mortality estimated at the beginning of March 2020 was much greater than what has been observed in previous years, and clustered in a very short time. The cumulated excess mortality increased with age. In the first epidemic wave, the excess mortality estimated by MoMo was 1.5 times higher than the confirmed COVID-19 deaths reported to RENAVE, but both estimates were similar in the following pandemic waves. Estimated excess mortality and confirmed COVID-19 mortality rates were geographically distributed in a very heterogeneous way. The greatest increase in mortality that has taken place in Spain in recent years was detected early by MoMo, coinciding with the spread of the COVID-19 pandemic. MoMo is able to identify risk situations for public health in a timely manner, relying on mortality in general as an indirect indicator of various important public health problems.

Indexed as

PandemicsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCOVID-19Epidemiological MonitoringFemaleHumansInfantInfant, NewbornMaleMiddle AgedPublic HealthCOVID-19excess mortalitysurveillance

Identifiers

PMID34960692
PMCPMC8703729

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.