Evidence map›Paper›PMID 35219931›Full record

ArticleThrombosis research2022

Deaths related to pulmonary embolism and cardiovascular events before and during the 2020 COVID-19 pandemic: An epidemiological analysis of data from an Italian high-risk area.

Davide Voci, Ugo Fedeli, Ioannis T Farmakis, Lukas Hobohm, Karsten Keller, Luca Valerio, Elena Schievano, Claudio Barbiellini Amidei, Stavros V Konstantinides, Nils Kucher and 1 more

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Article in Thrombosis research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.6field-weighted citation impact, top 8% of its field
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

16 citing papers in PubMed, 25 citations in OpenAlex.

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  7. Epidemiology, Etiology, and Pathophysiology of Pulmonary Embolism.The International journal of angiology : official publication of the International College of Angiology, Inc · 2024
    Review
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  15. Diabetes as a cause of death across different COVID-19 epidemic waves.Diabetes research and clinical practice · 2022
    Article
  16. Pulmonary Embolism in Women: A Systematic Review of the Current Literature.Journal of cardiovascular development and disease · 2022
    Review
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

11 authors at 5 institutions in 4 countries.

Davide VociDepartment of Angiology, University Hospital Zurich, Zurich, Switzerland.
Ugo FedeliEpidemiological Department, Azienda Zero, Veneto Region, Padua, Italy.
Ioannis T FarmakisCenter for Thrombosis and Hemostasis, Johannes Gutenberg University Mainz, Mainz, Germany.
Lukas HobohmCenter for Thrombosis and Hemostasis, Johannes Gutenberg University Mainz, Mainz, Germany; Department of Cardiology, Cardiology I, Johannes Gutenberg University Mainz, Mainz, Germany.
Karsten KellerCenter for Thrombosis and Hemostasis, Johannes Gutenberg University Mainz, Mainz, Germany; Department of Cardiology, Cardiology I, Johannes Gutenberg University Mainz, Mainz, Germany.
Luca ValerioCenter for Thrombosis and Hemostasis, Johannes Gutenberg University Mainz, Mainz, Germany.
Elena SchievanoEpidemiological Department, Azienda Zero, Veneto Region, Padua, Italy.
Claudio Barbiellini AmideiDepartment of Cardiologic, Vascular and Thoracic Sciences and Public Health, University of Padova, Padova, Italy.
Stavros V KonstantinidesCenter for Thrombosis and Hemostasis, Johannes Gutenberg University Mainz, Mainz, Germany; Department of Cardiology, Democritus University of Thrace, Greece.
Nils KucherDepartment of Angiology, University Hospital Zurich, Zurich, Switzerland.
Stefano BarcoDepartment of Angiology, University Hospital Zurich, Zurich, Switzerland; Center for Thrombosis and Hemostasis, Johannes Gutenberg University Mainz, Mainz, Germany. Electronic address: stefano.barco@usz.ch.
Johannes Gutenberg University Mainz · DERegione del Veneto · ITUniversity Hospital of Zurich · CHDemocritus University of Thrace · GRUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary embolism is a known complication of coronavirus disease 2019 (COVID-19). Epidemiological population data focusing on pulmonary embolism-related mortality is limited.

methodsVeneto is a region in Northern Italy counting 4,879,133 inhabitants in 2020. All ICD-10 codes from death certificates (1st January 2018 to 31st December 2020) were examined. Comparisons were made between 2020 (COVID-19 outbreak) and the average of the two-year period 2018-2019. All-cause, COVID-19-related and the following cardiovascular deaths have been studied: pulmonary embolism, hypertensive disease, ischemic heart disease, atrial fibrillation/flutter, and cerebrovascular diseases.

resultsIn 2020, a total of 56,412 deaths were recorded, corresponding to a 16% (n = 7806) increase compared to the period 2018-2019. The relative percentage increase during the so-called first and second waves was 19% and 44%, respectively. Of 7806 excess deaths, COVID-19 codes were reported in 90% of death certificates. The percentage increase in pulmonary embolism-related deaths was 27% (95%CI 19-35%), 1018 deaths during the year 2020, compared to 804 mean annual deaths in the period 2018-2019. This was more evident among men, who experience an absolute increase of 147 deaths (+45%), than in women (+67 deaths; +14%). The increase was primarily driven by deaths recorded during the second wave (+91% in October-December). An excess of deaths, particularly among men and during the second wave, was also observed for other cardiovascular diseases, notably hypertensive disease, atrial fibrillation, cerebrovascular disease, and ischemic heart disease.

conclusionsWe observed a considerable increase of all-cause mortality during the year 2020. This was mainly driven by COVID-19 and its complications. The relative increase in the number of pulmonary embolism-related deaths was more prominent during the second wave, suggesting a possible underdiagnosis during the first wave.

Indexed as

COVID-19Pulmonary EmbolismFemaleHumansInternational Classification of DiseasesItalyMalePandemics

Identifiers

PMID35219931
PMCPMC8858636
OpenAlexW4213153725

What OpenQuestion holds

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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.