4.3 Article

Burden of COVID-19 Mortality and Morbidity in Poland in 2020

Publisher

MDPI
DOI: 10.3390/ijerph19095432

Keywords

Poland; COVID-19; burden of disease; years of potential life lost; quality adjusted years of life lost

Funding

  1. [024/RID/2018/19]

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This study aimed to estimate the burden of COVID-19 in Poland, using years of potential life lost (YPLL) and quality-adjusted years of life lost (QALYL). The results showed that COVID-19 deaths in Poland in 2020 caused significant loss of life, particularly among men and older age groups.
In 2020 COVID-19 caused 41,442 deaths in Poland. We aimed to estimate the burden of COVID-19 using years of potential life lost (YPLL) and quality-adjusted years of life lost (QALYL). YPLL were calculated by multiplying the number of deaths due to COVID-19 in the analyzed age/sex group by the residual life expectancy for that group. Standard and country-specific (local) life tables were used to calculate SPYLL and LPYLL, respectively. QALYL were calculated adjusting LPYLL due to COVID-19 death by age/sex specific utility values. Deaths from COVID-19 in Poland in 2020 caused loss of 630,027 SPYLL, 436,361 LPYLL, and 270,572 QALYL. The loss was greater among men and rose with age reaching the maximum among men aged 65-69 and among women aged 70-74. Burden of COVID-19 in terms of YPLL is proportionate to external-cause deaths and was higher than the burden of disease in the respiratory system. Differential effects by sex and age indicate important heterogeneities in the mortality effects of COVID-19 and justifies policies based not only on age, but also on sex. Comparison with YPLL due to other diseases showed that mortality from COVID-19 represents a substantial burden on both society and on individuals in Poland.

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