Changes in mortality trends amongst common diseases during the COVID-19 pandemic in Sweden

Scand J Public Health. 2022 Aug;50(6):748-755. doi: 10.1177/14034948211064656. Epub 2021 Dec 21.

Abstract

Objective: It has been found that COVID-19 increases deaths within common diseases in countries that have implemented strict lockdowns. In order to elucidate the proper national response to a pandemic, the mortality rates within COVID-19 and various diseases need to be studied in countries whose pandemic response differ. Sweden represents a country with lax pandemic restrictions, and we aimed to study the effects of COVID-19 on historical mortality rates within common diseases during 2020.

Methods: Regression models and moving averages were used to predict expected premature mortality per the ICD-10 during 2020 using historical data sets. Predicted values were then compared to recorded premature mortality to identify changes in mortality trends.

Results: Seasonal increased mortality was found within neurological diseases. Infectious diseases, tumours and cardiac disease mortality rates decreased compared to expected outcome.

Conclusions: Changes in mortality trends were observed for several common diseases during the COVID-19 pandemic. Neurological and cardiac conditions, infections and tumours are examples of diseases that were heavily affected by the pandemic. The indirect effects of COVID-19 on certain patient populations should be considered when determining pandemic impact.

Keywords: Alzheimer’s disease; COVID-19; ICD-10; Parkinson’s disease; YPLL; tumours.

MeSH terms

  • COVID-19*
  • Communicable Disease Control
  • Humans
  • Mortality
  • Mortality, Premature
  • Pandemics
  • Sweden / epidemiology