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Journal Articles International Journal of Public Health Year : 2024

Impact of the COVID-19 Pandemic on COPD Patient Mortality: A Nationwide Study in France

Abstract

We investigated the mortality patterns of chronic obstructive pulmonary disease (COPD) patients in France relative to a control population, comparing year 2020 to pre-pandemic years 2017-2019.Methods: COPD patient and sex, age and residence matched control cohorts were created from the French National Health Data System. Survival was analyzed using Cox regressions and standardized rates.Results: All-cause mortality increased in 2020 compared to 2019 in the COPD population (+4%), but to a lesser extent than in the control population (+10%). Non-COVID-19 mortality decreased to a greater extent in COPD patients (-5%) than in the controls (-2%). Death rate from COVID-19 was twice as high in the COPD population relative to the control population (547 vs 279 per 100,000 person-years).The direct impact of the pandemic in terms of deaths from COVID-19 was much greater in the COPD population than in the control population. However, the larger decline in non-COVID-19 mortality in COPD patients could reflect a specific protective effect of the containment measures on this population, counterbalancing the direct impact they had been experiencing.
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hal-04461472 , version 1 (16-02-2024)

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Jonas Poucineau, Myriam Khlat, Nathanaël Lapidus, Maude Espagnacq, Christos Chouaïd, et al.. Impact of the COVID-19 Pandemic on COPD Patient Mortality: A Nationwide Study in France. International Journal of Public Health, 2024, 69 (Art. 1606617), pp.1-10. ⟨10.3389/ijph.2024.1606617⟩. ⟨hal-04461472⟩
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