{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:53:51Z","timestamp":1772232831169,"version":"3.50.1"},"reference-count":41,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT  Objective: To estimate excess mortality by cause of death in Brazil and states in 2020.  Methods: We estimated the expected number of deaths considering a linear trend analysis with the number of deaths between 2015 and 2019 for each group of causes and each federative unit. We calculated standardized mortality ratios (SMR) and 95% confidence intervals for each SMR assuming a Poisson distribution. We performed the analyses in the R program, version 4.1.3.  Results: We observed a 19% excess in deaths in 2020 (SMR=1.19; 95%CI=1.18\u20131.20). The Infectious and Parasitic Diseases group stood out among the defined causes (SMR=4.80; 95%CI 4.78\u20134.82). The ill-defined causes showed great magnitude in this period (SMR=6.08; 95%CI 6.06\u20136.10). Some groups had lower-than-expected deaths: respiratory diseases (10% lower than expected) and external causes (4% lower than expected). In addition to the global analysis of the country, we identified significant heterogeneity among the federative units. States with the highest SMR are concentrated in the northern region, and those with the lowest SMR are concentrated in the southern and southeastern regions.  Conclusion: Excess mortality occurs during the COVID-19 pandemic. This excess results not only from COVID-19 itself, but also from the social response and the management of the health system in responding to a myriad of causes that already had a trend pattern before it.<\/jats:p>","DOI":"10.1590\/1980-549720220029","type":"journal-article","created":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T21:35:46Z","timestamp":1671140146000},"source":"Crossref","is-referenced-by-count":10,"title":["Excess mortality according to group of causes in the first year of the COVID-19 pandemic in Brazil"],"prefix":"10.1590","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1225-6719","authenticated-orcid":false,"given":"Raphael Mendon\u00e7a","family":"Guimar\u00e3es","sequence":"first","affiliation":[{"name":"Escola Nacional de Sa\u00fade P\u00fablica Sergio Arouca,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2628-0023","authenticated-orcid":false,"given":"Mariana Passos Ribeiro Pinto Bas\u00edlio de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Universidade Est\u00e1cio de S\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6939-742X","authenticated-orcid":false,"given":"Viviane Gomes Parreira","family":"Dutra","sequence":"additional","affiliation":[{"name":"Universidade Est\u00e1cio de S\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"key":"ref1","series-title":"Coronavirus disease (COVID-19) pandemic [Internet]","year":"2019"},{"key":"ref2","article-title":"Coronavirus pandemic (COVID-19)","author":"Ritchie H","year":"2020","journal-title":"Our World in Data [Internet]"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"2403","DOI":"10.1590\/1413-81232020256.1.11112020","article-title":"Worldwide differences in COVID-19-related mortality","volume":"25","author":"Hallal PC","year":"2020","journal-title":"Ci\u00ean Sa\u00fade Coletiva"},{"key":"ref4","doi-asserted-by":"crossref","DOI":"10.7554\/eLife.69336","article-title":"Tracking excess mortality across countries during the COVID-19 pandemic with the World Mortality Dataset","volume":"10","author":"Karlinsky A","year":"2021","journal-title":"Elife"},{"issue":"9","key":"ref5","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1111\/tmi.13628","article-title":"How many more? 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[Internet]"},{"key":"ref12","series-title":"Estimativas da popula\u00e7\u00e3o residente para os munic\u00edpios e para as unidades da federa\u00e7\u00e3o brasileiros com data de refer\u00eancia em 1o de julho de 2020","year":"2020"},{"key":"ref13","doi-asserted-by":"crossref","DOI":"10.1590\/1980-549720190005.supl.3","article-title":"Dados para a sa\u00fade: impacto na melhoria da qualidade da informa\u00e7\u00e3o sobre causas de \u00f3bito no Brasil","volume":"22","author":"Marinho MF","year":"2019","journal-title":"Rev Bras Epidemiol"},{"key":"ref14","doi-asserted-by":"crossref","DOI":"10.1590\/1980-549720200053","article-title":"\u00d3bitos por COVID-19 no Brasil: quantos e quais estamos identificando?","volume":"23","author":"Fran\u00e7a EB","year":"2020","journal-title":"Rev Bras Epidemiol"},{"issue":"2","key":"ref15","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1093\/oxfordjournals.aje.a113306","article-title":"A shortcut method for calculating the 95 percent 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Brasil"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1415-790X2022000100422&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T21:35:58Z","timestamp":1671140158000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1415-790X2022000100422&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":41,"alternative-id":["S1415-790X2022000100422"],"URL":"https:\/\/doi.org\/10.1590\/1980-549720220029","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1980-549720220029.2","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1980-549720220029.2","asserted-by":"object"}]},"ISSN":["1980-5497","1415-790X"],"issn-type":[{"value":"1980-5497","type":"electronic"},{"value":"1415-790X","type":"print"}],"subject":[],"published":{"date-parts":[[2022]]},"article-number":"e220029"}}