Please use this identifier to cite or link to this item: https://repository.monashhealth.org/monashhealthjspui/handle/1/28876
Title: COVID-19 pandemic and burden of non-communicable diseases: An ecological study on data of 185 countries.
Authors: Morovatdar N.;Stranges S.;Silver B.;Biller J.;Tokazebani Belasi M.;Kazemi Neya S.;Khorram B.;Frydman A.;Nilanont Y.;Onorati E.;Di Napoli M.;Divani A.A.;Phan T.G.;Azarpazhooh M.R.;Yassi N.;Avan A.
Monash Health Department(s): Neurology
Institution: (Azarpazhooh, Frydman) Stroke Prevention and Atherosclerosis Research Centre, Robarts Research Institute, Western University, London, ON, Canada (Azarpazhooh) Department of Clinical Neurological Sciences, Western University, London, ON, Canada (Azarpazhooh, Stranges) Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada (Morovatdar) Clinical Research Development Unit, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran, Islamic Republic of (Avan) Department of Public Health, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran, Islamic Republic of (Phan) Department of Neurology Monash Health, Clinical Trials, Imaging and Informatics division of Stroke and Ageing Research Group, Department of Medicine, School of Clinical Sciences, Monash University, Melbourne, Australia (Divani) Department of Neurology, School of Medicine, University of New Mexico, Albuquerque, NM, United States (Yassi) Departments of Medicine and Neurology, Melbourne Brain Centre at The Royal Melbourne Hospital, University of Melbourne, Parkville, Australia (Yassi) Population Health and Immunity Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia (Stranges) Department of Family Medicine, Schulich School of Medicine and Dentistry Western University, London, ON, Canada (Silver) Department of Neurology, University of Massachusetts Medical School, Worcester, MA, United States (Biller) Department of Neurology, Loyola University Chicago Stritch School of Medicine, Maywood, IL, United States (Tokazebani Belasi, Kazemi Neya) Research centre for Prevention of cardiovascular disease, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences, Tehran, Iran, Islamic Republic of (Khorram) Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada (Nilanont) Siriraj Stroke Center, Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand (Onorati, Di Napoli) Department of Neurology and Stroke Unit, San Camillo de' Lellis General District Hospital, Rieti, Italy (Di Napoli) Neurological Section, Neuro-epidemiology Unit, SMDN-Centre for Cardiovascular Medicine and Cerebrovascular Disease Prevention, Sulmona, L'Aquila, Italy
Issue Date: 10-Jul-2020
Copyright year: 2020
Publisher: W.B. Saunders
Place of publication: United States
Publication information: Journal of Stroke and Cerebrovascular Diseases. 29 (9) (no pagination), 2020. Article Number: 105089. Date of Publication: September 2020.
Journal: Journal of Stroke and Cerebrovascular Diseases
Abstract: Background: The interaction between coronavirus disease 2019 (COVID-19) and non-communicable diseases may increase the global burden of disease. We assessed the association of COVID-19 with ageing and non-communicable diseases. Method(s): We extracted data regarding non-communicable disease, particularly cardiovascular disease, deaths, disability-adjusted life years (DALYs), and healthy life expectancy (HALE) from the Global Burden of Disease Study (GBD) 2017. We obtained data of confirmed COVID-19 cases, deaths, and tests from the Our World in Data database as of May 28, 2020. Potential confounders of pandemic outcomes analyzed include institutional lockdown delay, hemispheric geographical location, and number of tourists. We compared all countries according to GBD classification and World Bank income level. We assessed the correlation between independent variables associated with COVID-19 caseload and mortality using Spearman's rank correlation and adjusted mixed model analysis. Finding(s): High-income had the highest, and the Southeast Asia, East Asia, and Oceania region had the least cases per million population (3050.60 vs. 63.86). Sub-saharan region has reported the lowest number of COVID-19 mortality (1.9). Median delay to lockdown initiation varied from one day following the first case in Latin America and Caribbean region, to 34 days in Southeast Asia, East Asia, and Oceania. Globally, non-communicable disease DALYs were correlated with COVID-19 cases (r = 0.32, p<0.001) and deaths (r = 0.37, p<0.001). HALE correlated with COVID-19 cases (r = 0.63, p<0.001) and deaths (r = 0.61, p<0.001). HALE was independently associated with COVID-19 case rate and the number of tourists was associated with COVID-19 mortality in the adjusted model. Interpretation(s): Preventive measures against COVID-19 should protect the public from the dual burden of communicable and non-communicable diseases, particularly in the elderly. In addition to active COVID-19 surveillance, policymakers should utilize this evidence as a guide for prevention and coordination of health services. This model is timely, as many countries have begun to reduce social isolation.Copyright © 2020 Elsevier Inc.
DOI: http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2020.105089
PubMed URL: 32807484 [http://www.ncbi.nlm.nih.gov/pubmed/?term=32807484]
ISSN: 1052-3057
URI: https://repository.monashhealth.org/monashhealthjspui/handle/1/28876
Type: Article
Subjects: Pacific islands
pandemic
public health
South and Central America
Southeast Asia
therapy delay
tourism
World Bank
brain ischemia
aging
cardiovascular disease
Caribbean
cause of
cerebrovascular accident
coronavirus disease 2019
disability-adjusted life year
disease surveillance
global disease burden
health promotion
health service
high income country
highest income group
hypertension
ischemic heart disease
life expectancy
low income country
middle income group
non communicable disease
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