{"title":"与2014-2023年相比，2021年乌拉圭监狱非covid -19死亡率过高。","authors":"José Priore","doi":"10.18176/resp.00101","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To examine the excess deaths due to non-COVID-19 pathologies in Uruguayan prisons in 2021 vs. 2014-2023, and analyse the factors that contributed to them.</p><p><strong>Material and method: </strong>A non-experimental case study with quantitative and qualitative retrospective analysis was conducted. All available data on the causes and circumstances of prisoner deaths from the year 2021 vs. 2014-2023 were analysed. Contingency and risk tables were prepared. A care process analysis tool was used in the qualitative study.</p><p><strong>Results: </strong>In 2021, a significant increase of deaths caused by diseases not due to COVID-19 was documented (rate person-years 296.35 vs. X̄ = 165.53 [P <0.001]). The risk was also significant for the period (OR = 2.01 [CI 1,42-2,83]) and there was also an association with prison security (P <0.05). A total of 63.4% of the deaths were associated with difficulties in the healthcare process.</p><p><strong>Discussion: </strong>The excess non-COVID-19 mortality in Uruguay prisons in 2021 was mainly due to restrictions on movement in prison and priority in the care of respiratory patients, which generated difficulties in accessing prison health services, delays in diagnosis and treatment of other pathologies.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"27 1","pages":"17-25"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11995873/pdf/","citationCount":"0","resultStr":"{\"title\":\"Excess non-COVID-19 mortality in Uruguay prisons in 2021 vs. 2014-2023.\",\"authors\":\"José Priore\",\"doi\":\"10.18176/resp.00101\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To examine the excess deaths due to non-COVID-19 pathologies in Uruguayan prisons in 2021 vs. 2014-2023, and analyse the factors that contributed to them.</p><p><strong>Material and method: </strong>A non-experimental case study with quantitative and qualitative retrospective analysis was conducted. All available data on the causes and circumstances of prisoner deaths from the year 2021 vs. 2014-2023 were analysed. Contingency and risk tables were prepared. A care process analysis tool was used in the qualitative study.</p><p><strong>Results: </strong>In 2021, a significant increase of deaths caused by diseases not due to COVID-19 was documented (rate person-years 296.35 vs. X̄ = 165.53 [P <0.001]). The risk was also significant for the period (OR = 2.01 [CI 1,42-2,83]) and there was also an association with prison security (P <0.05). A total of 63.4% of the deaths were associated with difficulties in the healthcare process.</p><p><strong>Discussion: </strong>The excess non-COVID-19 mortality in Uruguay prisons in 2021 was mainly due to restrictions on movement in prison and priority in the care of respiratory patients, which generated difficulties in accessing prison health services, delays in diagnosis and treatment of other pathologies.</p>\",\"PeriodicalId\":30044,\"journal\":{\"name\":\"Revista Espanola de Sanidad Penitenciaria\",\"volume\":\"27 1\",\"pages\":\"17-25\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11995873/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Espanola de Sanidad Penitenciaria\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.18176/resp.00101\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Espanola de Sanidad Penitenciaria","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18176/resp.00101","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
目的：研究2021年与2014-2023年相比，乌拉圭监狱中因非covid -19疾病导致的额外死亡人数，并分析导致这些死亡的因素。材料与方法：采用非实验案例研究，采用定量和定性回顾性分析。对2021年与2014-2023年之间囚犯死亡原因和情况的所有现有数据进行了分析。编制了应急表和风险表。采用护理过程分析工具进行定性研究。结果：2021年，非COVID-19引起的疾病导致的死亡人数显著增加（比率296.35人/年vs. X ^ = 165.53人/年）[P]讨论：2021年乌拉圭监狱非COVID-19死亡率过高主要是由于监狱限制行动和优先照顾呼吸系统患者，这导致难以获得监狱卫生服务，延误了其他疾病的诊断和治疗。
Excess non-COVID-19 mortality in Uruguay prisons in 2021 vs. 2014-2023.
Objectives: To examine the excess deaths due to non-COVID-19 pathologies in Uruguayan prisons in 2021 vs. 2014-2023, and analyse the factors that contributed to them.
Material and method: A non-experimental case study with quantitative and qualitative retrospective analysis was conducted. All available data on the causes and circumstances of prisoner deaths from the year 2021 vs. 2014-2023 were analysed. Contingency and risk tables were prepared. A care process analysis tool was used in the qualitative study.
Results: In 2021, a significant increase of deaths caused by diseases not due to COVID-19 was documented (rate person-years 296.35 vs. X̄ = 165.53 [P <0.001]). The risk was also significant for the period (OR = 2.01 [CI 1,42-2,83]) and there was also an association with prison security (P <0.05). A total of 63.4% of the deaths were associated with difficulties in the healthcare process.
Discussion: The excess non-COVID-19 mortality in Uruguay prisons in 2021 was mainly due to restrictions on movement in prison and priority in the care of respiratory patients, which generated difficulties in accessing prison health services, delays in diagnosis and treatment of other pathologies.
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