The second highest age-adjusted COVID-19 death rate (65.5) and highest number of COVID-19–associated deaths (56,695) occurred in Region 4 (Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee).įor surveillance purposes, and in this report, COVID-19-associated deaths are deaths with COVID-19 as an underlying or contributing cause of death. The COVID-19–associated age-adjusted death rate was lowest (49.5 per 100,000) in HHS Region 1 (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont) and highest (69.3) in Region 6 (Arkansas, Louisiana, New Mexico, Oklahoma, and Texas). Age-adjusted COVID-19 death rates were lowest in multiracial (26.7) and Asian persons (34.1) and highest in AI/AN persons (86.8). In 2022, similar to previous years, the age-adjusted COVID-19–associated death rate for males (76.3) was higher than that for females (49.8). COVID-19–associated death rates were lowest among children and adolescents aged 5–14 years (0.5) and highest among adults aged ≥85 years (1,224.2). In 2022, COVID-19 was listed as an underlying or contributing cause of 244,986 (61.3 per 100,000) deaths ( Table 1). In this report, place of death is categorized as decedent’s home, hospice facility, hospital inpatient setting, hospital outpatient or emergency department, nursing home or long-term care facility, or other (which includes being dead on arrival, other, and unknown). Place of death is noted on the death certificate and is determined by both the location where the death was pronounced and the physical location where the death occurred ( 6). The population data used to calculate deaths rates are Jestimates, based on the Blended Base produced by the U.S. Crude death rates were calculated by age. Age-adjusted death rates were calculated by sex, race and ethnicity, and residence. Race and ethnicity were unknown for 679 (0.28%) decedents and age was unknown for four (<0.01%). Among all deaths with COVID-19 listed on the death certificate, the leading causes of death were ranked by number of deaths per underlying cause of death ( 3). Contributing causes are conditions that are also part of the chain of events leading to death. The underlying cause of death is the disease or injury that initiated the chain of morbid events leading directly to death. NCHS coded the causes of death according to the International Classification of Diseases, Tenth Revision, which details disease classification and the designation of underlying cause of death ( 1, 2). This activity was reviewed by CDC and was conducted consistent with applicable federal law and CDC policy. NVSS data in this report exclude deaths among residents of U.S. Department of Health and Human Services (HHS) region of residence. NCHS tabulated the number and rates of COVID-19 deaths by age, sex, and race and ethnicity (categorized as AI/AN, non-Hispanic Asian, non-Hispanic Black, non-Hispanic Hawaiian or other Pacific Islander, non-Hispanic White, Hispanic or Latino, non-Hispanic persons of more than one race, and unknown), and U.S. COVID-19–associated death counts and rates include deaths for which COVID-19 was listed on the death certificate as an underlying or contributing cause of death. residents within the United States during January–December 2022. This report analyzed provisional NVSS death certificate data for deaths among U.S. § Provisional COVID-19 death estimates provide an early indication of shifts in mortality trends and can help guide public health policies and interventions aimed at reducing COVID-19–associated mortality. However, an increasing percentage occurred in the decedent’s home (15%), or a nursing home or long-term care facility (14%). As in 20, during 2022, the most common location of COVID-19 deaths was a hospital inpatient setting (59%). In the remaining 24% of COVID-19 deaths, COVID-19 was a contributing cause. In 76% of deaths with COVID-19 listed on the death certificate, COVID-19 was listed as the underlying cause of death. COVID-19 death rates were highest among persons aged ≥85 years, non-Hispanic American Indian or Alaska Native (AI/AN) populations, and males. During 2021–2022, the estimated age-adjusted COVID-19–associated death rate decreased 47%, from 115.6 to 61.3 per 100,000 persons. In 2022, COVID-19 was the underlying (primary) or contributing cause in the chain of events leading to 244,986 deaths † that occurred in the United States. Provisional data, which are based on the current flow of death certificate data to NCHS, provide an early estimate of deaths before the release of final data.* This report summarizes provisional U.S. The National Center for Health Statistics’ (NCHS) National Vital Statistics System (NVSS) collects and reports annual mortality statistics using U.S.
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