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Novaes TER, Lara DM, da Silva SG. Severe Acute Respiratory Syndrome (SARS) in the Context of the COVID-19 Pandemic Among Indigenous Peoples of Brazil: Epidemiology and Risk Factors Associated with Death. J Racial Ethn Health Disparities 2024; 11:1908-1917. [PMID: 37314690 DOI: 10.1007/s40615-023-01660-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Revised: 05/19/2023] [Accepted: 05/24/2023] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Severe Acute Respiratory Syndrome (SARS) represents a serious public health problem for the indigenous peoples of Brazil, since acute respiratory infections are the main causes of morbidity and mortality in this population. OBJECTIVE To assess cases of SARS in Brazilian indigenous peoples in the context of the COVID-19 pandemic, as well as sociodemographic and health factors associated with deaths from SARS in this population. METHODS Ecological study carried out based on secondary data from the Brazilian Database for Epidemiological Surveillance of Influenza referring to the Brazilian indigenous population with SARS in 2020. The variables included sociodemographic factors and health conditions. Statistical analyses were carried out considering absolute (n) and relative (%) frequencies and logistic regression with odds ratios (OR), with death as the outcome of interest. RESULTS A total of 3062 cases were reported in the analyzed period. Of these, there was a predominance of men (54.6%), adults (41.4%), with comorbidities (52.3%), with low levels of schooling (67.4%) and residents of rural areas (55.8%). Cases and deaths were concentrated in the states of Amazonas and Mato Grosso do Sul, states in the North and Midwest of Brazil. A greater chance of death was observed in elderly indigenous people (OR = 6.29; 95%CI 4.71-8.39), with low levels of schooling (OR = 1.72; 95%CI 1.22-2.28), residents of rural areas (OR = 1.35; 95%CI 1.12-1.62), and with comorbidities (OR = 1.87; 95%CI 1.42-2.46), especially obesity (OR = 2.56; 95%CI 1.07-6.11). CONCLUSION The study was able to trace the clinical-epidemiological profile, as well as identify the groups of indigenous people most vulnerable to SARS as a result of COVID-19 and evolution to death in Brazil. The findings show the high impact on the morbidity and mortality of the Brazilian indigenous population exposed to SARS and are relevant for epidemiological health surveillance, since they can guide preventive public policy actions and quality of life measures for this ethnic group in Brazil.
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Affiliation(s)
| | - Darlan Martins Lara
- Medical School of the Federal University of Fronteira Sul, Campus Passo Fundo, Passo Fundo, Brazil
| | - Shana Ginar da Silva
- Post-Graduate Program in Biomedical Sciences, School of Medicine, Federal University of Fronteira Sul, Campus Passo Fundo, Passo Fundo, Brazil
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Martins F, Lima A, Diep L, Cezarino L, Liboni L, Tostes R, Parikh P. COVID-19, SDGs and public health systems: Linkages in Brazil. HEALTH POLICY OPEN 2023; 4:100090. [PMID: 36852296 PMCID: PMC9946878 DOI: 10.1016/j.hpopen.2023.100090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 01/27/2023] [Accepted: 02/15/2023] [Indexed: 02/25/2023] Open
Abstract
Background The global 2030 Agenda covers a range of interconnected issues which need interdisciplinary and holistic approaches to improve human well-being and protect the natural environment. The COVID-19 pandemic has brought to light critical inequities in society and policy gaps in health services. As highlighted through analyses of the interlinkages among the Sustainable Development Goals (SDGs), connections between human health and well-being and the environment, can help support new policy needs in addressing systemic health crises, including widespread pandemics. Method We identify links between the COVID-19 crisis and multiple SDGs in the context of Brazil based on a review of the current literature in the health sector.Findings: We identify synergistic connections between 88 out of 169 SDG targets and COVID-19, notably around themes such as City Environment, Contextual Policies and the value created by improved Information and Technology. Using the context of the Brazilian National Health Service (SUS) highlights recurrent interconnections from the focal point of target 3.8. This includes topics such as challenges for universal healthcare coverage, budget allocation, and universalisation. Conclusions The framework developed for supporting policy-making decisions and the design of toolkits for dealing with future health-related emergency scenarios offers a practical solution in the health sector. It is worth noting that progress and action on public health systems and policies must go hand in hand with addressing existing socio-economic vulnerabilities in society. This is vital for tackling future pandemics and simultaneously addressing the SDGs.
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Affiliation(s)
- Flavio Martins
- Engineering for International Development Centre, The Bartlett School of Sustainable Construction, University College London, London, United Kingdom
- Center for Research in Inflammatory Diseases (CRID), Ribeirão Preto Medical School, University of Sao Paulo - USP, Sao Paulo, Brazil
| | - Anna Lima
- Center for Research in Inflammatory Diseases (CRID), Ribeirão Preto Medical School, University of Sao Paulo - USP, Sao Paulo, Brazil
| | - Loan Diep
- Urban Systems Lab, The New School, New York City, New York, USA
| | - Luciana Cezarino
- Department of Management, Ca' Foscari University of Venice, Venice, VE, Italy
| | - Lara Liboni
- School of Economics Business Administration and Accounting at Ribeirao Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Rita Tostes
- Center for Research in Inflammatory Diseases (CRID), Ribeirão Preto Medical School, University of Sao Paulo - USP, Sao Paulo, Brazil
| | - Priti Parikh
- Engineering for International Development Centre, The Bartlett School of Sustainable Construction, University College London, London, United Kingdom
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Figueiredo ERL, Affonso MVDG, Jacomel RJ, Gomes FDC, Gonçalves NV, Miranda CDSC, da Silva MCF, da Silva-Júnior AF, de Melo-Neto JS. COVID-19 in the Eastern Brazilian Amazon: Incidence, Clinical Management, and Mortality by Social Determinants of Health, Symptomatology, and Comorbidities in the Xingu Health Region. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4639. [PMID: 36901646 PMCID: PMC10002208 DOI: 10.3390/ijerph20054639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Revised: 12/06/2022] [Accepted: 12/10/2022] [Indexed: 06/18/2023]
Abstract
This study aims to investigate the relationship between social determinants of health (SDH), incidence, and mortality to verify which sociodemographic factors, symptoms, and comorbidities predict clinical management; second, this study aims to conduct a survival analysis of individuals with COVID-19 in the Xingu Health Region. Consequently, this study adopted an ecological framework, employing secondary data of COVID-19-positive individuals from the Xingu Health Region, Pará State, Brazil. The data were obtained through the database of the State of Pará Public Health Secretary (SESPA) for the period from March 2020 to March 2021. The incidence and mortality were higher in Vitória do Xingu and Altamira. Municipalities with a higher percentage of citizens with health insurance and higher public health expenditure showed a higher incidence and mortality. A higher gross domestic product was associated with a higher incidence. Females were found to be associated with better clinical management. To live in Altamira was a risk factor for intensive care unit admission. The symptoms and comorbidities that predicted worse clinical management were dyspnea, fever, emesis, chills, diabetes, cardiac and renal diseases, obesity, and neurological diseases. There were higher incidence, mortality, and lower survival rates among the elderly. Thus, it can be concluded that SDH indicators, symptomatology, and comorbidities have implications for the incidence, mortality, and clinical management of COVID-19 in the Xingu Health Region of eastern Amazonia, Brazil.
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Affiliation(s)
| | | | | | - Fabiana de Campos Gomes
- Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, Brazil
| | - Nelson Veiga Gonçalves
- Laboratory of Epidemiology and Geoprocessing of Amazon, University of the state of Pará (UEPA), Belem 66050-540, Brazil
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Patchett-Marble R, Orrantia E, DeMiglio L, Fageria S. Optimization of physician resources in primary care during a pandemic: A ‘hot’ and ‘cold’ team approach. ETHICS, MEDICINE, AND PUBLIC HEALTH 2023; 26:100834. [PMCID: PMC9686360 DOI: 10.1016/j.jemep.2022.100834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 08/03/2022] [Indexed: 11/27/2022]
Abstract
Background Healthcare in rural localities has faced unique pressures in the midst of the COVID-19 (coronavirus disease 2019) pandemic. Methodology The Marathon Family Health Team physicians created a novel pandemic model that divides active physicians into ‘hot’ and ‘cold’ teams with a “sideline” reserve based on physician infectious status and ongoing exposure risk, in order to address the potential instability of small medical groups in isolated situations. Results Implemented in stages, the model maximizes group agility and healthcare provisions, while minimizing the risk of physicians as vectors for transmission or a possible healthcare system collapse from simultaneous physician incapacitation. Conclusion The hot/cold pandemic model can be applied to various healthcare facilities, including but not limited to hospitals and assessment centres, and the model's scale can be further adjusted for larger settings. By making use of incapacitated physicians who have been “sidelined” due to illness or burnout but still able to work from home, this model is integrative, efficient and innovative.
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Affiliation(s)
- R. Patchett-Marble
- Northern Ontario School of Medicine University, Thunder Bay, Ontario, Canada,Marathon Family Health Team, Marathon, Ontario, Canada
| | - E. Orrantia
- Northern Ontario School of Medicine University, Thunder Bay, Ontario, Canada,Marathon Family Health Team, Marathon, Ontario, Canada
| | - L. DeMiglio
- Northern Ontario School of Medicine University, Thunder Bay, Ontario, Canada,Marathon Family Health Team, Marathon, Ontario, Canada,Corresponding author. Northern Ontario School of Medicine University, Thunder Bay, Ontario, Canada
| | - S. Fageria
- Marathon Family Health Team, Marathon, Ontario, Canada,Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada
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Moura JL, de Menezes HF, dos Santos FR, Santos RSDC, Lopes DCL, Dantas JDC, Xavier BLDQ, da Silva RAR. Repercussions of COVID-19 on the daily lives of women living in a rural settlement. Rev Bras Enferm 2022; 75:e20220021. [PMID: 35946622 PMCID: PMC9728815 DOI: 10.1590/0034-7167-2022-0021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Accepted: 04/03/2022] [Indexed: 12/23/2022] Open
Abstract
OBJECTIVE To understand the repercussions of COVID-19 on women's daily lives in a rural settlement. METHODS A qualitative study was conducted in a rural settlement of the Landless Workers' Movement (MST) in a municipality in Northeastern Brazil between January and March 2021. Forty-eight women participated through semi-structured interviews. The data collected were analyzed by the Collective Subject Discourse method in light of the referential of pandemic processes. RESULTS The grouping of the speeches unveiled similar and/or complementary meanings about the coping strategies and the feelings generated due to the pandemic. Four Central Ideas were organized: denial to progressive awareness; Perception of the problem, acceptance, and explanation of reality; Negotiation; and Retrospection/reflection. CONCLUSION The pandemic repercussions are intrinsically related to an inhospitable reality from the perspective of the experience of women daily forgotten, marginalized, and suppressed.
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Affiliation(s)
- Jéssica Lima Moura
- Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil
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Souza TSD, Aleluia ÍRS, Pinto EB, Pinto Junior EP, Pedreira RBS, Fraga-Maia H, Pinto JM. Organization and offer of physical therapy care in response to the COVID-19 pandemic in Brazil. CIENCIA & SAUDE COLETIVA 2022; 27:2133-2142. [PMID: 35649003 DOI: 10.1590/1413-81232022276.00752022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Accepted: 03/07/2022] [Indexed: 11/22/2022] Open
Abstract
The recovery of people affected by COVID-19 is a process that continues beyond the acute condition of infection by Sars-CoV-2. The impairment of several body systems can cause functional impacts and demand continuous physical therapy assistance both in outpatient care and in Primary Health Care (PHC). In this essay, we seek to discuss the challenges of organizing and offering Physical Therapy assistance in response to the COVID-19 pandemic in Brazil. The analysis was summarized in three dimensions: offering physical therapy assistance in PHC, outpatient care, via telehealth. It is concluded that functional rehabilitation depends on the PHC's response capacity; there is a shortage of rehabilitation services that precedes the pandemic, and may not respond satisfactorily to the demands of the current epidemiological context; it is necessary to articulate the outpatient physiotherapy and PHC teams; although telehealth is a resource and an opportunity to increase the population's access to functional rehabilitation, its use requires caution; the physiotherapist plays a crucial role in the entire COVID-19 care continuum.
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Affiliation(s)
- Thiago Santos de Souza
- Escola Bahiana de Medicina e Saúde Pública. Av. Dom João VI 275, Brotas. 40290-000 Salvador BA Brasil. .,Rede CoVida. Salvador BA Brasil
| | - Ítalo Ricardo Santos Aleluia
- Rede CoVida. Salvador BA Brasil.,Centro de Ciências da Saúde, Universidade Federal do Recôncavo da Bahia. Santo Antônio de Jesus BA Brasil
| | - Elen Beatriz Pinto
- Rede CoVida. Salvador BA Brasil.,Departamento de Ciências da Vida, Universidade do Estado da Bahia. Salvador BA Brasil.,Programa de Pós-Graduação, Escola Bahiana de Medicina e Saúde Pública. Salvador BA Brasil
| | - Elzo Pereira Pinto Junior
- Rede CoVida. Salvador BA Brasil.,Centro de Integração de Dados e Conhecimentos para a Saúde, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz-Bahia. Salvador BA Brasil
| | | | - Helena Fraga-Maia
- Rede CoVida. Salvador BA Brasil.,Departamento de Ciências da Vida, Universidade do Estado da Bahia. Salvador BA Brasil
| | - Juliana Martins Pinto
- Rede CoVida. Salvador BA Brasil.,Departamento de Fisioterapia, Universidade Federal do Triângulo Mineiro. Uberaba MG Brasil
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Agricultural Heritage: Contrasting National and International Programs in Brazil and Italy. SUSTAINABILITY 2022. [DOI: 10.3390/su14116401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
Agricultural systems comprise an interdisciplinary field that studies the complex dimensions of agriculture. They should not be characterized only by their agricultural value, as they are part of several social, cultural, geological, and historical domains. We carried out quantitative and qualitative research to present and compare the current state of agricultural heritage programs and their development in Brazil and Italy, contrasting with the Globally Important Agricultural Heritage Systems (GIAHS) by the Food and Agriculture Organization (FAO). To this end, the history and the extension of these programs and sites were recovered. Moreover, the agricultural landscape diversity, the development of the regions, research and outreach, along with the communities, entities and government bodies involved were identified. Through a combination and quality of technical assessment and communities’ description, the analyzed agricultural heritage programs prove to be an endless source of useful information to the definition of policies aimed at rural areas, in addition to serving as a monitoring tool for many issues regarding biocultural diversity in landscape. Moreover, it shows where there is room for improvement while the countries are committed to engaging in national policies and entities on the promotion of agricultural heritage programs as major steps for investing in the “greening” of agricultural policies at different levels.
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Fernandez-Guzman D, Soriano-Moreno DR, Ccami-Bernal F, Velasquez-Fernandez R, Morocho-Alburqueque N, De-Los-Rios-Pinto A, Coba-Villan N, Diaz-Corrales A, Pinedo-Soria A, Grados-Espinoza P, Nieto-Gutierrez W. Factors associated with prevention practices against COVID-19 in the Peruvian population: Disparities between rural and urban areas. PLoS One 2022; 17:e0267625. [PMID: 35536862 PMCID: PMC9089852 DOI: 10.1371/journal.pone.0267625] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 04/12/2022] [Indexed: 11/19/2022] Open
Abstract
Objective
To determine the factors associated with prevention practices against COVID-19 in the Peruvian population according to rural vs. urban locations.
Methods
Analytical cross-sectional study, secondary analysis based on a previously collected database. A sample of individuals over 18 years of age, residing in Peru and with no history of COVID-19was evaluated. Factors associated with prevention practices were evaluated using Poisson regressions with variance adjustment by region cluster and stratified by rurality.
Results
Of 3231 participants included, 2741 (84.8%) were from urban areas and 490 (15.2%) from rural areas. The frequency of good prevention practices against COVID-19 was 27.8% in our total sample. In urban areas the frequency of good prevention practices was 28.8% and in rural areas it was 22.5%. Factors associated with prevention practices against COVID-19 in both urban and rural areas were male sex (urban: aPR 0.64, 95%CI 0.55–0.75; rural: aPR 0.66, 95%CI 0.54–0.80) and self-considering adequately carrying out prevention practices (urban: aPR 2.48, 95%CI 2.13–2.89; rural: aPR 2.70, 95%CI 2.27–3.19).
Conclusion
The frequency of good prevention practices against COVID-19 was less than 30% in both urban and rural areas. There are differences in the factors associated with good preventive practice against COVID-19. Only sex and considering that preventive measures were adequately carried out were associated with good prevention practices in both areas. In view of this, prevention measures should be promoted taking into account cultural principles and considering geographical location in the face of present and future outbreaks or pandemics.
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Affiliation(s)
- Daniel Fernandez-Guzman
- Grupo Peruano de Investigación Epidemiológica, Unidad para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Perú
- Escuela Profesional de Medicina Humana, Universidad Nacional de San Antonio Abad del Cusco, Cusco, Perú
| | - David R. Soriano-Moreno
- Unidad de Investigación Clínica y Epidemiológica, Escuela de Medicina, Universidad Peruana Unión, Lima, Peru
| | | | | | - Noelia Morocho-Alburqueque
- Escuela profesional de Medicina Humana, Facultad de Ciencias de la Salud, Universidad Nacional de Piura, Piura, Castilla, Peru
| | - Abraham De-Los-Rios-Pinto
- Escuela Profesional de Medicina Humana, Universidad Nacional de San Antonio Abad del Cusco, Cusco, Perú
| | - Naomi Coba-Villan
- Facultad de Medicina Humana, Universidad Nacional de Cajamarca, Cajamarca, Peru
| | | | - Antony Pinedo-Soria
- Facultad de Medicina Humana, Universidad Nacional de San Martín, Tarapoto, Peru
| | - Pamela Grados-Espinoza
- Facultad de Medicina Humana, Universidad Nacional Daniel Alcides Carrión, Cerro de Pasco, Peru
| | - Wendy Nieto-Gutierrez
- Unidad de Investigación para la Generación de Síntesis de Evidencia en Salud, Universidad San Ignacio de Loyola, Lima, Peru
- * E-mail:
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Gomes DR, Souza RC, Oliveira UR, Mattos MP, Aleluia ÍRS, Mapeli AM. Inland expansion of COVID-19 in Western Bahia: epidemiological profile and spatial analysis of deaths and confirmed cases. CIENCIA & SAUDE COLETIVA 2021; 26:4665-4680. [PMID: 34730653 DOI: 10.1590/1413-812320212610.11262021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Accepted: 05/24/2021] [Indexed: 01/13/2023] Open
Abstract
This article aims to describe the epidemiological profile and the spatial distribution of deaths and confirmed cases of COVID-19 in the health macroregion of Western Bahia. An ecological study on the inland expansion of SARS-CoV-2 was performed from March 21, 2020 to March 31, 2021 considering incidence and mortality rate, case fatality rate, case density and moving average of cases and deaths. 37,036 cases and 536 confirmed deaths were registered. Of all cases, 94.5% recovered and 4.0% remained active. The incidence rate was 3884.1/100,000 inhabitants, the mortality rate 56.2/100,000 inhabitants and the fatality rate was 1.4% A predominance of very high and high intensity of the occurrence of COVID-19 in the macroregion was identified and moving average revealed an increasing trend. Findings show a high risk of infection and death in the macroregion, in addition to a growing trend in accumulated cases, confirming the inland expansion of the disease.
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Affiliation(s)
- Daiene Rosa Gomes
- Núcleo de Pesquisa em Saúde Coletiva, Centro das Ciências Biológicas e da Saúde, Universidade Federal do Oeste da Bahia (UFOB). R. Professor José Seabra de Lemos 316, Recanto dos Pássaros. 47808-021 Barreiras BA Brasil.
| | - Raiane Costa Souza
- Coordenadoria de Benefícios e Qualidade de Vida, UFOB. Barreiras BA Brasil
| | | | - Mússio Pirajá Mattos
- Núcleo de Pesquisa em Saúde Coletiva, Centro das Ciências Biológicas e da Saúde, Universidade Federal do Oeste da Bahia (UFOB). R. Professor José Seabra de Lemos 316, Recanto dos Pássaros. 47808-021 Barreiras BA Brasil.
| | - Ítalo Ricardo Santos Aleluia
- Núcleo de Pesquisa em Saúde Coletiva, Centro das Ciências Biológicas e da Saúde, Universidade Federal do Oeste da Bahia (UFOB). R. Professor José Seabra de Lemos 316, Recanto dos Pássaros. 47808-021 Barreiras BA Brasil.
| | - Ana Maria Mapeli
- Centro das Ciências Biológicas e da Saúde. UFOB. Barreiras BA Brasil
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de Paiva KM, Hillesheim D, Rech CR, Delevatti RS, Brown RVS, Gonzáles AI, Haas P. Prevalence and Associated Factors of SARS by Covid-19 in Adults and Aged People with Chronic Cardiovascular Disease. Arq Bras Cardiol 2021; 117:968-975. [PMID: 34161421 PMCID: PMC8682099 DOI: 10.36660/abc.20200955] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 10/22/2020] [Accepted: 11/11/2020] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND The presence of Cardiovascular Disease (CVD) in individuals infected with COVID-19 may imply a worse prognosis. OBJECTIVE To describe the prevalence of Severe Acute Respiratory Syndrome (SARS) by COVID-19 and to analyze the factors associated with this condition in adults and the elderly with cardiovascular disease in Brazil until the 30th Epidemiological Week of 2020. METHODS Cross-sectional study conducted with data from the Influenza Epidemiological Surveillance Information System (Sistema de Informação de Vigilância Epidemiológica da Gripe - SIVEP-Gripe), referring to the SARS notification forms of hospitalized individuals in Brazil, between the 1st and 30th Epidemiological Week of 2020. Adults and the aged (≥ 18 years old) with CVD. The dependent variable was SRAG confirmation by COVID-19 and factors related to sociodemographic characteristics, signs and symptoms, and clinical factors were analyzed. Poisson regression with robust variance was applied. The level of significance adopted was 5%. RESULTS Notifications from 116,343 individuals were analyzed. Of these, 61.9% were diagnosed with SARS by COVID-19. The prevalence of the outcome was 4% lower in women (95%CI: 0.94-0.99) and 18% lower in rural areas (95%CI: 0.77-0.87). There was a higher prevalence in the 50 to 59 age group (95%CI: 1.09-1.48) and in the northeast region (95%CI: 1.72-1.91). Fever, cough, admission to the ICU, use of ventilatory support, and nosocomial cases were also significantly associated with a higher probability of SRAS by COVID-19 in these individuals. CONCLUSION There is a high prevalence of SARS by COVID-19 in adults and aged people with CVD in Brazil. Factors associated with sociodemographic and clinical characteristics, signs, and symptoms were associated.
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Affiliation(s)
- Karina Mary de Paiva
- Universidade Federal de Santa CatarinaFlorianópolisSCBrasilUniversidade Federal de Santa Catarina (UFSC), Florianópolis, SC – Brasil
| | - Danúbia Hillesheim
- Universidade Federal de Santa CatarinaFlorianópolisSCBrasilUniversidade Federal de Santa Catarina (UFSC), Florianópolis, SC – Brasil
| | - Cassiano Ricardo Rech
- Universidade Federal de Santa CatarinaFlorianópolisSCBrasilUniversidade Federal de Santa Catarina (UFSC), Florianópolis, SC – Brasil
| | - Rodrigo Sudatti Delevatti
- Universidade Federal de Santa CatarinaFlorianópolisSCBrasilUniversidade Federal de Santa Catarina (UFSC), Florianópolis, SC – Brasil
| | - Rodrigo Vasconi Sáez Brown
- Universidade Federal de Santa CatarinaFlorianópolisSCBrasilUniversidade Federal de Santa Catarina (UFSC), Florianópolis, SC – Brasil
| | - Ana Inês Gonzáles
- Universidade Federal de Santa CatarinaFlorianópolisSCBrasilUniversidade Federal de Santa Catarina (UFSC), Florianópolis, SC – Brasil
- Centro Universitário Estácio de Santa CatarinaSão JoséSCBrasilCentro Universitário Estácio de Santa Catarina, São José, SC – Brasil
| | - Patricia Haas
- Universidade Federal de Santa CatarinaFlorianópolisSCBrasilUniversidade Federal de Santa Catarina (UFSC), Florianópolis, SC – Brasil
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