Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.

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dc.contributor.authorBrant, Luisa Campos Caldeira
dc.contributor.authorPinheiro, Pedro Cisalpino
dc.contributor.authorRibeiro, Antônio Luiz Pinho
dc.contributor.authorMachado, Ísis Eloah
dc.contributor.authorCorrea, Paulo Roberto Lopes
dc.contributor.authorSantos, Mayara Rocha dos
dc.contributor.authorSouza, Maria de Fátima Marinho de
dc.contributor.authorMalta, Deborah Carvalho
dc.contributor.authorPassos, Valéria Maria de Azeredo
dc.date.accessioned2023-06-26T20:04:50Z
dc.date.available2023-06-26T20:04:50Z
dc.date.issued2022pt_BR
dc.description.abstractIntroduction: The impact of COVID-19 pandemics on cardiovascular diseases (CVD) may be caused by health system reorganization and/or collapse, or from changes in the behaviour of individuals. In Brazil, municipalities were empowered to define regulatory measures, potentially resulting in diverse effects on CVD morbimortality. Objective: To analyse the impact of COVID-19 pandemics on CVD outcomes in Belo Horizonte (BH), the sixth greater capital city in Brazil, including: mortality, mortality at home, hospitalizations, intensive care unit utilization, and in-hospital mortality; and the differential effect according to sex, age range, social vulnerability, and pandemic’s phase. Methods: Ecological study analysing data from the Mortality and Hospital Information System of BH residents aged ≥30 years. CVD was defined as in Chapter IX from ICD- 10. Social vulnerability was classified by a composite socioeconomic index as high, medium and low. The observed age-standardized rates for epidemiological weeks 10–48, 2020, were compared to the expected rates (mean of 2015–2019). Risk ratios (RiR) were analysed and 95% confidence intervals were calculated for all estimates. Population projected to 2020 for BH and its census tracts were used to calculate rates. Results: We found no changes in CVD mortality rates (RiR 1.01, 95%CI 0.96–1.06). However, CVD deaths occurred more at homes (RiR 1.32, 95%CI 1.20–1.46) than in hospitals (RiR 0.89, 95%CI 0.79–0.99), as a result of a substantial decline in hospitalization rates, even though proportional in-hospital deaths increased. The rise in home deaths was greater in older adults and in had an increasing gradient in those more socially vulnerable (RiR 1.45); for high (RiR 1.45), medium (RiR 1.32) and low vulnerability (RiR 1.21). Conclusion: The greater occurrence of CVD deaths at home, in parallel with lower hospitalization rates, suggests that CVD care was disrupted during the COVID-19 pandemics, which more adversely affected older and more socially vulnerable individuals, exacerbating health inequities in BH.pt_BR
dc.identifier.citationBRANT, L. C. C. et al. Cardiovascular mortality during the COVID-19 pandemics in a large brazilian city: a comprehensive analysis. Global Heart, v. 17, n. 1, artigo e11, 2022. Disponível em: <https://globalheartjournal.com/article/10.5334/gh.1101/>. Acesso em: 11 out. 2022.pt_BR
dc.identifier.doihttps://doi.org/10.5334/gh.1101pt_BR
dc.identifier.issn2211-8179
dc.identifier.urihttp://www.repositorio.ufop.br/jspui/handle/123456789/16799
dc.language.isoen_USpt_BR
dc.rightsabertopt_BR
dc.rights.licenseThis is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/ licenses/by/4.0/. Fonte: PDF do artigo.pt_BR
dc.subjectCardiovascular diseasespt_BR
dc.subjectHospitalizationpt_BR
dc.subjectSocial vulnerabilitypt_BR
dc.titleCardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.pt_BR
dc.typeArtigo publicado em periodicopt_BR
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