The effect of lockdown on the outcomes of COVID-19 in Spain: An ecological study.

Autor: Siqueira CADS; Graduate Program in Collective Health, Department of Collective Health, Federal University of Rio Grande do Norte, Natal, Brazil., Freitas YNL; Federal University of Amazonas, Manaus, Brazil., Cancela MC; Division of Surveillance and Situation Analysis, Brazilian National Cancer Institute, Rio de Janeiro, Brazil., Carvalho M; Department of Renewable Energy Engineering, Federal University of Paraíba, João Pessoa, Brazil., Oliveras-Fabregas A; Research Group on Methodology, Methods, Models, and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, Center for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Barcelona, Spain., de Souza DLB; Graduate Program in Collective Health, Department of Collective Health, Federal University of Rio Grande do Norte, Natal, Brazil.; Research Group on Methodology, Methods, Models, and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, Center for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Barcelona, Spain.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2020 Jul 29; Vol. 15 (7), pp. e0236779. Date of Electronic Publication: 2020 Jul 29 (Print Publication: 2020).
DOI: 10.1371/journal.pone.0236779
Abstrakt: It is paramount to expand the knowledge base and minimize the consequences of the pandemic caused by the new Coronavirus (SARS-Cov2). Spain is among the most affected countries that declared a countrywide lockdown. An ecological study is presented herein, assessing the trends for incidence, mortality, hospitalizations, Intensive Care Unit admissions, and recoveries per autonomous community in Spain. Trends were evaluated by the Joinpoint software. The timeframe employed was when the lockdown was declared on March 14, 2020. Daily percentage changes were also calculated, with CI = 95% and p<0.05. An increase was detected, followed by reduction, for the evaluated indicators in most of the communities. Approximately 18.33 days were required for the mortality rates to decrease. The highest mortality rate was verified in Madrid (118.89 per 100,000 inhabitants) and the lowest in Melilla (2.31). The highest daily percentage increase in mortality occurred in Catalonia. Decreasing trends were identified after approximately two weeks of the institution of the lockdown by the government. Immediately the lockdown was declared, an increase of up to 33.96% deaths per day was verified in Catalonia. In contrast, Ceuta and Melilla presented significantly lower rates because they were still at the early stages of the pandemic at the moment of lockdown. The findings presented herein emphasize the importance of early and assertive decision-making to contain the pandemic.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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