In-Hospital Mortality from Cardiovascular Diseases in Brazil during the First Year of The COVID-19 Pandemic.

Autor:	Armstrong ADC; Universidade Federal do Vale do São Francisco, Petrolina, PE - Brasil., Santos LG; Universidade Federal de Alagoas - Campus Arapiraca - Medicina, Arapiraca, AL - Brasil., Leal TC; Universidade Federal de Alagoas - Campus Arapiraca - Medicina, Arapiraca, AL - Brasil., Paiva JPS; Universidade Federal de Alagoas - Campus Arapiraca - Medicina, Arapiraca, AL - Brasil., Silva LFD; Universidade Federal de Alagoas - Campus Arapiraca - Medicina, Arapiraca, AL - Brasil., Santana GBA; Universidade Federal de Alagoas - Campus Arapiraca - Medicina, Arapiraca, AL - Brasil., Rocha CAO; Universidade Federal de Alagoas - Campus Arapiraca - Medicina, Arapiraca, AL - Brasil., Feitosa TA; Universidade Federal do Vale do São Francisco, Petrolina, PE - Brasil., Araújo SLM; Universidade Federal do Vale do São Francisco, Petrolina, PE - Brasil., Bezerra-Santos M; Universidade Federal de Sergipe, São Cristóvão, SE - Brasil., Souza CDF; Universidade Federal de Alagoas - Campus Arapiraca - Medicina, Arapiraca, AL - Brasil., Carmo RFD; Universidade Federal do Vale do São Francisco, Petrolina, PE - Brasil.
Jazyk:	English; Portuguese
Zdroj:	Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2022 Jul; Vol. 119 (1), pp. 37-45.
DOI:	10.36660/abc.20210468
Abstrakt:	Background: The COVID-19 pandemic has had an impact on mortality from several diseases worldwide, especially cardiovascular diseases (CVD). Brazil is a continent-sized country with significant differences in the health care structure between its federative units. Objective: Analyze in-hospital mortality from CVDs in the Brazilian public health system during the first year of the COVID-19 pandemic (2020). Methods: This is an ecological study analyzing the absolute number of in-hospital deaths and the rate of in-hospital mortality in Brazil, its macro-regions, and federative units. Data were obtained from the Hospital Information System of the Brazilian Ministry of Health. To analyze excess mortality, the P-score was used. It compares the events observed with those expected for a given place and period. The P-score was corrected by the joinpoint regression model, with a 95% confidence interval and 5% significance level. Results: There were 93,104 in-hospital deaths due to CVD in Brazil in 2020, representing 1,495 fewer deaths (P score: -1.58) than expected. The central-west region had a positive P-score, with a 15.1% increase in the number of deaths. Ten federative units showed a greater number of deaths in 2020. There was also a 13.3% excess in-hospital mortality at the country level, and an excess in-hospital mortality in all macro-regions. Conclusions: There was a decrease in the absolute number of in-hospital deaths, as well as an increase in in-hospital mortality from CVD in Brazil, in 2020, after the COVID-19 pandemic onset.
Databáze:	MEDLINE
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