دورية أكاديمية
أعرض في EDS

Excess of cardiovascular deaths during the COVID-19 pandemic in Brazilian capital cities.

التفاصيل البيبلوغرافية
العنوان: Excess of cardiovascular deaths during the COVID-19 pandemic in Brazilian capital cities.
المؤلفون: Brant LCC; Serviço de Cardiologia e Cirurgia Cardiovascular, Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.; Departamento de Clínica Médica, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Nascimento BR; Serviço de Cardiologia e Cirurgia Cardiovascular, Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.; Departamento de Clínica Médica, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Teixeira RA; Pós-graduação em Saúde Pública, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Lopes MACQ; Sociedade Brasileira de Cardiologia, Rio de Janeiro, Rio de Janeiro, Brazil.; Cardiologia Intervencionista, Hospital Alberto Urquiza Wanderley, João Pessoa, Paraíba, Brazil., Malta DC; Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Oliveira GMM; Faculdade de Medicina e Instituto do Coração Edson Saad, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil., Ribeiro ALP; Serviço de Cardiologia e Cirurgia Cardiovascular, Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Brazil tom1963br@yahoo.com.br.; Departamento de Clínica Médica, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
المصدر: Heart (British Cardiac Society) [Heart] 2020 Dec; Vol. 106 (24), pp. 1898-1905. Date of Electronic Publication: 2020 Oct 15.
نوع المنشور: Journal Article; Observational Study; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 9602087 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1468-201X (Electronic) Linking ISSN: 13556037 NLM ISO Abbreviation: Heart Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BMJ Pub. Group, c1996-
مواضيع طبية MeSH: COVID-19/*mortality , Cardiovascular Diseases/*mortality , Urban Health/*trends, Brazil/epidemiology ; COVID-19/diagnosis ; Cardiovascular Diseases/diagnosis ; Cause of Death ; Databases, Factual ; Hospital Mortality ; Humans ; Registries ; Retrospective Studies ; Time Factors
مستخلص: Introduction: During the COVID-19 pandemic, excess mortality has been reported, while hospitalisations for acute cardiovascular events reduced. Brazil is the second country with more deaths due to COVID-19. We aimed to evaluate excess cardiovascular mortality during COVID-19 pandemic in 6 Brazilian capital cities.
Methods: Using the Civil Registry public database, we evaluated total and cardiovascular excess deaths, further stratified in specified cardiovascular deaths (acute coronary syndromes and stroke) and unspecified cardiovascular deaths in the 6 Brazilian cities with greater number of COVID-19 deaths (São Paulo, Rio de Janeiro, Fortaleza, Recife, Belém, Manaus). We compared observed with expected deaths from epidemiological weeks 12-22 of 2020. We also compared the number of hospital and home deaths during the period.
Results: There were 65 449 deaths and 17 877 COVID-19 deaths in the studied period and cities for 2020. Cardiovascular mortality increased in most cities, with greater magnitude in the Northern capitals. However, while there was a reduction in specified cardiovascular deaths in the most cities, the Northern capitals showed an increase of these events. For unspecified cardiovascular deaths, there was a marked increase in all cities, which strongly correlated to the rise in home deaths (r=0.86, p=0.01).
Conclusion: Excess cardiovascular mortality was greater in the less developed cities, possibly associated with healthcare collapse. Specified cardiovascular deaths decreased in the most developed cities, in parallel with an increase in unspecified cardiovascular and home deaths, presumably as a result of misdiagnosis. Conversely, specified cardiovascular deaths increased in cities with a healthcare collapse.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
التعليقات: Comment in: Heart. 2020 Dec;106(24):1870-1872. (PMID: 33144390)
Comment in: Heart. 2020 Dec;106(24):1867-1869. (PMID: 33243784)
فهرسة مساهمة: Keywords: acute coronary syndromes; coronary artery disease; health care delivery; stroke
تواريخ الأحداث: Date Created: 20201016 Date Completed: 20201216 Latest Revision: 20230829
رمز التحديث: 20240628
DOI: 10.1136/heartjnl-2020-317663
PMID: 33060261
قاعدة البيانات: MEDLINE
الوصف
تدمد:1468-201X
DOI:10.1136/heartjnl-2020-317663