Population-based Estimates for High Risk of Severe COVID-19 Disease due to Age and Underlying Health Conditions
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Data de Publicação: | 2020 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222 |
Resumo: | Introduction: COVID-19 is a viral respiratory disease, which became a global threat to public health. Specific subsets of the population are more vulnerable, namely those with chronic diseases. We aimed to estimate the share of the Portuguese population at the highest risk for complications following COVID-19 infection due to both old age and specific comorbidities.Material and Methods: Our sample included all people aged 65 years and above (2215 men and 3486 women) who participated in the fifth Portuguese National Health Interview Survey, conducted in 2014. In order to project the potential population at highest risk for COVID-19, we used the latest available official demographic estimates from the National Institute of Statistics - INE 2018. We used a more restrictive definition of risk combining old age criteria and the following chronic conditions as potential risk factors for COVID-19 according to the available literature: hypertension, diabetes, chronic obstructive pulmonary disease, cardio- and cerebrovascular disease.Results: We estimated that 15.5% (n = 1 560 667) of the Portuguese population might be at increased risk for complications from COVID-19 because of old age and existing chronic conditions. Such estimates vary across the country (from 1.7% in Azores to 33.7% in Northern Portugal). Northern Portugal not only has the highest prevalence of selected morbidity (72.8%) within mainland Portugal, but also has the largest population at risk for COVID-19 (n = 526 607). This was followed by the Lisbon and Tagus Valley region (n = 408 564) and Central Portugal (n = 388 867).Discussion: Our results should encourage authorities to continue protecting those more vulnerable to the pandemic threat, particularly on those areas of the country which are more likely to be further affected.Conclusion: We projected a considerable number of Portuguese people at the highest risk for severe COVID-19 disease due to both old age and pre-existing chronic conditions. Such estimates vary across the country. |
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Population-based Estimates for High Risk of Severe COVID-19 Disease due to Age and Underlying Health ConditionsEstimativas da População Portuguesa em Risco Elevado de Doença Grave por COVID-19 Devido à Idade e a Doenças CrónicasAge FactorsChronic Disease/epidemiologyCoronavirus Infections/ epidemiologyCOVID-19PortugalRisk AssessmentRisk FactorsSeverity of Illness IndexAvaliação do RiscoCOVID-19Doença Crónica/epidemiologiaFactores EtáriosFactores de RiscoÍndice de Gravidade de DoençaInfecções por Coronavírus/epidemiologiaPortugalIntroduction: COVID-19 is a viral respiratory disease, which became a global threat to public health. Specific subsets of the population are more vulnerable, namely those with chronic diseases. We aimed to estimate the share of the Portuguese population at the highest risk for complications following COVID-19 infection due to both old age and specific comorbidities.Material and Methods: Our sample included all people aged 65 years and above (2215 men and 3486 women) who participated in the fifth Portuguese National Health Interview Survey, conducted in 2014. In order to project the potential population at highest risk for COVID-19, we used the latest available official demographic estimates from the National Institute of Statistics - INE 2018. We used a more restrictive definition of risk combining old age criteria and the following chronic conditions as potential risk factors for COVID-19 according to the available literature: hypertension, diabetes, chronic obstructive pulmonary disease, cardio- and cerebrovascular disease.Results: We estimated that 15.5% (n = 1 560 667) of the Portuguese population might be at increased risk for complications from COVID-19 because of old age and existing chronic conditions. Such estimates vary across the country (from 1.7% in Azores to 33.7% in Northern Portugal). Northern Portugal not only has the highest prevalence of selected morbidity (72.8%) within mainland Portugal, but also has the largest population at risk for COVID-19 (n = 526 607). This was followed by the Lisbon and Tagus Valley region (n = 408 564) and Central Portugal (n = 388 867).Discussion: Our results should encourage authorities to continue protecting those more vulnerable to the pandemic threat, particularly on those areas of the country which are more likely to be further affected.Conclusion: We projected a considerable number of Portuguese people at the highest risk for severe COVID-19 disease due to both old age and pre-existing chronic conditions. Such estimates vary across the country.Introdução: COVID-19 é uma doença respiratória viral que se tornou uma ameaça global à saúde pública. Grupos específicos da população são mais vulneráveis, nomeadamente os mais envelhecidos que estão expostos a determinadas doenças crónicas. O objetivo deste trabalho foi estimar a população portuguesa com potencial risco elevado de complicações após a infeção por COVID-19 devido à idade e comorbilidades específicas.Material e Métodos: A amostra em estudo foi constituída por todas as pessoas com idade superior a 65 anos (2215 homens e 3486 mulheres) que participaram no 5º Inquérito Nacional de Saúde (INS 2014). Para calcular a população potencial de maior risco para o COVID-19, foram usadas as mais recentes estimativas demográficas oficiais, disponíveis no Instituto Nacional de Estatística - INE 2018. Foi utilizada uma definição mais estrita de risco, para tal utilizando o critério de idade e a presença das seguintes condições crónicas como potenciais fatores de risco para o COVID-19, de acordo com a literatura disponível: hipertensão, diabetes, doença pulmonar obstrutiva crónica, doença cardiovascular e cerebrovascular.Resultados: Estimamos que 15,5% (n = 1 560 667) da população portuguesa possa estar em elevado risco de complicações por COVID-19 devido à idade e a condições crónicas pré-existentes. Tais estimativas variam em todo o país (de 1,7% nos Açores a 33,7% na região Norte). A região Norte não só apresenta a maior prevalência da morbilidade analisada em Portugal continental (72,8%), como também a maior população em elevado risco de doença severa COVID-19 (n = 526 607). Seguiu-se Lisboa e Vale do Tejo (n = 408 564) e a região Centro do país (n = 388 867).Discussão: Estes resultados devem incentivar as Autoridades de Saúde a proteger os mais vulneráveis à ameaça da pandemia, particularmente nas áreas do país com maior probabilidade de serem mais afetadas.Conclusão: Neste trabalho estimámos que, devido à idade e a determinadas condições crónicas pré-existentes, há um número considerável de portugueses que se encontra em elevado risco de doença severa em caso de infeção COVID-19. Estas estimativas variam ao nível regional.Ordem dos Médicos2020-11-02info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222oai:ojs.www.actamedicaportuguesa.com:article/14222Acta Médica Portuguesa; Vol. 33 No. 11 (2020): November; 720-725Acta Médica Portuguesa; Vol. 33 N.º 11 (2020): Novembro; 720-7251646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/6023https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/6024https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/12619https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/12633https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/12740https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/12741https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/12749Direitos de Autor (c) 2020 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessLaires, Pedro A.Nunes, Carla2022-12-20T11:07:09Zoai:ojs.www.actamedicaportuguesa.com:article/14222Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:27.008218Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Population-based Estimates for High Risk of Severe COVID-19 Disease due to Age and Underlying Health Conditions Estimativas da População Portuguesa em Risco Elevado de Doença Grave por COVID-19 Devido à Idade e a Doenças Crónicas |
title |
Population-based Estimates for High Risk of Severe COVID-19 Disease due to Age and Underlying Health Conditions |
spellingShingle |
Population-based Estimates for High Risk of Severe COVID-19 Disease due to Age and Underlying Health Conditions Laires, Pedro A. Age Factors Chronic Disease/epidemiology Coronavirus Infections/ epidemiology COVID-19 Portugal Risk Assessment Risk Factors Severity of Illness Index Avaliação do Risco COVID-19 Doença Crónica/epidemiologia Factores Etários Factores de Risco Índice de Gravidade de Doença Infecções por Coronavírus/epidemiologia Portugal |
title_short |
Population-based Estimates for High Risk of Severe COVID-19 Disease due to Age and Underlying Health Conditions |
title_full |
Population-based Estimates for High Risk of Severe COVID-19 Disease due to Age and Underlying Health Conditions |
title_fullStr |
Population-based Estimates for High Risk of Severe COVID-19 Disease due to Age and Underlying Health Conditions |
title_full_unstemmed |
Population-based Estimates for High Risk of Severe COVID-19 Disease due to Age and Underlying Health Conditions |
title_sort |
Population-based Estimates for High Risk of Severe COVID-19 Disease due to Age and Underlying Health Conditions |
author |
Laires, Pedro A. |
author_facet |
Laires, Pedro A. Nunes, Carla |
author_role |
author |
author2 |
Nunes, Carla |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Laires, Pedro A. Nunes, Carla |
dc.subject.por.fl_str_mv |
Age Factors Chronic Disease/epidemiology Coronavirus Infections/ epidemiology COVID-19 Portugal Risk Assessment Risk Factors Severity of Illness Index Avaliação do Risco COVID-19 Doença Crónica/epidemiologia Factores Etários Factores de Risco Índice de Gravidade de Doença Infecções por Coronavírus/epidemiologia Portugal |
topic |
Age Factors Chronic Disease/epidemiology Coronavirus Infections/ epidemiology COVID-19 Portugal Risk Assessment Risk Factors Severity of Illness Index Avaliação do Risco COVID-19 Doença Crónica/epidemiologia Factores Etários Factores de Risco Índice de Gravidade de Doença Infecções por Coronavírus/epidemiologia Portugal |
description |
Introduction: COVID-19 is a viral respiratory disease, which became a global threat to public health. Specific subsets of the population are more vulnerable, namely those with chronic diseases. We aimed to estimate the share of the Portuguese population at the highest risk for complications following COVID-19 infection due to both old age and specific comorbidities.Material and Methods: Our sample included all people aged 65 years and above (2215 men and 3486 women) who participated in the fifth Portuguese National Health Interview Survey, conducted in 2014. In order to project the potential population at highest risk for COVID-19, we used the latest available official demographic estimates from the National Institute of Statistics - INE 2018. We used a more restrictive definition of risk combining old age criteria and the following chronic conditions as potential risk factors for COVID-19 according to the available literature: hypertension, diabetes, chronic obstructive pulmonary disease, cardio- and cerebrovascular disease.Results: We estimated that 15.5% (n = 1 560 667) of the Portuguese population might be at increased risk for complications from COVID-19 because of old age and existing chronic conditions. Such estimates vary across the country (from 1.7% in Azores to 33.7% in Northern Portugal). Northern Portugal not only has the highest prevalence of selected morbidity (72.8%) within mainland Portugal, but also has the largest population at risk for COVID-19 (n = 526 607). This was followed by the Lisbon and Tagus Valley region (n = 408 564) and Central Portugal (n = 388 867).Discussion: Our results should encourage authorities to continue protecting those more vulnerable to the pandemic threat, particularly on those areas of the country which are more likely to be further affected.Conclusion: We projected a considerable number of Portuguese people at the highest risk for severe COVID-19 disease due to both old age and pre-existing chronic conditions. Such estimates vary across the country. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-11-02 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222 oai:ojs.www.actamedicaportuguesa.com:article/14222 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222 |
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oai:ojs.www.actamedicaportuguesa.com:article/14222 |
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eng |
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eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/6023 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/6024 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/12619 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/12633 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/12740 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/12741 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14222/12749 |
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Direitos de Autor (c) 2020 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2020 Acta Médica Portuguesa |
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openAccess |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 33 No. 11 (2020): November; 720-725 Acta Médica Portuguesa; Vol. 33 N.º 11 (2020): Novembro; 720-725 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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