Impact of the covid-19 pandemic on hospital admissions for cardiovascular diseases in a large brazilian urban center
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | http://hdl.handle.net/1843/62523 |
Resumo: | Introduction: The COVID-19 pandemic has had a great impact on the behavior of individuals and the organization of health systems. This study analyzed the COVID-19 pandemic’s effect on public hospitalizations for cardiovascular diseases (CVD) in a large city in Brazil, Belo Horizonte, MG, with approximately 2.5 million inhabitants. Methods: In a time-series analysis, this study used administrative data from the national “Hospital Information System” from 2010 to February 2020 to estimate the expected number of hospitalizations for CVD by month during the COVID-19 pandemic in Belo Horizonte in 2020 using the Auto-Regressive Integrated Moving Average model. For CVD, this study compared the expected number of hospital admissions, intensive care use, deaths during hospitalization, and mean length of stay with the observed number during the period. Results: There were 6,517 hospitalizations for CVD from March to December 2020, a decrease of 16.3% (95% CI: 4.7-25.3) compared to the projected. The number of intensive care hospitalizations for CVD fell 24.1% (95% CI 13-32.7). The number of deaths also decreased (17.4% [80% CI: 0 - 0.30]), along with the reduction in hospitalizations, as did the length of stay for CVD hospitalizations. These reductions, however, were not significant. Conclusions: Hospitalizations for CVD were 16.3% lower than expected in a large Brazilian city, possibly due to the fear of getting infected or going to hospitals. Public campaigns informing how to proceed in case of CVD show that prompt urgent attention is essential to mitigate the indirect effects of the pandemic on CVD |
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2024-01-09T19:58:29Z2024-01-09T19:58:29Z202155Suplemento 11810.1590/0037-8682-0264-202116789849http://hdl.handle.net/1843/62523Introduction: The COVID-19 pandemic has had a great impact on the behavior of individuals and the organization of health systems. This study analyzed the COVID-19 pandemic’s effect on public hospitalizations for cardiovascular diseases (CVD) in a large city in Brazil, Belo Horizonte, MG, with approximately 2.5 million inhabitants. Methods: In a time-series analysis, this study used administrative data from the national “Hospital Information System” from 2010 to February 2020 to estimate the expected number of hospitalizations for CVD by month during the COVID-19 pandemic in Belo Horizonte in 2020 using the Auto-Regressive Integrated Moving Average model. For CVD, this study compared the expected number of hospital admissions, intensive care use, deaths during hospitalization, and mean length of stay with the observed number during the period. Results: There were 6,517 hospitalizations for CVD from March to December 2020, a decrease of 16.3% (95% CI: 4.7-25.3) compared to the projected. The number of intensive care hospitalizations for CVD fell 24.1% (95% CI 13-32.7). The number of deaths also decreased (17.4% [80% CI: 0 - 0.30]), along with the reduction in hospitalizations, as did the length of stay for CVD hospitalizations. These reductions, however, were not significant. Conclusions: Hospitalizations for CVD were 16.3% lower than expected in a large Brazilian city, possibly due to the fear of getting infected or going to hospitals. Public campaigns informing how to proceed in case of CVD show that prompt urgent attention is essential to mitigate the indirect effects of the pandemic on CVDengUniversidade Federal de Minas GeraisUFMGBrasilMEDICINA - FACULDADE DE MEDICINARevista da Sociedade Brasileira de Medicina TropicalCardiovascular DiseasesHospitalizationCOVID-19Time Series StudiesHealth SystemsEpidemiologyCardiovascular DiseasesHospitalizationCOVID-19Time Series StudiesHealth SystemsEpidemiologyImpact of the covid-19 pandemic on hospital admissions for cardiovascular diseases in a large brazilian urban centerinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.1590/0037-8682-0264-2021Edmar Geraldo RibeiroPedro Cisalpino PinheiroBruno Ramos NascimentoJoão Pedro Pereira CaciqueRenato Azeredo TeixeiraJamil de Souza NascimentoTúlio Batista FrancoLuísa Campos Caldeira BrantDeborah Carvalho Maltaapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/62523/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALText Messages to Promote Secondary Prevention after Acute Coronary Syndrome pdfa.pdfText Messages to Promote Secondary Prevention after Acute Coronary Syndrome pdfa.pdfapplication/pdf432753https://repositorio.ufmg.br/bitstream/1843/62523/2/Text%20Messages%20to%20Promote%20Secondary%20Prevention%20after%20Acute%20Coronary%20Syndrome%20pdfa.pdfc08d600cfd5d665ca18d71b1094413d8MD521843/625232024-01-09 17:36:02.065oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2024-01-09T20:36:02Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Impact of the covid-19 pandemic on hospital admissions for cardiovascular diseases in a large brazilian urban center |
title |
Impact of the covid-19 pandemic on hospital admissions for cardiovascular diseases in a large brazilian urban center |
spellingShingle |
Impact of the covid-19 pandemic on hospital admissions for cardiovascular diseases in a large brazilian urban center Edmar Geraldo Ribeiro Cardiovascular Diseases Hospitalization COVID-19 Time Series Studies Health Systems Epidemiology Cardiovascular Diseases Hospitalization COVID-19 Time Series Studies Health Systems Epidemiology |
title_short |
Impact of the covid-19 pandemic on hospital admissions for cardiovascular diseases in a large brazilian urban center |
title_full |
Impact of the covid-19 pandemic on hospital admissions for cardiovascular diseases in a large brazilian urban center |
title_fullStr |
Impact of the covid-19 pandemic on hospital admissions for cardiovascular diseases in a large brazilian urban center |
title_full_unstemmed |
Impact of the covid-19 pandemic on hospital admissions for cardiovascular diseases in a large brazilian urban center |
title_sort |
Impact of the covid-19 pandemic on hospital admissions for cardiovascular diseases in a large brazilian urban center |
author |
Edmar Geraldo Ribeiro |
author_facet |
Edmar Geraldo Ribeiro Pedro Cisalpino Pinheiro Bruno Ramos Nascimento João Pedro Pereira Cacique Renato Azeredo Teixeira Jamil de Souza Nascimento Túlio Batista Franco Luísa Campos Caldeira Brant Deborah Carvalho Malta |
author_role |
author |
author2 |
Pedro Cisalpino Pinheiro Bruno Ramos Nascimento João Pedro Pereira Cacique Renato Azeredo Teixeira Jamil de Souza Nascimento Túlio Batista Franco Luísa Campos Caldeira Brant Deborah Carvalho Malta |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Edmar Geraldo Ribeiro Pedro Cisalpino Pinheiro Bruno Ramos Nascimento João Pedro Pereira Cacique Renato Azeredo Teixeira Jamil de Souza Nascimento Túlio Batista Franco Luísa Campos Caldeira Brant Deborah Carvalho Malta |
dc.subject.por.fl_str_mv |
Cardiovascular Diseases Hospitalization COVID-19 Time Series Studies Health Systems Epidemiology |
topic |
Cardiovascular Diseases Hospitalization COVID-19 Time Series Studies Health Systems Epidemiology Cardiovascular Diseases Hospitalization COVID-19 Time Series Studies Health Systems Epidemiology |
dc.subject.other.pt_BR.fl_str_mv |
Cardiovascular Diseases Hospitalization COVID-19 Time Series Studies Health Systems Epidemiology |
description |
Introduction: The COVID-19 pandemic has had a great impact on the behavior of individuals and the organization of health systems. This study analyzed the COVID-19 pandemic’s effect on public hospitalizations for cardiovascular diseases (CVD) in a large city in Brazil, Belo Horizonte, MG, with approximately 2.5 million inhabitants. Methods: In a time-series analysis, this study used administrative data from the national “Hospital Information System” from 2010 to February 2020 to estimate the expected number of hospitalizations for CVD by month during the COVID-19 pandemic in Belo Horizonte in 2020 using the Auto-Regressive Integrated Moving Average model. For CVD, this study compared the expected number of hospital admissions, intensive care use, deaths during hospitalization, and mean length of stay with the observed number during the period. Results: There were 6,517 hospitalizations for CVD from March to December 2020, a decrease of 16.3% (95% CI: 4.7-25.3) compared to the projected. The number of intensive care hospitalizations for CVD fell 24.1% (95% CI 13-32.7). The number of deaths also decreased (17.4% [80% CI: 0 - 0.30]), along with the reduction in hospitalizations, as did the length of stay for CVD hospitalizations. These reductions, however, were not significant. Conclusions: Hospitalizations for CVD were 16.3% lower than expected in a large Brazilian city, possibly due to the fear of getting infected or going to hospitals. Public campaigns informing how to proceed in case of CVD show that prompt urgent attention is essential to mitigate the indirect effects of the pandemic on CVD |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021 |
dc.date.accessioned.fl_str_mv |
2024-01-09T19:58:29Z |
dc.date.available.fl_str_mv |
2024-01-09T19:58:29Z |
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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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http://hdl.handle.net/1843/62523 |
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10.1590/0037-8682-0264-2021 |
dc.identifier.issn.pt_BR.fl_str_mv |
16789849 |
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10.1590/0037-8682-0264-2021 16789849 |
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http://hdl.handle.net/1843/62523 |
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eng |
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eng |
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Revista da Sociedade Brasileira de Medicina Tropical |
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openAccess |
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Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
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MEDICINA - FACULDADE DE MEDICINA |
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Universidade Federal de Minas Gerais |
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