Morbimortalidade por Covid – 19 em idosos: análise da letalidade, riscos e dos fatores associados

• Autor(a) principal: Leite, Maria Amanda Pereira
• Data de Publicação: 2022
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/123456789/24140
• topic: COVID-19; Idoso; Indicadores de morbimortalidade; Aged; Indicators of morbidity and mortality; Anciano; Indicadores de morbimortalidad; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

Introduction: the aging process culminates in physiological changes that can make the elderly more susceptible to developing infectious conditions, including SARS-CoV-2 infection, which in this population can be more severe and progress to death. Objective: to analyze cases and deaths from covid-19 in the elderly, from the perspective of lethality, risks and associated factors. Method: this is an epidemiological, descriptive and retrospective study, with a population of elderly people diagnosed with covid-19, as well as deaths resulting from infection by covid-19, notified between February 2020 and February 2021. For performing the analysis, the data were submitted to descriptive statistics, incidence calculation and application of specific statistical tests. This study was approved by the ethics committee under opinion No. 4,736,237 and CAEE 34641620.0.0000.5188. Results: women accounted for more than half of the cases of covid-19 (57.51%), while deaths were concentrated in males (53.15%), people of mixed color constituted the majority of cases and deaths, the method The most used diagnostic tool was the rapid antibody test, there was a higher prevalence of Cardiovascular Diseases and Diabetes. The analysis and interpretation of the risk ratio found that individuals in the age groups of 70-79 years, 80-89 and 90 years or older were, respectively, two, four and six times more likely to die; being male increased the risk of death by 34%; being of mixed race/color increased by 43%, dyspnea increased the chances of death by about four times. As for the survival analysis, the results obtained by the Kaplan-Meier estimator showed that the estimated probability of survival was 98.3% in up to 30 days of symptoms, 97.6% in 60 days and 96.5% in 120 days . People with low schooling, one to three years (25.18%), retired/pensioner (34.68%), born in Campina Grande (27.57%), represent the deaths of the elderly and the place of death prevailed. hospitals (90.79%). Conclusion: this study demonstrated the influence of the variables sex, age, color/race, education and comorbidities, in the illness and death event of elderly people affected by covid-19, the survival analysis points to a decrease in the chances of survival as time progresses. Furthermore, the need to develop actions/strategies aimed at health promotion and infection prevention in this public was evidenced, thus, based on the findings, strategies aimed at the prevention and care of covid-19 in the elderly can be articulated between managers and health professionals.