Health system collapse 45 days after the detection of COVID-19 in Ceará, Northeast Brazil: a preliminary analysis
Lemos, Daniele Rocha Queiros; DAngelo, Sarah Mendes; Farias, Luis Arthur Brasil Gadelha; Almeida, Magda Moura; Gomes, Ricristhi Gonçalves; Pinto, Geovana Praça; Cavalcante Filho, Josafa Nascimento; Feijão, Levi Ximenes; Cardoso, Ana Rita Paulo; Lima, Thaisy Brasil Ricarte; Linhares, Pâmela Maria Costa; Mello, Liana Perdigão; Coelho, Tania Mara; Cavalcanti, Luciano Pamplona de Góes.
Rev. Soc. Bras. Med. Trop
; 53: e20200354, 2020. tab, graf
Artigo
em Inglês
| SES-SP, Coleciona SUS (Brasil), LILACS | ID: biblio-1136826
Abstract
INTRODUCTION:
COVID-19 emerged in late 2019 and quickly became a serious public health problem worldwide. This study aim to describe the epidemiological course of cases and deaths due to COVID-19 and their impact on hospital bed occupancy rates in the first 45 days of the epidemic in the state of Ceará, Northeastern Brazil.METHODS:
The study used an ecological design with data gathered from multiple government and health care sources. Data were analyzed using Epi Info software.RESULTS:
The first cases were confirmed on March 15, 2020. After 45 days, 37,268 cases reported in 85.9% of Ceará's municipalities, with 1,019 deaths. Laboratory test positivity reached 84.8% at the end of April, a period in which more than 700 daily tests were processed. The average age of cases was 67 (<1 - 101) years, most occurred in a hospital environment (91.9%), and 58% required hospitalization in an ICU bed. The average time between the onset of symptoms and death was 18 (1 - 56) days. Patients who died in the hospital had spent an average of six (0 - 40) days hospitalized. Across Ceará, the bed occupancy rate reached 71.3% in the wards and 80.5% in the ICU.CONCLUSIONS:
The first 45 days of the COVID-19 epidemic in Ceará revealed a large number of cases and deaths, spreading initially among the population with a high socioeconomic status. Despite the efforts by the health services and social isolation measures the health system still collapsed.Assuntos
Humanos Masculino Feminino Lactente Pré-Escolar Criança Adolescente Adulto Idoso Idoso de 80 Anos ou mais Adulto Jovem Pneumonia Viral/epidemiologia Ocupação de Leitos/estatística & dados numéricos Betacoronavirus Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos Pneumonia Viral/mortalidade Fatores de Tempo Brasil/epidemiologia Distribuição por Sexo Infecções por Coronavirus Infecções por Coronavirus/mortalidade Infecções por Coronavirus/epidemiologia Distribuição por Idade Pesquisas sobre Atenção à Saúde/estatística & dados numéricos Pandemias Análise de Dados Unidades Hospitalares/estatística & dados numéricos Unidades de Terapia Intensiva/estatística & dados numéricos Tempo de Internação/estatística & dados numéricos Pessoa de Meia-Idade
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