Hospital admission and mortality rates for non-COVID-19 respiratory diseases in Brazil's public health system during the covid-19 pandemic: a nationwide observational study.

OBJECTIVE: To assess the influence of the COVID-19 pandemic on hospital admissions (HA), intra-hospital deaths (HD), and intra-hospital lethality rates (HL) related to respiratory diseases (RD) other than COVID-19 in Brazil. METHODS: This observational time-series study was conducted through comparative analyses of the HA, HD, and HL related to non-COVID-19 RD registered between March and December 2020 by the Brazilian Unified Public Health System on the DataSUS Tabnet platform, using as reference the values recorded in the same period of 2019 and those projected by linear regression methods for 2020, considering the period from 2015 to 2019. The adopted statistical significance level was 5% (p < 0.05). RESULTS: Compared to 2019, in 2020, there was a 42% decrease in HA and a 7.4% decrease in total HD related to non-COVID-19 RD, followed by a 60% increase in HL associated with this group of diseases. The HA and HL registered in 2020 differed significantly from the projected trend for that year by linear regression (p < 0.05). Of note, a significant reduction in hospitalizations due to asthma (-46%), chronic obstructive pulmonary disease (-45%), bronchiectasis (-54%), pneumonia (-46%), and acute bronchitis (-73%) was observed. CONCLUSIONS: During the first 8 months of the pandemic, there was a decline in HA and an increase in HL related to non-COVID-19 RD in Brazil, which can hypothetically reflect logistical challenges and delays in the management of this group of diseases.

Hospital admission and mortality rates for non-COVID-19 respiratory diseases in Brazil's public health system during the covid-19 pandemic: a nationwide observational study / Internações hospitalares e taxas de mortalidade por doenças respiratórias não COVID-19 no sistema público de saúde do Brasil durante a pandemia de COVID-19: um estudo observacional nacional

ABSTRACT Objective: To assess the influence of the COVID-19 pandemic on hospital admissions (HA), intra-hospital deaths (HD), and intra-hospital lethality rates (HL) related to respiratory diseases (RD) other than COVID-19 in Brazil. Methods: This observational time-series study was conducted through comparative analyses of the HA, HD, and HL related to non-COVID-19 RD registered between March and December 2020 by the Brazilian Unified Public Health System on the DataSUS Tabnet platform, using as reference the values recorded in the same period of 2019 and those projected by linear regression methods for 2020, considering the period from 2015 to 2019. The adopted statistical significance level was 5% (p < 0.05). Results: Compared to 2019, in 2020, there was a 42% decrease in HA and a 7.4% decrease in total HD related to non-COVID-19 RD, followed by a 60% increase in HL associated with this group of diseases. The HA and HL registered in 2020 differed significantly from the projected trend for that year by linear regression (p < 0.05). Of note, a significant reduction in hospitalizations due to asthma (-46%), chronic obstructive pulmonary disease (-45%), bronchiectasis (-54%), pneumonia (-46%), and acute bronchitis (-73%) was observed. Conclusions: During the first 8 months of the pandemic, there was a decline in HA and an increase in HL related to non-COVID-19 RD in Brazil, which can hypothetically reflect logistical challenges and delays in the management of this group of diseases.

RESUMO Objetivo: Avaliar a influência da pandemia de COVID-19 nas taxas de internações hospitalares (IH), óbitos intra-hospitalares (OH) e letalidade intra-hospitalar (LH) relacionadas a outras doenças respiratórias (DR) que não a COVID-19 no Brasil. Métodos: Este estudo observacional de série temporal foi realizado por meio da análise comparativa das IH, OH e LH relacionadas a DR não COVID-19 registradas entre março e dezembro de 2020 pelo Sistema Único de Saúde na plataforma DataSUS Tabnet, tendo como referência o valores registrados no mesmo período de 2019 e aqueles projetados pelos métodos de regressão linear para 2020, considerando o período de 2015 a 2019. O nível de significância estatística adotado foi de 5% (p < 0,05). Resultados: Comparado a 2019, em 2020, houve uma redução de 42% nas IH e de 7,4% nos OH totais relacionados a DR não COVID-19, seguido de um aumento de 60% nas taxas de LH associadas a esse grupo de doenças. As IH e as taxas de LH registradas em 2020 diferiram significantemente da tendência projetada para aquele ano por regressão linear (p < 0,05). Vale ressaltar que foi observada uma redução significativa das internações por asma (-46%), doença pulmonar obstrutiva crônica (-45%), bronquiectasia (-54%), pneumonia (-46%) e bronquite aguda (-73%). Conclusão: Durante os primeiros 8 meses da pandemia, houve um declínio nas IH e um aumento das taxas de LH relacionadas a DR não COVID-19 no Brasil, o que pode, hipoteticamente, refletir desafios logísticos e atrasos no manejo desse grupo de doenças.

Formas de viver anônimas de um presídio abandonado: marcas de uma sociedade morta / Anonymous ways of living from an abandoned prison: marks of a dead society / Formas de vivir anónimas de una prisión abandonada: marcas de una sociedad muerta

Este trabalho objetiva apresentar o ensaio fotográfico das paredes do antigo presídio Desembargador Luiz de Oliveira Souza, em Arapiraca, Alagoas, Brasil. Trata-se de um produto do projeto de extensão intitulado "Itinerários, mostras de vidas", cujo objetivo é debater a realidade social sob a ótica do diálogo entre diferentes formas de expressão. Após desativação, o prédio foi doado à Universidade Federal de Alagoas (Ufal), sendo incorporado ao campus Arapiraca. Assim, surgiu a necessidade de manter um registro post factum do que um dia foi lugar de cumprimentos de penas. Trata-se de um ensaio capaz de revelar o cotidiano dos indivíduos que lá estiveram. Sob as lentes da câmera, as imagens contam-nos uma história.(AU)

This article presents a photographic essay of the walls of the former prison Desembargador Luiz de Oliveira Souza in Arapiraca, Alagoas, Brazil. It is one of the products of the extension project " Itinerários, mostras de vidas " (Itineraries, an exhibition of lives), whose aim is to debate social reality through the lens of dialogue between different forms of expression. After the prison was closed, the building was donated to the Federal University of Alagoas and incorporated into the Arapiraca campus. The need then arose to make a post factum record of what was once a place where sentences were served. The article comprises an essay capable of revealing the daily life of the individuals who were there. The images depict a story told through the lens of a camera.(AU)

El objetivo de este trabajo es presentar el ensayo fotográfico de las paredes del antiguo presidio Desembargador Luiz de Oliveira Souza, Arapiraca, Alagoas, Brasil. Se trata de un producto del proyecto de extensión titulado " Itinerários, mostras de vidas ", cuyo objetivo es debatir la realidad social bajo la óptica del diálogo entre diferentes formas de expresión. Después de la desactivación, el edificio fue donado a la Universidad Federal de Alagoas, habiéndose incorporado al campus Arapiraca. De esa forma, surgió la necesidad de mantener un registro post factum de lo que un día fue un local de cumplimiento de condenas. Se trata de un ensayo capaz de revelar el cotidiano de los individuos que estuvieron allí. A través de las lentes de la cámara las imágenes nos contaron una historia.(AU)