Tracking excess deaths associated with the COVID-19 epidemic as an epidemiological surveillance strategy-preliminary results of the evaluation of six Brazilian capitals
Rev. Soc. Bras. Med. Trop
; 53: e20200558, 2020. tab, graf
Artículo
en Inglés
| Sec. Est. Saúde SP, Coleciona SUS, LILACS
| ID: biblio-1136853
Biblioteca responsable:
BR1.1
ABSTRACT
Abstract INTRODUCTION:
In March 2020, the World Health Organization declared the coronavirus disease (COVID-19) outbreak a pandemic. In Brazil, 110 thousand cases and 5,901 deaths were confirmed by the end of April 2020. The scarcity of laboratory resources, the overload on the service network, and the broad clinical spectrum of the disease make it difficult to document all the deaths due to COVID-19. The aim of this study was to assess the mortality rate in Brazilian capitals with a high incidence of COVID-19.METHODS:
We assessed the weekly mortality between epidemiological week 1 and 16 in 2020 and the corresponding period in 2019. We estimated the expected mortality at 95% confidence interval by projecting the mortality in 2019 to the population in 2020, using data from the National Association of Civil Registrars (ARPEN-Brasil).RESULTS:
In the five capitals with the highest incidence of COVID-19, we identified excess deaths during the pandemic. The age group above 60 years was severely affected, while 31% of the excess deaths occurred in the age group of 20-59 years. There was a strong correlation (r = 0.94) between excess deaths and the number of deaths confirmed by epidemiological monitoring. The epidemiological surveillance captured only 52% of all mortality associated with the COVID-19 pandemic in the cities examined.CONCLUSIONS:
Considering the simplicity of the method and its low cost, we believe that the assessment of excess mortality associated with the COVID-19 pandemic should be used as a complementary tool for regular epidemiological surveillance.
Texto completo:
Disponible
Colección:
Bases de datos nacionales
/
Brasil
Contexto en salud:
ODS3 - Salud y Bienestar
/
ODS3 - Meta 3.3 Poner fin a las enfermedades desatendidas y detener enfermedades transmisibles
/
ODS3 - Meta 3.4 Reducir las muertes prematuras por enfermedades no transmisibles
Problema de salud:
Meta 3.8: Alcanzar cobertura universal de salud
/
COVID-19
/
Neumonía
/
Otras Enfermedades Respiratorias
Base de datos:
LILACS
/
Sec. Est. Saúde SP
/
Coleciona SUS
Asunto principal:
Neumonía Viral
/
Mortalidad
/
Infecciones por Coronavirus
Tipo de estudio:
Estudio pronóstico
/
Factores de riesgo
/
Estudio de tamizaje
Límite:
Adulto
/
Humanos
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Rev. Soc. Bras. Med. Trop
Año:
2020
Tipo del documento:
Artículo
Institución/País de afiliación:
Centro Universitário Christus/BR
/
Faculdade de Medicina São Leopoldo Mandic de Campinas/BR
/
Faculdade de Medicina de Marília/BR
/
Ministério da Saúde/BR
/
Universidade Federal de Uberlândia/BR
/
Universidade Federal do Ceará/BR