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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/60759
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dc.creatorLuisa c. C.brantpt_BR
dc.creatorDeborah c. Maltapt_BR
dc.creatorValéria m. a. Passospt_BR
dc.creatorPedro Cisalpino Pinheiropt_BR
dc.creatorIsis e. Machadopt_BR
dc.creatorPaulo r. l. Correapt_BR
dc.creatorMayara r. Santospt_BR
dc.creatorAntonio l. p. Ribeiropt_BR
dc.creatorUnaí Tupinambáspt_BR
dc.creatorChristine f. Santiagopt_BR
dc.creatorMaria de Fatima m. Souzapt_BR
dc.date.accessioned2023-11-09T22:57:53Z-
dc.date.available2023-11-09T22:57:53Z-
dc.date.issued2021-
dc.citation.volume1pt_BR
dc.citation.issue12pt_BR
dc.citation.spage1pt_BR
dc.citation.epage15pt_BR
dc.identifier.doi10.1371/journal.pgph.0000054pt_BR
dc.identifier.issn27673375pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/60759-
dc.description.resumoThe COVID-19 pandemic may indirectly impact hospitalizations for other natural causes.Belo Horizonte is a city with 2.5 million inhabitants in Brazil, one of the most hardly-hit countries by the pandemic, where local authorities monitored hospitalizations daily to guide regu latory measures. In an ecological, time-series study, we investigated how the pandemic impacted the number and severity of public hospitalizations by other natural causes in the city, during 2020. We assessed the number and proportion of intensive care unit (ICU)admissions and in-hospital deaths for all-natural causes, COVID-19, non-COVID-19 naturalcauses, and four disease groups: infectious, respiratory, cardiovascular, and neoplasms.Observed data from epidemiological week (EW) 9 (first diagnosis of COVID-19) to EW 48,2020, was compared to the mean for the same EW of 2015–2019 and differences weretested by Wilcoxon rank-sum test. The five-week moving averages of the studied variablesin 2020 were compared to that of 2015–2019 to describe the influence of regulatory measures on the indicators. During the studied period, there was 54,722 hospitalizations by non COVID-19 natural causes,representing a 28% decline compared to the previous five years(p<0.001). There was a concurrent significant increase in the proportion of ICU admissionsand deaths. The greater reductions were simultaneous to the first social distancing decree or occurred in the peak of COVID-19 hospitalizations, suggesting different drivers. Hospitalizations by specific causes decreased significantly, with greater increase in ICU admissions and deaths for infectious, cardiovascular, and respiratory diseases than for neoplasms.While the first reduction may have resulted from avoidance of contact with healthcare facilities, the second reduction may represent competing causes for hospital beds with COVID-19 after reopening of activities. Health policies must include protocols to address hospitalizations by other causes during this or future pandemics, and a plan to face the reboundeffect for elective deferred procedurespt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICApt_BR
dc.publisher.departmentFCE - DEPARTAMENTO DE DEMOGRAFIApt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofPLOS Global Public Health-
dc.rightsAcesso Abertopt_BR
dc.subjectHospitalizationspt_BR
dc.subjectCOVID-19pt_BR
dc.subjectPandemicpt_BR
dc.subject.otherHospitalizationspt_BR
dc.subject.otherCOVID-19pt_BR
dc.subject.otherPandemicpt_BR
dc.titleThe impact of covid-19 pandemic course in the number and severity of hospitalizations for other natural causes in a large urban center in brazilpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://doi.org/10.1371/journal.pgph.0000054pt_BR
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