The impact of covid-19 pandemic course in the number and severity of hospitalizations for other natural causes in a large urban center in brazil

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dc.creatorLuisa c. C.brant
dc.creatorDeborah c. Malta
dc.creatorValéria m. a. Passos
dc.creatorPedro Cisalpino Pinheiro
dc.creatorIsis e. Machado
dc.creatorPaulo r. l. Correa
dc.creatorMayara r. Santos
dc.creatorAntonio l. p. Ribeiro
dc.creatorUnaí Tupinambás
dc.creatorChristine f. Santiago
dc.creatorMaria de Fatima m. Souza
dc.date.accessioned2023-11-09T22:57:53Z
dc.date.accessioned2025-09-09T00:13:13Z
dc.date.available2023-11-09T22:57:53Z
dc.date.issued2021
dc.format.mimetypepdf
dc.identifier.doi10.1371/journal.pgph.0000054
dc.identifier.issn27673375
dc.identifier.urihttps://hdl.handle.net/1843/60759
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofPLOS Global Public Health
dc.rightsAcesso Aberto
dc.subjectHospitalizations
dc.subjectCOVID-19
dc.subjectPandemic
dc.subject.otherHospitalizations
dc.subject.otherCOVID-19
dc.subject.otherPandemic
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 brazil
dc.typeArtigo de periódico
local.citation.epage15
local.citation.issue12
local.citation.spage1
local.citation.volume1
local.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 procedures
local.publisher.countryBrasil
local.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA
local.publisher.departmentFCE - DEPARTAMENTO DE DEMOGRAFIA
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.initialsUFMG
local.url.externahttps://doi.org/10.1371/journal.pgph.0000054

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