Impact of the covid-19 pandemic on hospital admissions for cardiovascular diseases in a large brazilian urban center
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Introduction: The COVID-19 pandemic has had a great impact on the behavior of individuals and the organization of health systems.
This study analyzed the COVID-19 pandemic’s effect on public hospitalizations for cardiovascular diseases (CVD) in a large city
in Brazil, Belo Horizonte, MG, with approximately 2.5 million inhabitants. Methods: In a time-series analysis, this study used
administrative data from the national “Hospital Information System” from 2010 to February 2020 to estimate the expected number of
hospitalizations for CVD by month during the COVID-19 pandemic in Belo Horizonte in 2020 using the Auto-Regressive Integrated
Moving Average model. For CVD, this study compared the expected number of hospital admissions, intensive care use, deaths during
hospitalization, and mean length of stay with the observed number during the period. Results: There were 6,517 hospitalizations for
CVD from March to December 2020, a decrease of 16.3% (95% CI: 4.7-25.3) compared to the projected. The number of intensive care
hospitalizations for CVD fell 24.1% (95% CI 13-32.7). The number of deaths also decreased (17.4% [80% CI: 0 - 0.30]), along with
the reduction in hospitalizations, as did the length of stay for CVD hospitalizations. These reductions, however, were not significant.
Conclusions: Hospitalizations for CVD were 16.3% lower than expected in a large Brazilian city, possibly due to the fear of getting
infected or going to hospitals. Public campaigns informing how to proceed in case of CVD show that prompt urgent attention is essential
to mitigate the indirect effects of the pandemic on CVD
Abstract
Assunto
Cardiovascular Diseases, Hospitalization, COVID-19, Time Series Studies, Health Systems, Epidemiology
Palavras-chave
Cardiovascular Diseases, Hospitalization, COVID-19, Time Series Studies, Health Systems, Epidemiology
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Endereço externo
https://doi.org/10.1590/0037-8682-0264-2021