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Review
. 2023 Aug;48(8):101216.
doi: 10.1016/j.cpcardiol.2022.101216. Epub 2022 Apr 21.

Impact Of The COVID-19 Pandemic on Hospital Admissions and In-Hospital Lethality From Cardiovascular Diseases in Brazil: An Ecological and Time Series Study

Lucas Gomes Santos  1 , Regicley Vieira da Silva  2 , Thiago Cavalcanti Leal  3 , José Emerson Xavier  4 , Elaine Virgínia Martins de Souza Figueiredo  5 , João Paulo Silva de Paiva  2 , Leonardo Feitosa da Silva  2 , Carlos Alberto de Oliveira Rocha  2 , Bruno Eduardo Bastos Rolim Nunes  2 , Gibson Barros de Almeida Santana  2 , Tânia Rita Moreno de Oliveira Fernandes  5 , Francisco de Assis Costa  2 , Márcio Bezerra-Santos  4 , Rodrigo Feliciano do Carmo  6 , Anderson da Costa Armstrong  5 , Carlos Dornels Freire de Souza  2
Affiliations
Review

Impact Of The COVID-19 Pandemic on Hospital Admissions and In-Hospital Lethality From Cardiovascular Diseases in Brazil: An Ecological and Time Series Study

Lucas Gomes Santos et al. Curr Probl Cardiol. 2023 Aug.

Abstract

Since the onset of the coronavirus disease 2019 (COVID-19) pandemic in Brazil, several government policies have been taken. Herein, we aimed to assess the impact of the COVID-19 pandemic on hospital admissions and in-hospital lethality for cardiovascular diseases (CVD) in Brazil in 2020. An ecological and time-series study on hospitalizations and deaths from CVD in Brazil was conducted from January 2018 to December 2020.The hospital admission rate for CVD reduced by 17.1%, with a significant decreasing trend between January and May 2020 (Annual Percent Change: -8,7%; P-value < 0.001). The in-hospital lethality rate increased from 8.2% in 2018 to 9.3% in 2020. During this period, Brazil totaled 21.8 million days of hospital stay. Indicators of hospital admissions and lethality from CVD in Brazil were impacted by the emergence of the COVID-19 pandemic in different ways in the regions and depending on the nature of the indicator.

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Figures

FIG 1
FIG 1
Temporal evolution of hospital admission rates (10 thousand inhabitants) and in-hospital mortality (100 admissions) for CVD in Brazil and regions, before and after confirmation of the COVID-19 pandemic (Color version of figure is available online.)
FIG 2
FIG 2
Temporal evolution of in-hospital lethality rate (100 admission), for CVD in Brazil and regions, before and after confirmation of the COVID-19 pandemic (Color version of figure is available online.)
FIG 3
FIG 3
Temporal evolution of total cost of hospital admission for CVD in Brazil and regions, before and after confirmation of the COVID-19 pandemic (Color version of figure is available online.)
FIG 4
FIG. 4
Evolution temporal of the average cost of hospital admission for CVD in Brazil and regions, before and after confirmation of the COVID-19 pandemic (Color version of figure is available online.)
FIG 5
FIG 5
Temporal evolution of total of days of hospital stay for CVD in Brazil and regions, before and after confirmation of the COVID-19 pandemic (Color version of figure is available online.)
FIG 6
FIG 6
Temporal evolution of the average days of hospital stay for CVD in Brazil and regions, before and after confirmation of the COVID-19 pandemic (Color version of figure is available online.)
See this image and copyright information in PMC

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