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. 2024 Feb 23:33:e2023915.
doi: 10.1590/S2237-96222024V33E2023915.EN. eCollection 2024.

Multimorbidity and use of health services in a population diagnosed with COVID-19 in a municipality in the Southern Region of Brazil, 2020-2021: a cross-sectional study

[Article in English, Portuguese]
Felipe Mendes Delpino  1 , Yohana Pereira Vieira  2 , Suele Manjourany Duro  1 , Bruno Pereira Nunes  1 , Mirelle de Oliveira Saes  2
Affiliations

Multimorbidity and use of health services in a population diagnosed with COVID-19 in a municipality in the Southern Region of Brazil, 2020-2021: a cross-sectional study

[Article in English, Portuguese]
Felipe Mendes Delpino et al. Epidemiol Serv Saude. .

Abstract
in English, Spanish, Portuguese

Objective: To assess association between multimorbidity and use of health services in a population diagnosed with COVID-19, in southern Brazil.

Methods: This was a cross-sectional study with data from a longitudinal study carried out in the city of Rio Grande, Rio Grande do Sul, Brazil, in 2021 with all adult individuals diagnosed with COVID-19; descriptive analyses were performed and presented as proportions with 95% confidence intervals (95%CI); Poisson regression was performed and reported as prevalence ratios (PR) in order to assess association between multimorbidity (3 or more diseases) and healthcare service use.

Results: In total, 2,919 participants were included, of which 40.4% had multimorbidity (≥ 2 diseases); the adjusted results showed that individuals with multimorbidity were more likely to use most of the services assessed, PR = 3.21 (95%CI 1.40;7.37), for Emergency Rooms.

Conclusion: Multimorbidity was associated with using different types of health services.

Objetivo:: Analizar la asociación entre multimorbilidad y uso de servicios de salud en una población diagnosticada con COVID-19, en el Sur de Brasil.

Métodos:: Estudio transversal con datos de un estudio longitudinal realizado en la ciudad de Río Grande, Rio Grande do Sul, Brasil, en el año 2021, con todos los individuos adultos diagnosticados con COVID-19; se realizaron análisis descriptivos y se presentaron como proporciones con intervalos de confianza del 95% (IC95%); se realizó una regresión de Poisson y se informó como razón de prevalencia (PR).

Resultados:: En total se incluyeron 2.919 participantes, de los cuales el 40,4% presentaba multimorbilidad (≥ 2 doenças); los resultados ajustados mostraron que los individuos con multimorbilidad tenían mayor probabilidad de utilizar la mayoría de los servicios evaluados, RP = 3,21 (IC95% 1,40;7,37) para unidades Primeros auxilios.

Conclusión:: La multimorbilidad se asoció con el uso de diferentes tipos de servicios de salud.

Objetivo:: Analisar a associação entre multimorbidade e uso de serviços de saúde em uma população diagnosticada com covid-19, no Sul do Brasil.

Métodos:: Estudo transversal, utilizando-se dados de um estudo longitudinal realizado na cidade de Rio Grande, estado do Rio Grande do Sul, Brasil, em 2021, com todos os indivíduos adultos diagnosticados com covid-19; análises descritivas foram realizadas e apresentadas como proporções com intervalos de confiança de 95% (IC95%); a regressão de Poisson foi realizada e relatada como razão de prevalências (RP), para avaliar a associação entre multimorbidade e utilização de serviços de saúde.

Resultados:: Dos 2.919 participantes, 40,4% apresentavam multimorbidade (≥ 2 doenças); os resultados ajustados mostraram que indivíduos com multimorbidade (3 ou mais doenças) apresentaram maior probabilidade de utilização da maioria dos serviços avaliados (RP = 3,21; IC95% 1,40;7,37) em unidades de pronto-socorro.

Conclusão:: A multimorbidade esteve associada à utilização de diferentes tipos de serviços de saúde.

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Conflict of interest statement

CONFLICTS OF INTEREST: The authors declare they have no conflicts of interest.

Figures

Figure 1
Figure 1. Recruitment process of the participants of the SulCovid Study, Rio Grande, Rio Grande do Sul, Brazil, 2021
See this image and copyright information in PMC

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