RESUMO
Objectives: This work provides an overview of young children's (aged 0-9) infectious diseases epidemiology, by exploring the link between various comorbid conditions, COVID-19, and death rate. Methods: Public data on hospitalized young children was obtained from national databases of the Mexican health care system from 2020-2022. Data included age, year of entry, gender, the time between admission to death (hospitalization time), date of death, comorbidities, and admissions to the intensive care unit. Children were separated into age groups and frequencies were calculated. Binary regression models were developed to determine the correlation of comorbidities and COVID-19 to death as calculated by odds ratios (OR). Results: From 2020-2022, there were 11,815 hospitalizations among young children, of which 15.98% were due to COVID-19, 2.55% of hospitalizations resulted in fatalities from which 32.45% of deaths were COVID-19 related. The highest case-calculated fatality ratio of COVID-19 infected young children was estimated at 7.04% by early 2020, but dropped to 2.11% by the end of the second semester of 2022. The most frequent comorbidities associated with their hospitalization and death for the general population were intubation (OR: 17.967), pneumonia (OR: 2.263), diabetes (OR: 7.301), cardiovascular diseases (OR: 1.528) and COVID-19 (OR: 261). For the COVID-19-positive group, the most impactful comorbidities were intubation (OR: 20.232), pneumonia (OR: 3.057), and diabetes (OR: 12.824). Conclusion: Children's hospitalizations and deaths were common during the pandemic; wherein major comorbidities played an important role. Therefore, effective comorbidity management and vaccination programs are essential to reduce hospitalizations and deaths among young children.
RESUMO
Cardiovascular diseases (CVDs) continue to be the leading cause of death worldwide. Over the past couple of years and with the surge of the COVID-19 pandemic, mortality from CVDs has been slightly overshadowed by those due to COVID-19, although it was during the peak of the pandemic. In the present study, patients with CVDs (CVDs; n = 41,883) were analyzed to determine which comorbidities had the largest impact on overall patient mortality due to their association with both diseases (n = 3,637). Obesity, hypertension, and diabetes worsen health in patients diagnosed positive for COVID-19. Hence, they were included in the overview of all patients with CVD. Our findings showed that 1,697 deaths were attributable to diabetes (p < 0.001) and 987 deaths to obesity (p < 0.001). Lastly, 2,499 deaths were attributable to hypertension (p < 0.001). Using logistic regression modeling, we found that diabetes (OR: 1.744, p < 0.001) and hypertension (OR: 2.179, p < 0.001) significantly affected the mortality rate of patients. Hence, having a CVD diagnosis, with hypertension and/or diabetes, seems to increase the likelihood of complications, leading to death in patients diagnosed positive for COVID-19.
Assuntos
COVID-19 , Doenças Cardiovasculares , Diabetes Mellitus , Hipertensão , Humanos , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/etiologia , Estudos Transversais , COVID-19/epidemiologia , Estudos Retrospectivos , Pandemias , Hipertensão/epidemiologia , Diabetes Mellitus/epidemiologia , Obesidade/epidemiologiaRESUMO
Objetivo: el síndrome de burnout es una condición surgida a partir de la demanda excesiva de energía, recursos y disponibilidad de los trabajadores, repercute en la integridad de quienes lo padecen. El objetivo de este estudio exploratorio, pionero, fue analizar el grado de síndrome burnout, malestar psicológico y satisfacción con la vida en una muestra de oficiales de policía mexicanos durante la pandemia de COVID-19. Materiales y métodos: se realizó un estudio no experimental, transversal, con alcances exploratorios, descriptivos y correlacionales con 27 policías del estado de Puebla [México], entre los 19 y 43 años de edad. Se utilizaron las escalas Maslach Burnout Inventory-Human Services Survey, Kessler's Psychological Distress Scale y la Escala de Satisfacción con la Vida. Resultados: resalta una prevalencia alta de despersonalización en el 81,5% de la muestra; realización personal baja, en un 55,6%; y un agotamiento emocional alto, en el 37%. El 63% indicó malestar psicológico moderado y el 51,9%, una alta satisfacción con la vida. De igual forma, se identificaron asociaciones parciales entre las variables incluidas. Conclusiones: conviene adelantar nuevas investigaciones orientadas a detectar y promover factores protectores mecanismos de defensa y tratamientos correspondientes para disminuir los índices del síndrome de quemarse en el trabajo en el sector policial..(Au)
Objective: burnout syndrome is a condition that arises from the excessive demand for energy, resources and availability of workers, which has repercussions on the integrity of those who suffer from it. Therefore, the objective of this exploratory study, until now pioneering, was to analyze the degree of burnout syndrome, psychological distress and satisfaction with life in a sample of mexican police officers during the COVID-19 pandemic. Materials and methods: a non-experimental, cross-sectional study was carried out, with exploratory, descriptive and correlational scopes; 27 policemen from the state of Puebla [Mexico] participated, with ages between 19 and 43 years. The Maslach Burnout Inventory-Human Services Survey, the Kessler's Psychological Distress Scale and the Satisfaction with Life Scale were used. Results: a high prevalence of depersonalization stands out in 81,5% of the sample; low personal fulfillment, 55,6%; and a high emotional exhaustion, in 37%; 63% indicated moderate psychological distress and 51,9%, high satisfaction with life. Similarly, partial associations were identified between the included variables. Conclusions: it is suggested to develop new research aimed at detecting and promoting protective factors, defense mechanisms and corresponding treatments to reduce the rates of burn syndrome at police work..(Au)