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Estimated mortality rate and leading causes of death among individuals with chikungunya in 2016 and 2017 in Brazil
Frutuoso, Livia Carla Vinhal; Freitas, André Ricardo Ribas; Cavalcanti, Luciano Pamplona de Góes; Duarte, Elisabeth Carmen.
Afiliação
  • Frutuoso, Livia Carla Vinhal; Ministério da Saúde. Secretaria de Vigilância em Saúde. Brasília. BR
  • Freitas, André Ricardo Ribas; Secretaria Municipal de Saúde de Campinas. Departamento de Vigilância em Saúde. Programa Municipal de Controle de Arboviroses. Campinas. BR
  • Cavalcanti, Luciano Pamplona de Góes; Universidade Federal do Ceará. Departamento de Saúde Comunitária. Fortaleza. BR
  • Duarte, Elisabeth Carmen; Universidade de Brasília. Programa de Pós-Graduação em Medicina Tropical. Brasília. BR
Rev. Soc. Bras. Med. Trop ; Rev. Soc. Bras. Med. Trop;53: e20190580, 2020. tab, graf
Article em En | LILACS | ID: biblio-1101436
Biblioteca responsável: BR1.1
ABSTRACT
Abstract

INTRODUCTION:

In 2014, the first cases of autochthonous chikungunya (CHIK) were recorded in Brazil. Lethality associated with this disease is underestimated. Thus, this study aimed to analyze the causes of death among individuals with CHIK in Brazil.

METHODS:

A descriptive observational study was conducted on individuals with CHIK who died within 6 months from symptom onset. Data pairing between the Information System for Notifiable Diseases and the Mortality Information System was performed. Deaths were classified according to case confirmation criterion, mention of CHIK in the death certificates (DCs), and disease phase. The lethality rate per 1,000 cases was corrected for underreporting and was estimated according to region, sex, age, years of education, race/color, and cause groups.

RESULTS:

We identified 3,135 deaths (mention of CHIK in the DCs, 764 [24.4%]). In 17.6% of these cases, CHIK was the underlying cause. Most deaths occurred in the acute (38.1%) and post-acute (29.6%) phases. The corrected LR (5.7; x1,000) was 6.8 times higher than that obtained from the Information System for Notifiable Diseases (0.8). The highest corrected LRs were estimated for among individuals living in the Northeast region (6.2), men (7.4), those with low years of education and those aged <1 year (8.6), 65-79 years (20.7), and ≥80 years (75.4).

CONCLUSIONS:

The LR of CHIK estimates based on information system linkage help to reveal the relevance of this disease as the direct cause or as a cause associated with serious or fatal events, provide timely interventions, and increase the knowledge about this disease.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Causas de Morte / Febre de Chikungunya Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies Limite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Rev. Soc. Bras. Med. Trop Assunto da revista: MEDICINA TROPICAL Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Causas de Morte / Febre de Chikungunya Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies Limite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Rev. Soc. Bras. Med. Trop Assunto da revista: MEDICINA TROPICAL Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil