Your browser doesn't support javascript.
loading
COVID-19 Home Deaths without Medical Assistance in Northeastern Brazil.
Souza, Pedro Mansueto Melo de; Gerson, Gunter; Soares, Carlos Eduardo Lopes; Souza, Sarlene Gomes de; Dias, Josebson Silva; Melo, Deborah Nunes de; Ruiz, Erasmo Miessa; Tavora, Fabio; Cavalcanti, Luciano Pamplona de Goes.
Afiliação
  • Souza PMM; 1"Dr. Rocha Furtado" Death Verification Service, Fortaleza, Brazil.
  • Gerson G; 2Ceara State University, Fortaleza, Brazil.
  • Soares CEL; 1"Dr. Rocha Furtado" Death Verification Service, Fortaleza, Brazil.
  • Souza SG; 3Ceara Federal University, Fortaleza, Brazil.
  • Dias JS; 3Ceara Federal University, Fortaleza, Brazil.
  • Melo DN; 2Ceara State University, Fortaleza, Brazil.
  • Ruiz EM; 1"Dr. Rocha Furtado" Death Verification Service, Fortaleza, Brazil.
  • Tavora F; 1"Dr. Rocha Furtado" Death Verification Service, Fortaleza, Brazil.
  • Cavalcanti LPG; 3Ceara Federal University, Fortaleza, Brazil.
Am J Trop Med Hyg ; 104(2): 514-518, 2020 Dec 10.
Article em En | MEDLINE | ID: mdl-33308386
Since its beginning in Wuhan, China, in December 2019, the disease caused by COVID-19 has reached more than 27 million confirmed cases and more than 880 thousand deaths worldwide by early September 2020. Although it is known that some of these deaths may have been influenced by the overload of health systems, the world medical literature lacks data on deaths due to COVID-19 in patients who have not received medical assistance. We conducted a retrospective transversal study to report the clinical and epidemiological profile of the first 200 consecutive cases of home deaths without medical assistance caused by COVID-19 diagnosed by verbal autopsy and real-time PCR in samples of postmortem nasopharyngeal swabs, in the state of Ceara, in Northeastern Brazil. The data show a slightly increased prevalence of cases in males (57%) and an average age of 76.8 years. Previous comorbidities were reported in 85.5% of cases, the most common being cardiovascular disease (45%), neurological disease (30%), and diabetes (29%). The main symptoms reported were dyspnea (79%), fever (75.5%), cough (69%), and fatigue (42.5%). The average time between the onset of illness and death was 7.3 days, being statistically shorter in patients who had previous comorbidities (P = 0.0215). This is the first study to evidence the clinical and epidemiological characteristics of COVID-19 home deaths without medical assistance, which may represent a considerable portion of the pandemic burden, especially in the context of health system overload.
Assuntos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Morte / COVID-19 / Assistência Médica Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Am J Trop Med Hyg Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Morte / COVID-19 / Assistência Médica Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Am J Trop Med Hyg Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos