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Socioeconomic factors and COVID-19 mortality in immune-mediated rheumatic diseases patients: regional analysis from Argentina, Mexico and Brazil.
Martinez-Martinez, Marco Ulises; Isnardi, Carolina Ayelen; Alpizar-Rodriguez, Deshiré; Pons-Estel, Guillermo Javier; Virasoro, Belén María; Alfaro, María Agustina; Petkovic, Ingrid; Quintana, Rosana; Berbotto, Guillermo; Salinas, María Jezabel Haye; Ornella, Sofía; Pera, Mariana; Colunga-Pedraza, Iris Jazmín; Irazoque-Palazuelos, Fedra; Reyes-Cordero, Greta; Rodriguez-Reyna, Tatiana S; Veloz-Aranda, Jose Antonio; Skinner-Taylor, Cassandra Michele; Juárez-Mora, Ingrid Maribel; Silveira, Luis H; Marques, Claudia Diniz Lopes; Xavier, Ricardo Machado; Kakehasi, Adriana Maria; Gomides, Ana Paula; Dos Reis-Neto, Edgard Torres; Pileggi, Gecilmara Salviato; Ferreira, Gilda Aparecida; da Mota, Licia Maria Henrique; Pinheiro, Marcelo Medeiros; Calderaro, Débora Cerqueira.
Afiliação
  • Martinez-Martinez MU; Hospital General de Subzona No. 9, Instituto Mexicano del Seguro Social, San Luis, Potosí, México.
  • Isnardi CA; Research Unit, Argentine Society of Rheumatology, CABA, Argentina.
  • Alpizar-Rodriguez D; Research Unit, Colegio Mexicano de Reumatología, Mexico City, Mexico.
  • Pons-Estel GJ; Research Unit, Argentine Society of Rheumatology, CABA, Argentina.
  • Virasoro BM; Research Unit, Argentine Society of Rheumatology, CABA, Argentina.
  • Alfaro MA; Research Unit, Argentine Society of Rheumatology, CABA, Argentina.
  • Petkovic I; Investigator of the SAR-COVID Registry, Argentine Society of Rheumatology, CABA, Argentina.
  • Quintana R; Sanatorio Petkovic, Tunuyán, Mendoza, Argentina.
  • Berbotto G; Investigator of the SAR-COVID Registry, Argentine Society of Rheumatology, CABA, Argentina.
  • Salinas MJH; 6Centro Regional de Enfermedades Autoinmunes y Reumáticas (GO-CREAR), Rosario, Santa Fe, Argentina.
  • Ornella S; Investigator of the SAR-COVID Registry, Argentine Society of Rheumatology, CABA, Argentina.
  • Pera M; Sanatorio Británico Rosario, Chief of the Rheumatology Service, Rosario, Santa Fe, Argentina.
  • Colunga-Pedraza IJ; Investigator of the SAR-COVID Registry, Argentine Society of Rheumatology, CABA, Argentina.
  • Irazoque-Palazuelos F; Reumatologa CEMMA, Universidad Nacional de La Rioja, La Rioja, Argentina.
  • Reyes-Cordero G; Investigator of the SAR-COVID Registry, Argentine Society of Rheumatology, CABA, Argentina.
  • Rodriguez-Reyna TS; HIGA San Martin, La Plata, Buenos Aires, Argentina.
  • Veloz-Aranda JA; Investigator of the SAR-COVID Registry, Argentine Society of Rheumatology, CABA, Argentina.
  • Skinner-Taylor CM; Hospital Angel C Padilla, San Miguel de Tucuman, Tucuman, Argentina.
  • Juárez-Mora IM; Investigator of CMR-COVID Registry, Mexican College of Rheumatology, Mexico City, Mexico.
  • Silveira LH; Hospital Universitario José Eleuterio González, Monterrey, Mexico.
  • Marques CDL; Investigator of CMR-COVID Registry, Mexican College of Rheumatology, Mexico City, Mexico.
  • Xavier RM; Centro de Investigación y Tratamiento Reumatológico S.C., Rheumatology, Mexico City, Mexico.
  • Kakehasi AM; Investigator of CMR-COVID Registry, Mexican College of Rheumatology, Mexico City, Mexico.
  • Gomides AP; Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua, Chihuahua, Private Practice Rheumatology, Chihuahua, Mexico.
  • Dos Reis-Neto ET; Investigator of CMR-COVID Registry, Mexican College of Rheumatology, Mexico City, Mexico.
  • Pileggi GS; Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
  • Ferreira GA; Investigator of CMR-COVID Registry, Mexican College of Rheumatology, Mexico City, Mexico.
  • da Mota LMH; Hospital Regional ISSSTE, Leon, Mexico.
  • Pinheiro MM; Investigator of CMR-COVID Registry, Mexican College of Rheumatology, Mexico City, Mexico.
  • Calderaro DC; Hospital Universitario José Eleuterio González, Monterrey, Mexico.
Adv Rheumatol ; 64(1): 78, 2024 Oct 09.
Article em En | MEDLINE | ID: mdl-39385233
ABSTRACT

BACKGROUND:

SARS-CoV-2 infection has become a major international issue, not only from a medical point of view, but also social, economic and political. Most of the available information comes from the United States, Europe, and China, where the population and the socioeconomic status are very different from Latin American countries. This study evaluates the effect of regional socioeconomic characteristics on mortality due SARS-CoV-2 infection in patients with immune-mediated rheumatic diseases (IMRD) from Argentina, Mexico and Brazil.

METHODS:

Data from three national registries, SAR-COVID (Argentina), CMR-COVID (Mexico) and ReumaCoV-Brasil (Brazil), were combined. Adult IMRD patients with SARS-CoV-2 infection were recruited. National data for each province/state, including population density, number of physicians per inhabitant, income, unemployment, GINI index, Municipal Human Development Index (MHDI), stringency index, vaccination rate and most frequent viral strains per period were assessed as risk factors for mortality due to COVID-19.

RESULTS:

A total of 4744 patients were included, 2534 (53.4%) from SAR-COVID, 1166 (24.6%) from CMRCOVID and 1044 (22.0%) from ReumaCoV-Brasil. Mortality due to COVID-19 was 5.4%. In the multivariable analysis, higher number of physicians per 1000 inhabitants and being infected during the vaccination period of each country were associated with lower mortality. After adjustment for socioeconomic factors, there was no association with country of residence and mortality.

CONCLUSION:

These findings corroborate the complex interplay between socioeconomic factors, rheumatic disease activity, and regional disparities as determinants of death due to COVID-19 in Argentina, Brazil and Mexico. Thus, this research provides valuable insights for guiding public health policies and clinical practice in the ongoing fight against the COVID-19 pandemic.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fatores Socioeconômicos / Doenças Reumáticas / COVID-19 Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Argentina / Brasil / Mexico Idioma: En Revista: Adv Rheumatol Ano de publicação: 2024 Tipo de documento: Article País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fatores Socioeconômicos / Doenças Reumáticas / COVID-19 Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Argentina / Brasil / Mexico Idioma: En Revista: Adv Rheumatol Ano de publicação: 2024 Tipo de documento: Article País de publicação: Reino Unido