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在巴西,慢性心脏病是新冠病毒病死亡病例中最常见的合并症。

Chronic heart diseases as the most prevalent comorbidities among deaths by COVID-19 in Brazil.

作者信息

Pachiega Julianne, Afonso Alexandre José Dos Santos, Sinhorin Géssica Thaís, Alencar Bianca Teshima de, Araújo Marta Dos Santos Miranda de, Longhi Fabiana Gulin, Zanetti Andernice Dos Santos, Espinosa Omar Ariel

机构信息

Universidade do Estado de Mato Grosso, Faculdade de Ciências da Saúde, Departamento de Medicina, Cáceres, Mato Grosso, Brazil.

Universidade do Estado de Mato Grosso, Faculdade de Ciências da Saúde, Departamento de Enfermagem, Cáceres, Mato Grosso, Brazil.

出版信息

Rev Inst Med Trop Sao Paulo. 2020 Jun 29;62:e45. doi: 10.1590/S1678-9946202062045. eCollection 2020.

Abstract

Age, sex and presence of comorbidities are risk factors associated with COVID-19. Hypertension, diabetes and heart disease are the most common comorbidities in patients with COVID-19. The objective of this study was to estimate the prevalence of patients with comorbidities who died of COVID-19 in Brazil. Searches of data were carried out on the official pages of the 26 State health departments and the federal district. The random-effect method was used to calculate the prevalence of patients with comorbidities who died. From the beginning of the pandemic in Brazil until May 20, 2020, 276,703 cases of COVID-19 were notified in Brazil, 6.4% died, 58.6% of whom were male. The prevalence of comorbidities among deaths was 83% (95% CI: 79 - 87), with heart disease and diabetes being the most prevalent. To our knowledge, this study represents the first large analysis of cases of patients with confirmed COVID-19 in Brazil. There is a high prevalence of comorbidities (83%) among patients who died from COVID-19 in Brazil, with heart disease being the most prevalent. This is important considering the possible secondary effects produced by drugs such as hydroxychloroquine.

摘要

年龄、性别和合并症的存在是与新型冠状病毒肺炎相关的风险因素。高血压、糖尿病和心脏病是新型冠状病毒肺炎患者中最常见的合并症。本研究的目的是估计巴西死于新型冠状病毒肺炎的合并症患者的患病率。在26个州卫生部门和联邦区的官方页面上进行了数据搜索。采用随机效应方法计算合并症死亡患者的患病率。从巴西疫情开始到2020年5月20日,巴西共报告了276,703例新型冠状病毒肺炎病例,6.4%的患者死亡,其中58.6%为男性。死亡患者中合并症的患病率为83%(95%置信区间:79 - 87),心脏病和糖尿病最为常见。据我们所知,本研究是巴西首次对确诊新型冠状病毒肺炎患者病例进行的大规模分析。巴西死于新型冠状病毒肺炎的患者中合并症的患病率很高(83%),其中心脏病最为常见。考虑到羟氯喹等药物可能产生的继发效应,这一点很重要。

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