Universidade Federal da Paraíba , João Pessoa , PB - Brasil.
Hospital Sírio Libanês , São Paulo , SP - Brasil.
Arq Bras Cardiol. 2021 Mar;116(3):371-380. doi: 10.36660/abc.20200821.
In the COVID-19 pandemic, the increase in the incidence of cardiovascular diseases (CVD) and mortality from them has been recognized worldwide. In Brazil, the impact of COVID-19 on CVD must be evaluated.
To assess the impact of the current pandemic on the numbers of hospital admissions (HA), in-hospital deaths (ID), and in-hospital fatality (IF) from CVD by use of national epidemiological data from the Brazilian Unified Public Health System.
Time-series observational study using comparative analysis of the HA, ID, and IF due to CVD recorded from January to May 2020, having as reference the values registered in the same period from 2016 to 2019 and the values projected by linear regression methods for 2020. The statistical significance level applied was 0.05.
Compared to the same period in 2019, there was a 15% decrease in the HA rate and a 9% decrease in the total ID due to CVD between March and May 2020, followed by a 9% increase in the IF rate due to CVD, especially among patients aged 20-59 years. The HA and IF rates registered in 2020 differed significantly from the projected trend for 2020 (p = 0.0005 and 0.0318, respectively).
During the first months of the pandemic, there were a decline in HA and an increase in IF due to CVD in Brazil. These data might have resulted from the inadequate planning of the CVD management during the pandemic. Thus, immediate actions are required to change this scenario. (Arq Bras Cardiol. 2021; [online].ahead print, PP.0-0).
在 COVID-19 大流行期间，全世界都认识到心血管疾病（CVD）的发病率和由此导致的死亡率有所增加。在巴西，必须评估 COVID-19 对 CVD 的影响。
利用巴西统一公共卫生系统的国家流行病学数据，评估当前大流行对 CVD 住院人数（HA）、院内死亡（ID）和院内病死率（IF）的影响。
使用时间序列观察性研究，对 2020 年 1 月至 5 月记录的 CVD 所致 HA、ID 和 IF 进行比较分析，以 2016 年至 2019 年同期登记的数值和线性回归方法预测的 2020 年数值为参考。应用的统计显著性水平为 0.05。
与 2019 年同期相比，2020 年 3 月至 5 月 CVD 所致 HA 率下降 15%，总 ID 下降 9%，随后 CVD 所致 IF 率上升 9%，尤其是 20-59 岁患者。2020 年登记的 HA 和 IF 率与 2020 年预测趋势明显不同（分别为 p = 0.0005 和 0.0318）。
在大流行的最初几个月，巴西的 HA 下降和 CVD 所致 IF 增加。这些数据可能是由于大流行期间 CVD 管理计划不足所致。因此，需要立即采取行动改变这种情况。（Arq Bras Cardiol. 2021; [online]. ahead print, PP.0-0）。
