Leite Vyna Maria Cruz, Ramos Alberto Novaes, Ferreira Anderson Fuentes, Costa Nicolas Gustavo Souza, Araújo Carmem Emmanuely Leitão
Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Brasil.
Cad Saude Publica. 2025 Feb 24;41(2):e00183023. doi: 10.1590/0102-311XPT183023. eCollection 2025.
During the COVID-19 pandemic, health care policies for older adults gained relevance worldwide. The number of deaths that markedly affected this population needs analyses of its impacts on health care. This study aimed to analyze the relation between COVID-19-related morbidity and mortality patterns in people aged 60 years and older and the implemented prevention and control measures, namely, social distancing and the beginning of specific vaccination against COVID-19 according to states in the Brazilian Northeast from February 2020 to September 2022. This descriptive time series study was based on data from the states in the Brazilian Northeast. Results point to a high pattern of morbidity and mortality in older adults before the COVID-19 pandemic, growing sharply after the onset of the pandemic in all evaluated states. The measures the states in the Brazilian Northeast adopted to combat the pandemic showed a certain homogeneity. The number of hospitalizations increase with the outcome death due to COVID-19, even after strict contingency and distancing measures and the beginning of vaccination. This study found a relevant relationship between sanitary measures of social distancing and vaccination and the reduction of morbidity and mortality in older adults living in the states in the Brazilian Northeast. However, the decisions of Northeastern states failed to mitigate the impact of morbidity and mortality in older adults to the COVID-19 pandemic.
在新冠疫情期间，针对老年人的医疗保健政策在全球范围内变得愈发重要。明显影响这一人群的死亡人数需要对其对医疗保健的影响进行分析。本研究旨在分析2020年2月至2022年9月巴西东北部各州60岁及以上人群中与新冠相关的发病和死亡模式与所实施的预防和控制措施之间的关系，这些措施即社交距离措施以及针对新冠的特定疫苗接种的开始情况。这项描述性时间序列研究基于巴西东北部各州的数据。结果表明，在新冠疫情之前，老年人的发病和死亡模式较高，在所有评估州疫情爆发后急剧上升。巴西东北部各州为抗击疫情所采取的措施表现出一定的同质性。即使在采取了严格的应急和社交距离措施以及开始接种疫苗之后，因新冠导致的住院人数仍随着死亡结果而增加。本研究发现，社交距离和疫苗接种等卫生措施与巴西东北部各州老年人发病率和死亡率的降低之间存在相关关系。然而，东北部各州的决策未能减轻新冠疫情对老年人发病率和死亡率的影响。
