Article ; Online: Health system collapse 45 days after the detection of COVID-19 in Ceará, Northeast Brazil: a preliminary analysis.
Revista da Sociedade Brasileira de Medicina Tropical
2020 Volume 53, Page(s) e20200354
Abstract: Introduction: COVID-19 emerged in late 2019 and quickly became a serious public health problem worldwide. This study aim to describe the epidemiological course of cases and deaths due to COVID-19 and their impact on hospital bed occupancy rates in the ... ...
| Abstract | Introduction: COVID-19 emerged in late 2019 and quickly became a serious public health problem worldwide. This study aim to describe the epidemiological course of cases and deaths due to COVID-19 and their impact on hospital bed occupancy rates in the first 45 days of the epidemic in the state of Ceará, Northeastern Brazil. Methods: The study used an ecological design with data gathered from multiple government and health care sources. Data were analyzed using Epi Info software. Results: The first cases were confirmed on March 15, 2020. After 45 days, 37,268 cases reported in 85.9% of Ceará's municipalities, with 1,019 deaths. Laboratory test positivity reached 84.8% at the end of April, a period in which more than 700 daily tests were processed. The average age of cases was 67 (<1 - 101) years, most occurred in a hospital environment (91.9%), and 58% required hospitalization in an ICU bed. The average time between the onset of symptoms and death was 18 (1 - 56) days. Patients who died in the hospital had spent an average of six (0 - 40) days hospitalized. Across Ceará, the bed occupancy rate reached 71.3% in the wards and 80.5% in the ICU. Conclusions: The first 45 days of the COVID-19 epidemic in Ceará revealed a large number of cases and deaths, spreading initially among the population with a high socioeconomic status. Despite the efforts by the health services and social isolation measures the health system still collapsed. |
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| MeSH term(s) | Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Bed Occupancy/statistics & numerical data ; Betacoronavirus ; Brazil/epidemiology ; COVID-19 ; Child ; Child, Preschool ; Coronavirus Infections/epidemiology ; Coronavirus Infections/mortality ; Data Analysis ; Female ; Health Care Surveys/statistics & numerical data ; Health Services Needs and Demand/statistics & numerical data ; Hospital Units/statistics & numerical data ; Humans ; Infant ; Intensive Care Units/statistics & numerical data ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/mortality ; SARS-CoV-2 ; Sex Distribution ; Time Factors ; Young Adult |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-07-03 |
| Publishing country | Brazil |
| Document type | Journal Article |
| ZDB-ID | 1038126-0 |
| ISSN | 1678-9849 ; 0037-8682 |
| ISSN (online) | 1678-9849 |
| ISSN | 0037-8682 |
| DOI | 10.1590/0037-8682-0354-2020 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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