Comorbidities' influence on the occurrence of COVID-19 deaths in 2020: odds ratio in Amazonas, Brazil
DOI:
https://doi.org/10.34019/1982-8047.2022.v48.37689Keywords:
COVID-19, Comorbidity, Mortality, Health Information Systems, Public Health SurveillanceAbstract
Introduction: The Sars-CoV-2 virus, from the coronavirus family, was discovered in December 2019 in China, in the city of Wuhan, the initial focus of the COVID-19 pandemic. COVID-19 caused several deaths worldwide and the presence of comorbidities was associated with an increase in these occurrences. Objective: use Data Science tools to analyze whether COVID-19 in Amazonas increased the risk of death in patients who developed Severe Acute Respiratory Syndrome (SARS) and concomitantly had some associated comorbidity. Material and methods: retrospective observational study of the paired case-control type based on SARS data available by the Ministério da Saúde in OpenDATASUS, using the Python programming language and the pandas library. Results: There were 17,924 cases of COVID-19 in 2020 in Amazonas, of these 5,882 patients died. Among the cases of deaths resulting from COVID-19, it was found that 68.74% had some associated comorbidity. When comparing groups according to exposure and occurrence of outcome, it was found that exposure to COVID-19 in patients with associated comorbidities increased the risk of death, except when Down syndrome was present. The most prevalent comorbidity among COVID-19 cases was chronic cardiovascular disease (47.84%) and the most lethal was chronic kidney disease (62.23%). Conclusion: this study demonstrated that the involvement by COVID-19 increased the chance of deaths in individuals with comorbidities who developed SARS in 2020 in Amazonas, in addition to show the negative impact of cardiovascular events on the progression of COVID-19.
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Copyright (c) 2022 Ruy Roberto Porto Ascenso Rosa, Ronem Matos Lavareda Filho, José Elislande Breno de Souza Linhares
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