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10.1590/0037-8682-0354-2020

http://scihub22266oqcxt.onion/10.1590/0037-8682-0354-2020
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suck abstract from ncbi


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pmid32638888      Rev+Soc+Bras+Med+Trop 2020 ; 53 (ä): e20200354
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  • Health system collapse 45 days after the detection of COVID-19 in Ceara, Northeast Brazil: a preliminary analysis #MMPMID32638888
  • Lemos DRQ; D'Angelo SM; Farias LABG; Almeida MM; Gomes RG; Pinto GP; Cavalcante Filho JN; Feijao LX; Cardoso ARP; Lima TBR; Linhares PMC; Mello LP; Coelho TM; Cavalcanti LPG
  • Rev Soc Bras Med Trop 2020[]; 53 (ä): e20200354 PMID32638888show ga
  • 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 Ceara, 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 Ceara'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 Ceara, 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 Ceara 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.
  • |*Betacoronavirus[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Age Distribution[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Bed Occupancy/*statistics & numerical data[MESH]
  • |Brazil/epidemiology[MESH]
  • |COVID-19[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Coronavirus Infections/*epidemiology/mortality[MESH]
  • |Data Analysis[MESH]
  • |Female[MESH]
  • |Health Care Surveys/statistics & numerical data[MESH]
  • |Health Services Needs and Demand/*statistics & numerical data[MESH]
  • |Hospital Units/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Intensive Care Units/statistics & numerical data[MESH]
  • |Length of Stay/statistics & numerical data[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*epidemiology/mortality[MESH]
  • |SARS-CoV-2[MESH]
  • |Sex Distribution[MESH]
  • |Time Factors[MESH]


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