Description and comparison of demographic characteristics and comorbidities in SARI from COVID-19, SARI from influenza, and the Brazilian general population
Description and comparison of demographic characteristics and comorbidities in SARI from COVID-19, SARI from influenza, and the Brazilian general population
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DOI：
10.1590/0102-311x00149420
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发表时间：
2020-01-01
影响因子：
2.8
通讯作者：
Bastos, Leonardo Soares
中科院分区：
文献类型：
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作者：
Niquini, Roberta Pereira;Lana, Raquel Martins;Bastos, Leonardo Soares
该研究旨在根据截至2020年第21个流行病学周的人口统计学特征和合并症，描述巴西因COVID-19（SARI-COVID）导致的严重急性呼吸道疾病（SARI）住院的患者。该研究旨在将这些特征与2019/2020年因流感而住院的SARI患者（SARI-FLU）和巴西普通人群进行比较。SARI-COVID和SARI-FLU住院患者的人口统计学特征、合并症以及孕妇和产后妇女的比例来自SIVEP-Gripe数据库，巴西人口的估计值来自巴西地理和统计研究所、活产数据信息系统和全国调查进行的人口预测。与巴西人群相比，因SARI-COVID住院的患者中男性、老年人和40至59岁的患者、合并症（糖尿病、心血管疾病、慢性肾脏疾病和慢性肺部疾病）和孕妇/产后妇女的比例较高。与一般人群相比，因SARI-FLU住院的巴西人显示，0至4岁或60岁以上、白色种族/肤色、合并症（糖尿病、慢性肾脏疾病、哮喘和其他慢性肺部疾病）和妊娠/产后女性的患病率较高。这些数据表明，这些群体正在演变成更严重的疾病形式，因此，纵向研究对于调查这一假设和支持适当的公共卫生政策非常重要。
The study aims to describe patients hospitalized for severe acute respiratory illness (SARI) due to COVID-19 (SARI-COVID) in Brazil according to demographic characteristics and comorbidities up to the 21st Epidemiological Week of 2020. The study aimed to compare these characteristics with those of patients hospitalized for SARI due to influenza in 2019/2020 (SARI-FLU) and with the Brazilian general population. The proportions of demographic characteristics, comorbidities, and pregnant and postpartum women among patients hospitalized for SARI-COVID and SARI-FLU were obtained from the SIVEP-Gripe database, and the estimates for the Brazilian population were obtained from the population projections performed by Brazilian Institute of Geography and Statistics, Information System on Live Birth data, and nationwide surveys. Compared to the Brazilian population, patients hospitalized for SARI-COVID showed a higher proportion of males, elderly individuals and those aged 40 to 59 years, comorbidities (diabetes mellitus, cardiovascular disease, chronic kidney disease, and chronic lung diseases), and pregnant/postpartum women. Compared to the general population, Brazilians hospitalized for SARI-FLU showed higher prevalence rates of ages 0 to 4 years or over 60 years, white race/color, comorbidities (diabetes, chronic kidney disease, asthma, and other chronic lung diseases), and pregnant/postpartum women. The data suggest that these groups are evolving to more serious forms of the disease, so that longitudinal studies are extremely relevant for investigating this hypothesis and supporting appropriate public health policies.