In-Hospital Mortality from Cardiovascular Diseases in Brazil during the First Year of The COVID-19 Pandemic

• Published in: Arquivos brasileiros de cardiologia 2022-01, Vol.119 (1), p.37-45
• Main Authors: Armstrong, Anderson da Costa, Santos, Lucas Gomes, Leal, Thiago Cavalcanti, Paiva, João Paulo Silva de, Silva, Leonardo Feitosa da, Santana, Gibson Barros de Almeida, Rocha, Carlos Alberto de Oliveira, Feitosa, Thiala Alves, Araújo, Sara Larissa de Melo, Bezerra-Santos, Márcio, Souza, Carlos Dornels Freire de, Carmo, Rodrigo Feliciano do
• Format: Article
• Language: eng ; por
• ISSN: 1678-4170
• DOI: 10.36660/abc.20210468

The COVID-19 pandemic has had an impact on mortality from several diseases worldwide, especially cardiovascular diseases (CVD). Brazil is a continent-sized country with significant differences in the health care structure between its federative units. Analyze in-hospital mortality from CVDs in the Brazilian public health system during the first year of the COVID-19 pandemic (2020). This is an ecological study analyzing the absolute number of in-hospital deaths and the rate of in-hospital mortality in Brazil, its macro-regions, and federative units. Data were obtained from the Hospital Information System of the Brazilian Ministry of Health. To analyze excess mortality, the P-score was used. It compares the events observed with those expected for a given place and period. The P-score was corrected by the joinpoint regression model, with a 95% confidence interval and 5% significance level. There were 93,104 in-hospital deaths due to CVD in Brazil in 2020, representing 1,495 fewer deaths (P score: -1.58) than expected. The central-west region had a positive P-score, with a 15.1% increase in the number of deaths. Ten federative units showed a greater number of deaths in 2020. There was also a 13.3% excess in-hospital mortality at the country level, and an excess in-hospital mortality in all macro-regions. There was a decrease in the absolute number of in-hospital deaths, as well as an increase in in-hospital mortality from CVD in Brazil, in 2020, after the COVID-19 pandemic onset.