Abstract
Introduction: The COVID-19 pandemic in Minas Gerais (MG) resulted in a decrease of the demand for healthcare, such as outpatient consultations, exams and elective surgeries, as one of the contingency strategies. Objective: To analyze deaths from respiratory and cardiac causes during the first half of 2020 occurring in households and hospitals in MG. Method: The causes of deaths were analyzed using data from the Civil Registry Transparency Portal (ARPEN) in epidemiological weeks 1st to 23th. Results: It was found that, compared to the same period in 2019, there was an increase in home deaths from pneumonia (17.59%), respiratory failure (20.65%), severe acute respiratory syndrome (20.69%), sepsis (31.91%), acute myocardial infarction (15.56%), stroke (18.29%) and other cardiovascular causes (18.44%) in 2020. In relation to hospital deaths, a reduction in deaths from pneumonia (6.08%), from respiratory failure (3.59%) and from sepsis (2.21%) was observed, despite an increase of 338.30% for SARS. In addition, there was a 3.02% decrease in deaths from strokes, and a 3.41% increase in AMI and 2.93% for other cardiovascular causes. In relation to age and gender, regardless of the place of death, men aged between 75 and 80 years predominated. Conclusions: It is believed that part of these deaths are related to the restructuring of the dynamics of hospital care, associated with the fear of seeking assistance and becoming infected by the new coronavirus. In conclusion that there was an increase in home deaths and a reduction in hospital deaths in 2020 due to respiratory and cardiac causes in the context of the pandemic.
Highlights
The COVID-19 pandemic in Minas Gerais (MG) resulted in a decrease of the demand for healthcare, such as outpatient consultations, exams and elective surgeries, as one of the contingency strategies
Essas constatações podem auxiliar no entendimento do aumento das mortes em domicílio em 2020 por essa doença em MG, pois, se seu reconhecimento já é difícil presencialmente pelo médico e mediante exames laboratoriais, isso pode ser ainda mais negligenciado em atendimentos remotos ou pela não procura por serviços hospitalares
É imperioso que estudos similares a este sejam feitos em outras regiões, para averiguar se esse padrão se repete, de modo a certificar a influência nacional do novo coronavírus sobre as mortes em domicílio, tanto pelas causas aqui analisadas, como por outras
Summary
The COVID-19 pandemic in Minas Gerais (MG) resulted in a decrease of the demand for healthcare, such as outpatient consultations, exams and elective surgeries, as one of the contingency strategies. Houve um aumento representativo dos óbitos em domicílio por todas as causas mortis denotadas no objetivo: pneumonia, IR, SRAG, sepse, IAM e AVC, e elas seguem com uma predominância em termo de sexo e faixa etária.
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