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Health system collapse 45 days after the detection of COVID-19 in Ceará, Northeast Brazil: a preliminary analysis.
Rev Soc Bras Med Trop. 2020; 53:e20200354.RS

Abstract

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 Ceará, 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 Ceará'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 Ceará, 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 Ceará 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.

Authors+Show Affiliations

Faculdade de Medicina, Centro Universitário Christus, Fortaleza, CE, Brasil.Secretaria de Saúde do Estado do Ceará, Fortaleza, CE, Brasil.Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.Secretaria de Saúde do Estado do Ceará, Fortaleza, CE, Brasil.Secretaria de Saúde do Estado do Ceará, Fortaleza, CE, Brasil.Faculdade de Medicina, Centro Universitário Christus, Fortaleza, CE, Brasil.Secretaria de Saúde do Estado do Ceará, Fortaleza, CE, Brasil.Secretaria de Saúde do Estado do Ceará, Fortaleza, CE, Brasil.Secretaria de Saúde do Estado do Ceará, Fortaleza, CE, Brasil.Secretaria de Saúde do Estado do Ceará, Fortaleza, CE, Brasil.Secretaria de Saúde do Estado do Ceará, Fortaleza, CE, Brasil.Laboratório Central de Saúde Pública do Ceará, Fortaleza, CE, Brasil.Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.Faculdade de Medicina, Centro Universitário Christus, Fortaleza, CE, Brasil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32638888

Citation

Lemos, Daniele Rocha Queiros, et al. "Health System Collapse 45 Days After the Detection of COVID-19 in Ceará, Northeast Brazil: a Preliminary Analysis." Revista Da Sociedade Brasileira De Medicina Tropical, vol. 53, 2020, pp. e20200354.
Lemos DRQ, D'Angelo SM, Farias LABG, et al. Health system collapse 45 days after the detection of COVID-19 in Ceará, Northeast Brazil: a preliminary analysis. Rev Soc Bras Med Trop. 2020;53:e20200354.
Lemos, D. R. Q., D'Angelo, S. M., Farias, L. A. B. G., Almeida, M. M., Gomes, R. G., Pinto, G. P., Cavalcante Filho, J. N., Feijão, L. X., Cardoso, A. R. P., Lima, T. B. R., Linhares, P. M. C., Mello, L. P., Coelho, T. M., & Cavalcanti, L. P. G. (2020). Health system collapse 45 days after the detection of COVID-19 in Ceará, Northeast Brazil: a preliminary analysis. Revista Da Sociedade Brasileira De Medicina Tropical, 53, e20200354. https://doi.org/10.1590/0037-8682-0354-2020
Lemos DRQ, et al. Health System Collapse 45 Days After the Detection of COVID-19 in Ceará, Northeast Brazil: a Preliminary Analysis. Rev Soc Bras Med Trop. 2020;53:e20200354. PubMed PMID: 32638888.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health system collapse 45 days after the detection of COVID-19 in Ceará, Northeast Brazil: a preliminary analysis. AU - Lemos,Daniele Rocha Queiros, AU - D'Angelo,Sarah Mendes, AU - Farias,Luis Arthur Brasil Gadelha, AU - Almeida,Magda Moura, AU - Gomes,Ricristhi Gonçalves, AU - Pinto,Geovana Praça, AU - Cavalcante Filho,Josafa Nascimento, AU - Feijão,Levi Ximenes, AU - Cardoso,Ana Rita Paulo, AU - Lima,Thaisy Brasil Ricarte, AU - Linhares,Pâmela Maria Costa, AU - Mello,Liana Perdigão, AU - Coelho,Tania Mara, AU - Cavalcanti,Luciano Pamplona de Góes, Y1 - 2020/07/03/ PY - 2020/06/04/received PY - 2020/06/19/accepted PY - 2020/7/9/entrez PY - 2020/7/9/pubmed PY - 2020/7/17/medline SP - e20200354 EP - e20200354 JF - Revista da Sociedade Brasileira de Medicina Tropical JO - Rev Soc Bras Med Trop VL - 53 N2 - 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 Ceará, 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 Ceará'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 Ceará, 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 Ceará 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. SN - 1678-9849 UR - https://www.unboundmedicine.com/medline/citation/32638888/Health_system_collapse_45_days_after_the_detection_of_COVID_19_in_Ceará_Northeast_Brazil:_a_preliminary_analysis_ DB - PRIME DP - Unbound Medicine ER -