Registration with Primary Health Care and COVID-19 mortality: cohort of diabetics from five administrative health regions in the city of Rio de Janeiro, Brazil, 2020–2021

Q2 Medicine

Revista Brasileira de Epidemiologia Pub Date : 2023-01-01 DOI:10.1590/1980-549720230039

Jéssica Chagas de Almeida, Natalia Santana Paiva, Gerusa Gibson, Leonardo Soares Bastos, Roberto de Andrade Medronho, Katia Vergetti Bloch

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引用次数: 0

Abstract

ABSTRACT Objective: The present study carried out an analysis of survival according to the status of registration with Primary Health Care (PHC) and of factors associated with death from COVID-19, in cases residing in Programmatic Area 3.1 (PA3.1) with a diagnosis of diabetes (in the notification form or in the electronic medical record), of the Municipality of Rio de Janeiro (RJ), Brazil, in 2020–2021. Methods: A probabilistic linkage of databases was performed based on information on cases notified as COVID-19 and data from the electronic medical records of people living with diabetes. A survival analysis was carried out, using the Cox regression model stratified by age group and adjusted for confounding variables. Results: Individuals registered with the PHC of PA3.1 had almost twice the risk of death from COVID-19 (adjusted hazard ratio [HRadj]=1.91) when compared to those unregistered. This association was stronger in individuals aged 18 to 59 years registered with the PHC (HRadj=2.82) than in individuals aged 60 years or over (HRadj=1.56). Conclusion: Surveillance strategies for identifying and adequately monitoring higher-risk groups, among individuals living with diabetes, within the scope of Primary Health Care, can contribute to reducing mortality from COVID-19.

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初级卫生保健登记与COVID-19死亡率:2020-2021年巴西里约热内卢市五个行政卫生区域的糖尿病患者队列研究

摘要目的:本研究根据2020-2021年巴西里约热内卢市(RJ)居住在3.1规划区(PA3.1)并诊断为糖尿病(在通知表或电子病历中)的初级卫生保健(PHC)登记状况和与COVID-19死亡相关的因素对患者的生存率进行了分析。方法:基于通报为COVID-19的病例信息和糖尿病患者电子病历数据，对数据库进行概率链接。生存率分析采用Cox回归模型按年龄组分层，并对混杂变量进行校正。结果:PA3.1 PHC登记个体的COVID-19死亡风险几乎是未登记个体的两倍(校正风险比[HRadj]=1.91)。在PHC登记的18至59岁的个体(HRadj=2.82)中，这种关联强于60岁及以上的个体(HRadj=1.56)。结论:在初级卫生保健范围内确定和充分监测糖尿病患者中高危人群的监测战略可有助于降低COVID-19的死亡率。

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来源期刊

Revista Brasileira de Epidemiologia Medicine-Medicine (all)

CiteScore

3.60

自引率

0.00%

发文量

审稿时长

21 weeks

期刊介绍： Revista Brasileira de Epidemiologia (Brazilian Journal of Epidemiology) - every four months, journal published by the ABRASCO - aims at publishing not previously published Original Articles, including critical reviews on specific themes, which may contribute to the development of Epidemiology and related Sciences. Revista also publishes articles in the following categories: Debate aimed at discussing different views of the same theme which may be presented as an original article followed by comments from other authors, reproduction of panels and other similar formats; Notes and Information - notes on primary results of research studies.