Severe Acute Respiratory Syndrome in older adults amid the COVID-19 pandemic and associated factors

Tasso Kfuri Araújo Mafra, Julio Cesar Stobbe, R. Rabello, I. Lindemann, S. G. Silva
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Abstract

Abstract Severe Acute Respiratory Syndrome (SARS) is one of the most worrying respiratory diseases, characterized by a flu-like condition associated with tachypnea or hypoxemia, with saturation below 95% in ambient air. In the context of the new coronavirus (SARSCoV- 2) pandemic, exponential growth in cases was observed, with the elderly being the most affected population group. This study aimed to describe SARS cases, as well as socio-demographic and health-associated factors in the elderly population of a city in the north of Rio Grande do Sul state, Brazil. This is an epidemiological study carried out by Influenza Epidemiological Surveillance Information System. The information was made available by the Municipal Health Department of the Passo Fundo between January 1st and December 31st, 2020. In the descriptive analysis, the distribution of absolute (n) and relative (%) frequencies of the variables of interest was performed. Crude and adjusted odds ratios were estimated using Logistic Regression. A total of 1,268 SARS notifications were observed in the elderly, 72% of which were caused by covid-19. The lethality was high (40.9%), mainly among men and those with low education, with the presence of at least one risk factor, especially chronic kidney disease. It is expected that the associations highlighted in this study can help to develop health policies aimed at the health of the elderly, especially by strengthening actions in primary health care.
COVID-19大流行期间老年人的严重急性呼吸系统综合征及其相关因素
严重急性呼吸综合征(SARS)是最令人担忧的呼吸系统疾病之一,其特征为流感样症状,伴有呼吸急促或低氧血症,环境空气饱和度低于95%。在新型冠状病毒(SARSCoV- 2)大流行的背景下,观察到病例呈指数增长,老年人是受影响最严重的人群。本研究旨在描述巴西南大德州北部一个城市老年人口中的SARS病例,以及社会人口统计学和健康相关因素。这是一项由流感流行病学监测信息系统进行的流行病学研究。这些信息是由帕索丰多市卫生局在2020年1月1日至12月31日期间提供的。在描述性分析中,对感兴趣的变量的绝对频率(n)和相对频率(%)进行了分布。使用Logistic回归估计粗比值比和校正比值比。在老年人中共观察到1268例SARS报告,其中72%由covid-19引起。死亡率高(40.9%),主要发生在男性和受教育程度低的人群中,至少存在一种危险因素,特别是慢性肾脏疾病。预计本研究中强调的协会可以帮助制定旨在老年人健康的卫生政策,特别是通过加强初级卫生保健方面的行动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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