Covid Adult Mortality in Brazil: An Analysis of Multiple Causes of Death
ObjectiveThis study aimed to analyze the chain of events and contributing causes associated with COVID-19 adult mortality (30–69 years old), based on qualified data on CoD from three Brazilian capitals cities, Belo Horizonte, Salvador, and Natal, in 2020.MethodsData of all deaths among residents in...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2021.788932/full |
| _version_ | 1798025502411194368 |
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| author | Ana Maria Nogales Vasconcelos Lenice Ishitani Daisy Maria Xavier Abreu Elisabeth França |
| author_facet | Ana Maria Nogales Vasconcelos Lenice Ishitani Daisy Maria Xavier Abreu Elisabeth França |
| author_sort | Ana Maria Nogales Vasconcelos |
| collection | DOAJ |
| description | ObjectiveThis study aimed to analyze the chain of events and contributing causes associated with COVID-19 adult mortality (30–69 years old), based on qualified data on CoD from three Brazilian capitals cities, Belo Horizonte, Salvador, and Natal, in 2020.MethodsData of all deaths among residents in the three capitals in 2020 were provided by these municipalities' routine Mortality Information System (SIM). Mentions B34.2 with the markers U07.1 and U07.2 in the death certificate identified COVID-19 deaths. We used a multiple-cause-of-death approach better to understand the complexity of the morbid process of COVID-19. Conditions that appeared more frequently in the same line or above the COVID-19 mentions in the death certificate were considered a chain-of-event. Conditions that occurred more often after the codes for COVID-19 were considered as contributing.ResultsIn 2020, 7,029 records from COVID-19 as the underlying cause of death were registered in SIM in the three capitals. Among these, 2,921 (41.6%) were deceased between 30 and 69 years old, representing 17.0% of deaths in this age group. As chain-of-events, the most frequent conditions mentioned were sepsis (33.4%), SARS (32.0%), acute respiratory failure (31.9%), unspecified lower respiratory infections (unspecified pneumonia) (20.1%), and other specified respiratory disorders (14.1%). Hypertension (33.3%), diabetes unspecified type (21.7%), renal failure (12.7%), obesity (9.8%), other chronic kidney diseases (4.9%), and diabetes mellitus type 2 (4.7%) were the most frequent contributing conditions. On average, 3.04 conditions were mentioned in the death certificate besides COVID-19. This average varied according to age, place of death, and capital.ConclusionThe multiple-cause analysis is a powerful tool to better understand the morbid process due to COVID-19 and highlight the importance of chronic non-communicable diseases as contributing conditions. |
| first_indexed | 2024-04-11T18:19:43Z |
| format | Article |
| id | doaj.art-5d658750562d4ea58d5f1751af14a3dc |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T18:19:43Z |
| publishDate | 2022-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-5d658750562d4ea58d5f1751af14a3dc2022-12-22T04:09:48ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-01-01910.3389/fpubh.2021.788932788932Covid Adult Mortality in Brazil: An Analysis of Multiple Causes of DeathAna Maria Nogales Vasconcelos0Lenice Ishitani1Daisy Maria Xavier Abreu2Elisabeth França3Department of Statistics, University of Brasilia, Brasilia, BrazilEpidemiology and Health Assessment Research Group (GPEAS), Federal University of Minas Gerais, Belo Horizonte, BrazilEpidemiology and Health Assessment Research Group (GPEAS), Federal University of Minas Gerais, Belo Horizonte, BrazilGraduate Program in Public Health, School of Medicine and Epidemiology and Health Assessment Research Group (GPEAS), Federal University of Minas Gerais, Belo Horizonte, BrazilObjectiveThis study aimed to analyze the chain of events and contributing causes associated with COVID-19 adult mortality (30–69 years old), based on qualified data on CoD from three Brazilian capitals cities, Belo Horizonte, Salvador, and Natal, in 2020.MethodsData of all deaths among residents in the three capitals in 2020 were provided by these municipalities' routine Mortality Information System (SIM). Mentions B34.2 with the markers U07.1 and U07.2 in the death certificate identified COVID-19 deaths. We used a multiple-cause-of-death approach better to understand the complexity of the morbid process of COVID-19. Conditions that appeared more frequently in the same line or above the COVID-19 mentions in the death certificate were considered a chain-of-event. Conditions that occurred more often after the codes for COVID-19 were considered as contributing.ResultsIn 2020, 7,029 records from COVID-19 as the underlying cause of death were registered in SIM in the three capitals. Among these, 2,921 (41.6%) were deceased between 30 and 69 years old, representing 17.0% of deaths in this age group. As chain-of-events, the most frequent conditions mentioned were sepsis (33.4%), SARS (32.0%), acute respiratory failure (31.9%), unspecified lower respiratory infections (unspecified pneumonia) (20.1%), and other specified respiratory disorders (14.1%). Hypertension (33.3%), diabetes unspecified type (21.7%), renal failure (12.7%), obesity (9.8%), other chronic kidney diseases (4.9%), and diabetes mellitus type 2 (4.7%) were the most frequent contributing conditions. On average, 3.04 conditions were mentioned in the death certificate besides COVID-19. This average varied according to age, place of death, and capital.ConclusionThe multiple-cause analysis is a powerful tool to better understand the morbid process due to COVID-19 and highlight the importance of chronic non-communicable diseases as contributing conditions.https://www.frontiersin.org/articles/10.3389/fpubh.2021.788932/fullCOVID-19multiple cause of deathnon-communicable diseasesBrazilmortality |
| spellingShingle | Ana Maria Nogales Vasconcelos Lenice Ishitani Daisy Maria Xavier Abreu Elisabeth França Covid Adult Mortality in Brazil: An Analysis of Multiple Causes of Death Frontiers in Public Health COVID-19 multiple cause of death non-communicable diseases Brazil mortality |
| title | Covid Adult Mortality in Brazil: An Analysis of Multiple Causes of Death |
| title_full | Covid Adult Mortality in Brazil: An Analysis of Multiple Causes of Death |
| title_fullStr | Covid Adult Mortality in Brazil: An Analysis of Multiple Causes of Death |
| title_full_unstemmed | Covid Adult Mortality in Brazil: An Analysis of Multiple Causes of Death |
| title_short | Covid Adult Mortality in Brazil: An Analysis of Multiple Causes of Death |
| title_sort | covid adult mortality in brazil an analysis of multiple causes of death |
| topic | COVID-19 multiple cause of death non-communicable diseases Brazil mortality |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2021.788932/full |
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