Mortalidade por COVID-19 em pessoas cardiopatas no estado de São Paulo [Mortality from COVID-19 in people with heart disease in São Paulo State] [Mortalidad por COVID-19 en cardiópatas en el estado de São Paulo]
DOI:
https://doi.org/10.12957/reuerj.2022.69332Keywords:
COVID-19, Doenças Cardiovasculares, Fatores de Risco, Mortalidade.Abstract
Objetivo: analisar a mortalidade pela doença causada pelo coronavírus do tipo 2 (COVID-19) em pessoas com cardiopatia no estado de São Paulo. Métodos: estudo observacional, retrospectivo e analítico. Os dados foram coletados no período de 4 de fevereiro de 2020 a 25 de julho de 2021. O modelo comparando pessoas com e sem cardiopatia foi ajustado por sexo, faixa etária, obesidade e diabetes, possíveis variáveis de confusão. As comparações foram analisadas por meio do modelo de regressão log-binomial e cálculo de risco relativo. Resultados: pessoas do estado de São Paulo com cardiopatia infectadas pela COVID-19 entre 21 e 50 anos apresentaram risco maior de óbito quando comparadas as pessoas sem cardiopatia. Ainda, mulheres cardiopatas acima de 51 anos apresentaram risco menor de óbito comparadas aos homens cardiopatas na mesma faixa etária. Conclusão: pessoas com cardiopatia infectadas pelo COVID-19, principalmente homens, possuem um risco aumentado de morte no estado de São Paulo.
ABSTRACT
Objective: to examine mortality from the disease caused by type-2 Coronavirus (COVID-19) in people with heart disease in São Paulo State. Methods: in this, retrospective, analytical, observational study, data were collected from February 4, 2020, to July 25, 2021. The model comparing people with and without heart disease was adjusted for the possible confounding variables sex, age group, obesity, and diabetes. Comparisons were analyzed using log-binomial regression models and relative risk calculation. Results: risk of death was higher among people between 21 and 50 years old infected by COVID-19 and with heart disease than among people without heart disease. Also, risk of death was lower among women with heart disease over 51 years old than among men with heart disease in the same age group. Conclusion: people, especially men, with heart disease and infected by COVID-19 are at increased risk of death.
RESUMEN
Objetivo: analizar la mortalidad por la enfermedad causada por el coronavírus del tipo 2 (COVID-19) en personas cardiópatas en el estado de São Paulo. Métodos: estudio observacional, retrospectivo y analítico. Los datos se recopilaron del 4 de febrero de 2020 al 25 de julio de 2021. El modelo que compara personas con y sin cardiopatía se ajustó por sexo, grupo de edad, obesidad y diabetes, posibles variables de confusión. Las comparaciones se analizaron mediante el modelo de regresión log-binomial y el cálculo del riesgo relativo. Resultados: las personas del estado de São Paulo, con cardiopatías, infectadas por COVID-19 entre 21 y 50 años tenían mayor riesgo de muerte en comparación con las personas sin cardiopatías. Además, las mujeres con cardiopatías mayores de 51 años tenían un menor riesgo de muerte en comparación con los hombres con cardiopatías del mismo grupo de edad. Conclusión: las personas con cardiopatías infectadas por COVID-19, especialmente los hombres, tienen mayor riesgo de muerte, en el estado de São Paulo.
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