| Autor | Abbas-Kayano, Raiene Telassin | |
| Autor | Hökerberg, Yara Hahr Marques | |
| Autor | Oliveira, Raquel de Vasconcellos Carvalhaes de | |
| Data de acesso | 2025-04-06T23:53:55Z | |
| Data de disponibilização | 2025-04-06T23:53:55Z | |
| Data do publicação | 2025 | |
| Citação | ABBAS-KAYANO, Raiene Telassin; HÖKERBERG, Yara Hahr Marques; OLIVEIRA, Raquel de Vasconcellos Carvalhaes de. Influence of the Covid-19 pandemic on cerebrovascular diseases in the Sao Paulo region of Brazil. Communications Medicine, v. 5, n. 48, p. 1-11, Feb. 2025. | en_US |
| ISSN | 2730-664X | en_US |
| URI | https://www.arca.fiocruz.br/handle/icict/69422 | |
| Descrição | Plain language summary: The Covid-19 pandemic temporally disrupted health services. We analyzed the impact of the pandemic on Cerebrovascular Diseases (CVD), which are diseases that affect blood flow in the brain. We looked at public hospital admissions and deaths recorded in São Paulo, the most populous and developed Brazilian state. There was a 35% reduction in hospitalizations and a 6.5% increase in deaths, especially in Black and Brown individuals, young and older adults, and those with CVD in which blood flow is reduced. Rising SARS-CoV-2 cases were associated with fewer CVD hospitalizations but more hospital deaths. These findings should be considered when planning how best to prevent CVD-related hospital admissions and deaths during future pandemics. | en_US |
| Idioma | eng | en_US |
| Editor | Nature Portfolio | en_US |
| Direito Autoral | open access | en_US |
| Título | Influence of the Covid-19 pandemic on cerebrovascular diseases in the Sao Paulo region of Brazil | en_US |
| Tipo do documento | Article | en_US |
| DOI | 10.1038/s43856-025-00766-1 | |
| Resumo em Inglês | Background: The rapid spread of covid-19 overwhelmed healthcare systems. This study aimed to investigate the impact of the covid-19 pandemic on hospitalizations and hospital deaths due to cerebrovascular diseases (CVD) in São Paulo state, Brazil. Methods: This ecologic study evaluated the CVD hospitalizations and hospital deaths (2017-2021) by demographic features and CVD type. During the pandemic (2020-2021), segmented regression models were used to detect changes in CVD trends. We also evaluated the detrended cross-correlation between CVD deaths and hospitalization with the SARS-Cov-2 infection series. Results: During the pandemic, there is a 35% reduction in CVD hospitalizations, mainly in elective admissions and ischemic stroke, but a 6.5% increase in deaths, especially in Black and Brown individuals, and those aged 20-29 years. From 2020 to 2021, Black and Brown individuals experience an earlier and more prolonged increase in hospital deaths. Ischemic CVD hospitalizations decrease in the first quarter of 2020. Older people exhibit a monthly increase of 2.9% in hospitalizations and 5.3% in deaths in the 2nd and 3rd quarters of 2021. SARS-Cov-2 infections are inversely correlated to CVD hospitalizations and directly correlated to CVD hospital deaths. Conclusions: Covid-19 pandemic negatively affects CVD hospitalizations and deaths, particularly in Black and Brown individuals. The decrease in hospitalizations and increase in hospital deaths of ischemic CVD highlights vulnerability in accessing healthcare resources during the pandemic. | en_US |
| Afiliação | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
| Afiliação | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
| Afiliação | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
| Palavras-chave em inglês | The COVID-19 pandemic | en_US |
| Palavras-chave em inglês | SARS-CoV-2 | en_US |
| Palavras-chave em inglês | Cerebrovascular diseases | en_US |
| Palavras-chave em inglês | Sao Paulo region | en_US |
| Palavras-chave em inglês | Brazil | en_US |
| Palavras-chave em inglês | COVID-19 | |
| e-ISSN | 2730-664X | |
