SÍNDROME RESPIRATÓRIA AGUDA GRAVE PELO SARS-COV-2 OU POR OUTROS AGENTES ETIOLÓGICOS NA POPULAÇÃO INDÍGENA: RELATÓRIO DO PRIMEIRO ANO DA PANDEMIA DA COVID-19 NO BRASIL

Nathalia Mariana dos Santos  Sansone; Matheus Negri  Boschiero; Manoela Marques  Ortega; Isadora Alves  Ribeiro; Fernando Augusto Lima  Marson

doi:10.51161/rems/2948

SÍNDROME RESPIRATÓRIA AGUDA GRAVE PELO SARS-COV-2 OU POR OUTROS AGENTES ETIOLÓGICOS NA POPULAÇÃO INDÍGENA: RELATÓRIO DO PRIMEIRO ANO DA PANDEMIA DA COVID-19 NO BRASIL

Autores

Nathalia Mariana dos Santos Sansone
Matheus Negri Boschiero
Manoela Marques Ortega
Isadora Alves Ribeiro
Fernando Augusto Lima Marson

DOI:

https://doi.org/10.51161/rems/2948

Palavras-chave:

COVID-19, ETNIA, INDÍGENA, PANDEMIA, SÍNDROME RESPIRATÓRIA AGUDA GRAVE

Resumo

Introdução: No Brasil, a COVID-19 reafirma o cenário de desigualdades sociais dentre os diferentes grupos raciais; sendo que os povos indígenas têm a maior proporção da população vulnerável (28,5%). Neste contexto, a COVID-19 causou impacto entre os indígenas, podendo ocasionar a extinção étnica com maior impacto cultural, principalmente devido a elevada taxa de mortalidade em idosos (responsáveis pela transmissão de conhecimento). Porém, poucos estudos avaliaram as características dos indígenas com a Severe Acute Respiratory Syndrome (SARS) durante a COVID-19. Objetivos: Estimar a prevalência e explorar os fatores de risco do óbito em indígenas com a COVID-19 (G1); comparar as características entre aqueles do G1 vs. aqueles com outros agentes etiológicos (G2). Material e Métodos: Foi realizada uma análise epidemiológica com os dados (demográficos, sintomas clínicos, comorbidades, evolução na hospitalização e desfecho) do OpenDataSUS (https://opendatasus.saude.gov.br/) e computados pelo Ministério da Saúde de 01/janeiro/2020 a 28/janeiro/2021. O desfecho primário foi o óbito dentre os indígenas do G1, e o desfecho secundário foi a caracterização dos marcadores dentre os grupos G1 e G2. A análise multivariada foi realizada pela regressão logística. Alfa=0,05. Resultados: Um total de 3.122 Indígenas com SARS foram incluídos; destes 1.994 pertenciam ao G1 e 730/1.816 (40,2%) morreram. A taxa de morte no G1 foi três vezes maior se comparada ao G2. Dentre as características dos pacientes, contribuíram para o óbito: sexo masculino [OR=1,507 (IC95%=1,010-2,250)]; idade [≥60 anos; OR=3,377 (IC95%=2,292-4,974)]; necessidade de ventilação mecânica invasiva [OR=24,050 (IC95%=12,584-45,962)] e não invasiva [OR=2,249 (IC95%=1,378-3,671)]; dispneia [OR=2,053 (IC95%=1,196-3,522)]; e saturação de O₂<95% [OR=1,691 (IC95%=1,050-2,723)]. A análise multivariada foi capaz de diferenciar G1 de G2 de acordo com as seguintes características [≥43 anos; OR=1,984 (IC95%=1,480-2,658)]; perda do olfato [OR=2,373; (IC95%=1,461-3,854)]; distúrbios respiratórios prévios [OR=0,487; (IC95%=0,287-0,824)]; e febre [OR=1,445; (IC95%=1,082-1,929]. Conclusão: Os Indígenas apresentam maior risco de óbito decorrente da COVID-19 e, diversos fatores foram associados com o incremento deste risco, bem como, diferenciação entre G1 e G2.

Publicado

2021-10-21

Como Citar

Sansone, N. M. dos S. ., Boschiero, M. N. ., Ortega, M. M. ., Ribeiro, I. A. ., & Marson, F. A. L. . (2021). SÍNDROME RESPIRATÓRIA AGUDA GRAVE PELO SARS-COV-2 OU POR OUTROS AGENTES ETIOLÓGICOS NA POPULAÇÃO INDÍGENA: RELATÓRIO DO PRIMEIRO ANO DA PANDEMIA DA COVID-19 NO BRASIL. Revista Multidisciplinar Em Saúde, 2(4), 183. https://doi.org/10.51161/rems/2948

Baixar Citação

Edição

v. 2 n. 4 (2021)

Seção

I Congresso Brasileiro de Saúde Pública On-line: Uma abordagem Multiprofissional

Licença

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

O conteúdo desta revista foi migrado para https://editoraintegrar.com.br

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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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                                                                  ADOConnection.CacheExecute(3600, SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2]) % line  132, file: DAO.inc.php
                                                               DAO.retrieveCached(SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2], 3600) % line   91, file: ArticleSearchDAO.inc.php
                                                            ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1) % line  201, file: SubmissionSearch.inc.php
                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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