sars -2大流行之前和期间不明原因死亡的比较研究

Andreza Rozendo Souza, M. A. Santos, Aline Trovão Queiroz
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摘要

记录死亡原因对于了解人口的健康状况非常重要。在新型冠状病毒引起的大流行开始后,制定了制度性协议,以尽量减少病毒的传播,包括改变处理尸体的方式。本研究的主要目的是确定在巴西和里约热内卢州,与大流行前两年和大流行期间的两年相比,死于未知或原因不明确的死亡人数是否有变化,并确定主要的流行病学特征。基于2018 - 2021年死亡率信息系统收集的数据,开展了文献、回顾性和历史研究。将这一时期分为两个阶段进行比较,即大流行前两年和大流行期间的两个阶段。包括死亡率、性别、肤色和年龄数据。在大流行之前,巴西和里约热内卢州因不明原因造成的死亡率较低。除了以前面临的问题外,大流行病造成的变化可能也影响了这一原因造成的死亡报告的增加。在分析的两年中,受影响最大的年龄组是80岁以上。在大流行期间,男性比女性受影响更大,巴西棕色人种和里约热内卢白人的通报人数最多。总的来说,在大流行期间,由于不明原因或原因不明而死亡的人数有所增加,特别是老年人。需要进行更多的研究来明确说明。此外,有必要更好地查明导致死因不明或不明的死亡人数增加的原因。
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COMPARATIVE STUDY OF DEATHS FROM ILL-DEFINED AND UNKNOWN CAUSES BEFORE AND DURING THE SARSCOV-2 PANDEMIC
Documenting the cause of death is important to know the health situation of the population. After the beginning of the pandemic caused by the new coronavirus, institutional protocols were created to minimize the spread of the virus, including changes in the handling of bodies. The main objective of this study was to identify whether there was a change in the number of deaths from unknown to ill-defined causes comparing two years before the pandemic and two years during the pandemic in Brazil and the state of Rio de Janeiro and to determine the main epidemiological characteristics. A documentary, retrospective, and historical study were carried out based on data collection in the mortality information system from 2018 to 2021. The period was divided into two phases to make comparisons, two years before and two during the pandemic. Mortality rate, sex, color, and age data were included. Before the pandemic, there was a lower mortality rate from an ill-defined or unknown cause in Brazil and the State of Rio de Janeiro. In addition to the problems faced before, the changes caused by the pandemic may have influenced the rise in death notifications from this cause. The age group most affected in the two biennia analyzed was over 80. During the pandemic, men were more affected than women, browns in Brazil and whites in Rio de Janeiro had the highest number of notifications. In general, during the pandemic, it was shown that there was an increase in the number of people who died from unknown or poorly defined causes, especially the elderly. Additional studies need to be performed for definitive elucidation. In addition, it is necessary to identify better the conditions that caused the increase in the number of deaths from unknown or poorly defined causes.
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