Factors associated with deaths from COVID-19 in a region of northeastern Brazil

Authors

  • Rayanne Alves de Oliveira Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil
  • Janiel Conceição da Silva Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil https://orcid.org/0000-0001-9810-0322
  • Lívia Fernanda Siqueira Santos Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil
  • Livia Maia Pascoal Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil
  • Mellina Yamamura Nursing Department, Federal University of São Carlos, São Paulo, Brazil
  • Floriacy Stabnow Santos Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil https://orcid.org/0000-0001-7840-7642
  • Ana Cristina Pereira de Jesus Costa Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil
  • Isaura Leticia Tavares Palmeira Rolim Nursing Graduate Program, Federal University of Maranhão, São Luís, Maranhão, Brazil
  • Jaisane Santos Melo Lobato Center of Social Sciences, Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil https://orcid.org/0000-0002-3610-7753
  • Francisca Aline Arrais Sampaio Santos Center of Social Sciences, Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil https://orcid.org/0000-0002-4763-2537
  • Janaína Miranda Bezerra Center of Social Sciences, Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil https://orcid.org/0000-0002-4799-9638
  • Giana Gislanne da Silva de Sousa Nursing Graduate Program, Federal University of Maranhão, São Luís, Maranhão, Brazil
  • Francisca Bruna Arruda Aragão University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
  • Leonardo Hunaldo dos Santos Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil https://orcid.org/0000-0003-2280-4643
  • Marcelino Santos Neto Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil

DOI:

https://doi.org/10.3855/jidc.17346

Keywords:

SARS-CoV-2, death, COVID-19, risk factors

Abstract

Introduction: There is a need to improve knowledge and understanding of the factors associated with mortality from COVID-19 so that managers and decision-makers can implement strategies to mitigate and control the severe forms of the disease. This study aimed to determine the factors associated with deaths from COVID-19 in the state of Maranhão, in northeastern Brazil.

Methodology: This is a cross-sectional and analytical study with patients with a confirmed diagnosis of COVID-19 who died from March 2020 to January 2022. Simple and multiple logistic regression models were used to assess the association between clinical-epidemiological characteristics and death. The odds ratios were expressed using a 95% confidence interval and a 5% significance level.

Results: A total of 386,567 cases of COVID-19 were registered in the period, of which 10,986 died. Risk factors associated with deaths from COVID-19 were male sex, age over 30 years, positive reverse transcriptase–polymerase chain reaction (RT-PCR) result, positive CT scan, and having one or more associated comorbidities. The three comorbidities linked to the highest propensity to die were diabetes mellitus, neurological disease, and obesity.

Conclusions: The study findings support the implementation of strategic actions by health care and surveillance professionals and managers towards reducing the incidence of the risk factors for mortality by COVID-19 in Maranhão.

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Published

2023-09-30

How to Cite

1.
Alves de Oliveira R, da Silva JC, Santos LFS, Pascoal LM, Yamamura M, Santos FS, Costa ACP de J, Rolim ILTP, Lobato JSM, Santos FAAS, Bezerra JM, de Sousa GG da S, Aragão FBA, dos Santos LH, Santos Neto M (2023) Factors associated with deaths from COVID-19 in a region of northeastern Brazil. J Infect Dev Ctries 17:1179–1187. doi: 10.3855/jidc.17346

Issue

Vol. 17 No. 09: September 2023

Section

Coronavirus Pandemic

License

Copyright (c) 2023 Rayanne Alves de Oliveira, Janiel Conceição da Silva, Lívia Fernanda Siqueira Santos, Livia Maia Pascoal, Mellina Yamamura, Floriacy Stabnow Santos, Ana Cristina Pereira de Jesus Costa, Isaura Leticia Tavares Palmeira Rolim , Jaisane Santos Melo Lobato, Francisca Aline Arrais Sampaio Santos, Janaina Miranda Bezerra, Giana Gislanne da Silva de Sousa, Francisca Bruna Arruda Aragão, Leonardo Hunaldo dos Santos, Marcelino Santos Neto

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