Casos de COVID-19 em Instituições de Longa Permanência para Idosos em um município do Sul do Brasil
COVID-19 Cases in Long-Term Care Facilities for the Elderly in a Municipality in Southern Brazil
DOI:
https://doi.org/10.13102/rscdauefs.v15i2.10678Keywords:
Epidemiology, Covid-19, Demography, Nursing Homes, Health Information SystemsAbstract
Objective: To describe the epidemiological profile of positive COVID-19 cases among workers and residents of six Long-Term Care Facilities for the Elderly (LTCF) in a medium-sized municipality in Paraná, Brazil. Methods: This is a cross-sectional, descriptive study with a quantitative approach, presenting the prevalence and lethality rate of the disease in the municipality. Secondary data were extracted from the Health Information System of the Epidemiological Surveillance Service of the Municipality of Piraquara, concerning confirmed cases of COVID-19 in LTCFs, registered between March and December 2020, were used. Results: A total of 121 cases of COVID-19 among residents and workers of LTCF were analyzed. The incidence was 40% among residents and 31.55% among workers, with a lethality of 30.64% for residents. Demographic characteristics varied among the institutions, with average ages of 75.66 years for residents and 38.9 years for workers. Conclusion: The high lethality observed in the context of LTCFs the importance of reformulating protocols for continuous monitoring and prioritizing prevention strategies for highly transmissible and lethal diseases.
Downloads
Metrics
References
Lana RM, Coelho FC, Gomes MFC, Cruz OG, Bastos LS, Villela DAM, et al. The novel coronavirus (SARS-CoV-2) emergency and the role of timely and effective national health surveillance. Cad. Saude Publica 2020; 36(3):e00019620.
World Health Organization - COVID-19 [Internet]. 2020. [acesso em 23 maio 2024]. Disponível em: https://rb.gy/bt2fh4.
Silva GA, Jardim BC, dos Santos CVB. Excess mortality in Brazil in times of covid-19. Ciênc. saúde coletiva 2020; 25(9):3345-3354.
World Health Organization. Archived: WHO Timeline - COVID-19 [Internet]. 2020; [acesso em 26 julho 2020]. Disponível em: https://www.who.int/news/item/27-04-2020-who-timeline---covid-19.
World Health Organization. Novel Coronavirus (2019-nCoV) Situation Report – 1 [Internet]. WHO Bulletin 2020; 1–7. [acesso em 2 abril 2021]. Disponível em: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports.
Moraes EN, Viana LG, Resende LMH, Vasconcellos LS, Moura AS, Menezes A, et al. COVID-19 in long-term care facilities for the elderly: Laboratory screening and disease dissemination prevention strategies. Ciênc. saúde coletiva 2020; 25(9):3445-3458.
Agência Nacional de Vigilância Sanitária (BR). Orientações para a prevenção e o controle de infecções pelo novo coronavírus em instituições de longa permanência para idosos. Nota Técnica no. 05 de 2020 GVIMS-GGTES-ANVISA. Brasília: ANVISA; 2020. (acesso em 6 julho 2021). https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/notas-tecnicas/notas-tecnicas-vigentes/nota-tecnica-no-05-2020-gvims-ggtes-anvisa-orientacoes-para-a-prevencao-e-o-controle-de-infeccoes-pelo-novo-coronavirus-em-instituicoes-de-longa-permanencia-para-idosos-ilpi.pdf/view.
Ouslander JG, Schmidt CE. Coronavirus Disease19 in Geriatrics and Long-Term Care: An Update. J Am Geriatr Soc 2020; 68(5):918-921.
Huang C, Yeming Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet 2020; 395(10223):497-506.
D’Adamo H, Yoshikawa T, Ouslander JG. Coronavirus Disease 2019 in Geriatrics and Long-Term Care: The ABCDs of COVID-19. J Am Geriatr Soc 2020; 68(5):912-917.
Zhang J, Yu Y, Petrovic M, Pei X, Tian Q, Zhanget L, et al. Impact of the COVID-19 pandemic and corresponding control measures on long-term care facilities: a systematic review and meta-analysis. Age Ageing 2023; 52(1):1-18.
Instituto Brasileiro de Geografia e Estatística (BR). Cidades e Estados: Piraquara [Internet]. IBGE; 2022. (acesso em 6 julho 2021). Disponível em: https://www.ibge.gov.br/cidades-e-estados/pr/piraquara.html.
Frente Nacional dos Prefeitos. G100 Municípios Populosos com Baixa Receita Per Capita e Alta Vulnerabilidade Social [Internet]. Florianópolis: FNP; 2010. Disponível em: http://aequus.com.br/cartilhas/g100_2010.pdf.
Wang Z, Tang K. Combating COVID-19: health equity matters. Nat Med 2020; 26(4):458.
Rossi ES, Corrêa EG, Hofstaetter V, Camargo JR, Dambiski I, Martins ADL, et al. Perfil epidemiológico dos casos notificados de COVID-19 no ano de 2020 em um município da Região Sul do Brasil. Res., Soc. Develop. 2022; 11(10):e332111032996.
Fisman DN, Isaac Bogoch, Lapointe-Shaw L, McCready J, Tuiteet AR. Risk Factors Associated with Mortality among Residents with Coronavirus Disease 2019 (COVID-19) in Long-term Care Facilities in Ontario, Canada. JAMA Netw Open 2020;3(7):e15957.
Barbosa IR, Galvão MHR, Souza TA, et al. Incidence of and mortality from COVID-19 in the older Brazilian population and its relationship with contextual indicators: an ecological study. Revista Brasileira de Geriatria e Gerontologia 2020; 23(1):e200171.
Bagchi S, Mak J, Li Q, Sheriff E, Mungai E, Anttila A, et al. Rates of COVID-19 Among Residents and Staff Members in Nursing Homes - United States, May 25 –November 22, 2020. MMWR Morb Mortal Wkly Rep 2021; 70(2):52-55.
Barros ENC, Valle AP, Braga PE, Viscondi JYK, Fonseca ARB, Vanni T, et al. COVID-19 in long-term care facilities in Brazil: Serological survey in a post-outbreak setting. Rev. Inst. Med. Trop. Sao Paulo 2021; 63:1-6.
Comas-herrera A, Zalakaín J, Lemmon E, Henderson D, Litwin C, Hsu AT, et al. Mortality associated with COVID-19 in care homes: international evidence [Internet]. International Long-term Care Policy Network 2021;1-29. [acesso em 2 março 2021]. Disponível em: https://ltccovid.org/wp-content/uploads/2021/02/LTC_COVID_19_international_report_January-1-February-1-2.pdf.
Li J. Reducing the risk of COVID-19 transmission during nursing home visits in the United States. J Public Health Pol 2023; 44(1):163-166.
Lima N, Viana J, Bellissimo-Rodrigues F, Moriguti J, Ferriolli E, Santos J. COVID-19 in Long Term Care Institutions for the Older People: an epidemiological survey: COVID-19 in Institutions for the Older People [Internet]. SciELO Preprints 2021. [acesso em 2 março 2021]. Disponível em: https://doi.org/10.1590/SciELOPreprints. 2065.
Gebreegziabher E, Bui D, Cummings KJ, Frederick M, Nguyen A, Collins C, et al. Demographic changes in COVID-19 mortality during the pandemic: Analysis of trends in disparities among workers using California’s Mortality Surveillance System. Preprint-Research Square 2024. [acesso em 2 março 2021]. Disponível em: https://www.researchsquare.com/article/rs-3864441/v1.
Mascarello KC, Vieira ACBC, Souza ASS, Marcarini WD, Barauna VG, Maciel ELN, et al. Hospitalização e morte por COVID-19 e sua relação com determinantes sociais da saúde e morbidades no Espírito Santo: um estudo transversal. Epidemiol. Serv. Saúde 2021; 30(3):e2020919.
Agência Nacional de Vigilância Sanitária (BR). Resultados a partir da autodeclaração das Instituições de Longa Permanência para Idosos no enfrentamento da COVID-19 [Internet]. Brasília: ANVISA; 2020. [acesso em 20 dezembro 2021] https://www.gov.br/anvisa/pt-br/assuntos/centraisdeconteudo/publicacoes/servicosdesaude/publicacoes/relatorio-autoavaliacao-da-estrutura-e-condicoes-sanitarias-para-a-prevencao-e-controle-da-covid-19-em-ilpi-2-002.pdf.
Souza TA, Nunes VMA, Nascimento ICS, Delmiro LAM, Morais MM, Nobreet TTX, et al. Vulnerabilidade e fatores de risco associados para Covid-19 em idosos institucionalizados. REAS 2021;13(2):e5947.
Fernandes D de S, Taveira RCC, Silva LM, et al. Atuação de movimentos sociais e entidades na pandemia da COVID-19 no Brasil: O cuidado à pessoa idosa em Instituições de Longa Permanência. Rev. bras. geriatra. gerontol. 2021; 24(2)e210048.
Hashan MR, Smoll N, King C, et al. Epidemiology and clinical features of COVID-19 outbreaks in aged care facilities: A systematic review and meta-analysis. E Clinical Medicine 2021; 33:e100771.
Wu S, Xiao LD, Nan J, et al. Nursing Home Residents’ Perceptions of Challenges and Coping Strategies during COVID-19 Pandemic in China. Int J Environ Res Public Health 2023; 20(2):1485.
Cabib I, Olea-Durán B, Villalobos DP, Browne Salas J. Long-term functional ability trajectories and mental health among older people before and after the COVID-19 pandemic onset in Chile. Aging Mental Health 2023; 27(8):1534-1543.
