Brant, Luisa Campos CaldeiraPinheiro, Pedro CisalpinoRibeiro, Antônio Luiz PinhoMachado, Ísis EloahCorrea, Paulo Roberto LopesSantos, Mayara Rocha dosSouza, Maria de Fátima Marinho deMalta, Deborah CarvalhoPassos, Valéria Maria de Azeredo2023-06-262023-06-262022BRANT, L. C. C. et al. Cardiovascular mortality during the COVID-19 pandemics in a large brazilian city: a comprehensive analysis. Global Heart, v. 17, n. 1, artigo e11, 2022. Disponível em: <https://globalheartjournal.com/article/10.5334/gh.1101/>. Acesso em: 11 out. 2022.2211-8179http://www.repositorio.ufop.br/jspui/handle/123456789/16799Introduction: The impact of COVID-19 pandemics on cardiovascular diseases (CVD) may be caused by health system reorganization and/or collapse, or from changes in the behaviour of individuals. In Brazil, municipalities were empowered to define regulatory measures, potentially resulting in diverse effects on CVD morbimortality. Objective: To analyse the impact of COVID-19 pandemics on CVD outcomes in Belo Horizonte (BH), the sixth greater capital city in Brazil, including: mortality, mortality at home, hospitalizations, intensive care unit utilization, and in-hospital mortality; and the differential effect according to sex, age range, social vulnerability, and pandemic’s phase. Methods: Ecological study analysing data from the Mortality and Hospital Information System of BH residents aged ≥30 years. CVD was defined as in Chapter IX from ICD- 10. Social vulnerability was classified by a composite socioeconomic index as high, medium and low. The observed age-standardized rates for epidemiological weeks 10–48, 2020, were compared to the expected rates (mean of 2015–2019). Risk ratios (RiR) were analysed and 95% confidence intervals were calculated for all estimates. Population projected to 2020 for BH and its census tracts were used to calculate rates. Results: We found no changes in CVD mortality rates (RiR 1.01, 95%CI 0.96–1.06). However, CVD deaths occurred more at homes (RiR 1.32, 95%CI 1.20–1.46) than in hospitals (RiR 0.89, 95%CI 0.79–0.99), as a result of a substantial decline in hospitalization rates, even though proportional in-hospital deaths increased. The rise in home deaths was greater in older adults and in had an increasing gradient in those more socially vulnerable (RiR 1.45); for high (RiR 1.45), medium (RiR 1.32) and low vulnerability (RiR 1.21). Conclusion: The greater occurrence of CVD deaths at home, in parallel with lower hospitalization rates, suggests that CVD care was disrupted during the COVID-19 pandemics, which more adversely affected older and more socially vulnerable individuals, exacerbating health inequities in BH.en-USabertoCardiovascular diseasesHospitalizationSocial vulnerabilityArtigo publicado em periodicoThis is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/ licenses/by/4.0/. Fonte: PDF do artigo.https://doi.org/10.5334/gh.1101