Dados do Trabalho

Título

Deaths from stroke in the state of Ceará in the pandemic (2020-2022) and pre-pandemic (2017-2019) period: an ecological time series study

Resumo

Introduction: The stroke is a neurological emergency in which there is an obstruction in the oxygenation to the brain. It consists of an alteration in the blood flow in the nervous tissue that can be caused by ischemia, when there is an obstruction of blood vessels, or hemorrhage, when there is a rupture of the vessel. This interruption in the blood flow causes death of nerve cells and damage functions in the body, according to the injured brain region. Objective: To analyze the variation in the number of deaths from stroke in the state of Ceará in the pandemic period (2020-2022) and pre-pandemic period (2017-2019). Methodology: This is an ecological time-series study that analyzed the number of deaths from stroke in the state of Ceará from March 2020 to March 2022 and compared with the pre-pandemic period, January 2017 to January 2019. The data were collected through the Tabnet Platform (DATASUS) and analyzed according to age group, sex, metropolitan region, year and month of occurrence and color/race. Results: In metropolitan regions, there was an increase in the incidence of cases, except for the Cariri region, which had a decrease of 13.0%. The analysis according to the gender variable revealed an increase in the total number of cases, however, in the race/color variable, only mixed race expressed an increase in the number of cases. When analyzing the age group, people aged 10 to 29 years and 80 years or older had a lower mortality rate in the pandemic period, while those aged 30 to 79 years had a higher mortality rate. When analyzing the data by month, it was found that from January to July was presented a drop in the number of cases, and the numbers from July to December continued to increase. Conclusion: The public health dynamics during the Covid-19 pandemic reflected on the prevalence and prognosis of various diaseases, as well as stroke. In the state of Ceará, there was a 5.9% increase in cases in the pandemic period. The proportionally greater increase found, 44.0% in brown people in the color/race variable, may be related to the fact that these people are the majority of those who are in situations of social vulnerability. The results of the study require further research to investigate the real impact of the pandemic on stroke mortality, since it may have various influences.

Palavras Chave

Stroke; Mortality; Pandemics