People with Disabilities and COVID-19 in the state of Espírito Santo, Brazil: between invisibility and lack of Public Policies. / Pessoas com Deficiência e COVID-19 no estado do Espírito Santo, Brasil: entre a invisibilidade e a falta de Políticas Públicas.

This article aims to analyze the profile of people with disabilities among the cases notified by the COVID-19 panel of Espírito Santo and the possible associations with the positive result of the COVID-19 test. Descriptive cross-sectional study among people with disabilities with positive and negative tests for the diagnosis of COVID-19. Associations of epidemiological and clinical variables were performed using the chi-square test and logistic regression models to estimate the odds ratio. Lethality rate of COVID-19 was 4.9% (175 cases) in the group of people with disabilities, and 3% (3,016) in the group without disabilities. People with disabilities, male (OR=1.34; 95%CI 1.22-1.47), race/black color (OR=1.55; 95%CI 1.09-2.20), and those who were hospitalized (OR=2.27; 95%CI 1.71-3.02) were associated with positive tests for COVID-19. The pandemic emphasizes the need to create specific legal care mechanisms and targeted public policies for this population.

O objetivo deste artigo é analisar o perfil das pessoas com deficiência dentre os casos notificados pelo painel COVID-19 do Espírito Santo e possíveis associações com o resultado positivo do teste COVID-19. Estudo Transversal descritivo entre as pessoas com deficiência com testes positivos e negativos para o diagnóstico de COVID-19. Foram realizadas associações das variáveis epidemiológicas e clínicas, utilizando o teste qui-quadrado e modelos de regressão logística para se estimar o odds ratio. A letalidade por COVID-19 foi de 4,9% (175 casos) no grupo das pessoas com deficiência, e 3% (3.016) no grupo sem deficiência. Pessoas com deficiência do sexo masculino (OR=1,34; IC95% 1,22-1,47), raça/cor preta (OR=1,55; IC95% 1,09-2,20), e as que ficaram internadas (OR=2,27; IC95% 1,71-3,02) apresentaram associação com testes positivos para COVID-19. A pandemia enfatiza a necessidade de criar mecanismos legais de cuidados específicos e políticas públicas focalizadas para essa população.

Mortalidad en personas ingresados en el hospital por COVID-19 en Espírito Santo, Brasil, 2020 Factors associated with COVID-19 hospital deaths in Espírito Santo, Brazil, 2020

Resumo Objetivo Analisar os fatores associados ao óbito em indivíduos internados por COVID-19 em hospitais do Espírito Santo, Brasil. Métodos Estudo transversal, com dados secundários. Modelos de regressão logística foram empregados para estimar razões de chance (odds ratio: OR) brutas e ajustadas. Resultados Até 14 de maio de 2020, 200 indivíduos receberam alta e 220 foram a óbito. Do total de pessoas estudadas, 57,1% eram do sexo masculino, 46,4% maiores de 60 anos de idade, 57,9% foram notificados por instituição privada e 61,7% apresentaram mais de 1 comorbidade. Na análise ajustada, a mortalidade hospitalar foi maior entre aqueles nas faixas etárias de 51 a 60 (OR=4,33 - IC95% 1,50;12,46) e mais de 60 anos (OR=11,84 - IC95% 4,31;32,54), notificados por instituição pública (OR=8,23 - IC95% 4,84;13,99) e com maior número de comorbidades (duas [OR=2,74 - IC95% 1,40;5,34] e três [OR=2,90 - IC95% 1,07;7,81]). Conclusão Observa-se maior mortalidade em idosos, com comorbidades e usuários de hospitais públicos. Resumen Objetivo Analizar los factores asociados con la mortalidad por COVID-19 en individuos ingresados en hospitales de Espírito Santo, Brasil. Métodos Estudio transversal. Los modelos de regresión logística estimaron una asociación de la mortalidad con características sociodemográficas, clínicas y de hospitalización. Resultados Hasta el 14 de mayo de 2020, 200 individuos fueron dados de alta y 220 murieron. Del número total de personas estudiadas, 57,1% eran hombres, 46,4% >60 años, 57,9% notificados por una institución privada y 61,7% tenía más de 1 comorbilidad. Con respecto a la mortalidad, fue mayor en los grupos de edad de 51 a 60 años (odds ratio, OR=4,33 - IC95% 1,50;12,46) y los mayores de 60 años (OR=11,84 - IC95% 4,31;32,54), notificados por institución pública (OR=8,23 - IC95% 4,84;13,99) y con más número de comorbilidades (dos [OR=2,74 - IC95% 1,40;5,34] y tres [OR=2,90 - IC95%: 1,07;7,81]). Conclusión El análisis apunta a mayor mortalidad en adultos mayores, con comorbilidades y usuarios de hospitales públicos. Objective To analyze factors associated with the deaths of individuals hospitalized with COVID-19 in the state of Espírito Santo, Brazil. Methods This was a cross-sectional study using secondary data. Logistic regression models were used to estimate crude and adjusted odds ratios (OR). Results As at May 14, 2020, 200 individuals had been discharged and 220 had died. Of the total number of people studied, 57.1% were male, 46.4% were >60 years old, 57.9% were cases notified by a private institution, and 61.7% had >1 comorbidity. In the adjusted analysis, hospital mortality was higher for the 51-60 age group (OR=4.33 - 95%CI 1.50;12.46), the over 60 age group (OR=11.84 - 95%CI 4.31;32.54), cases notified by public institutions (OR=8.23 - 95%CI 4.84;13.99) and cases with a greater number of comorbidities (two [OR=2.74 - 95%CI 1.40;5.34] and three [OR=2.90 - 95%CI 1.07;7.81]). Conclusion Higher mortality was found in older individuals, those with comorbidities and users of public hospitals.

Factors associated with COVID-19 hospital deaths in Espírito Santo, Brazil, 2020. / Fatores associados ao óbito hospitalar por COVID-19 no Espírito Santo, 2020.

OBJECTIVE: To analyze factors associated with the deaths of individuals hospitalized with COVID-19 in the state of Espírito Santo, Brazil. METHODS: This was a cross-sectional study using secondary data. Logistic regression models were used to estimate crude and adjusted odds ratios (OR). RESULTS: As at May 14, 2020, 200 individuals had been discharged and 220 had died. Of the total number of people studied, 57.1% were male, 46.4% were >60 years old, 57.9% were cases notified by a private institution, and 61.7% had >1 comorbidity. In the adjusted analysis, hospital mortality was higher for the 51-60 age group (OR=4.33 - 95%CI 1.50;12.46), the over 60 age group (OR=11.84 - 95%CI 4.31;32.54), cases notified by public institutions (OR=8.23 - 95%CI 4.84;13.99) and cases with a greater number of comorbidities (two [OR=2.74 - 95%CI 1.40;5.34] and three [OR=2.90 - 95%CI 1.07;7.81]). CONCLUSION: Higher mortality was found in older individuals, those with comorbidities and users of public hospitals.