DEATHS DUE TO COVID-19 AMONG BRAZILIAN NURSING WORKERS: A CROSS-SECTIONAL STUDY

Barreto, Márcio Adriano Fernandes; Pessoa, Graça Rocha; Queiroz Neto, João Bezerra de; Chaves, Edna Maria Camelo; Silva, Lucilane Maria Sales; Moreira, Thereza Maria Magalhães

doi:10.5380/ce.v27i0.87203

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ORIGINAL ARTICLE • Cogitare Enferm. 27 • 2022 • https://doi.org/10.5380/ce.v27i0.87203 copy

DEATHS DUE TO COVID-19 AMONG BRAZILIAN NURSING WORKERS: A CROSS-SECTIONAL STUDY

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to analyze deaths due to COVID-19 in Brazilian Nursing professionals, with confirmed diagnoses of the disease and in quarantine, hospitalized or deceased, at the Federal Nursing Council Observatory.

Method:

a cross-sectional study conducted in Brazil between March 2020 and August 2021, via the Federal Nursing Council Observatory. The data were analyzed using descriptive and inferential statistics.

Results:

the prevalence of death due to COVID-19 in Brazilian Nursing professionals was 2.5% (825/32,560) and 4.9% (109/2,224) in nursing assistants, these latter with a higher mean age (p<0.0001). Although 84.5% (27,508/32,560) of the sample was female, the percentage of deaths was higher in the male gender, with 5.2% (263/5,052) (p<0.0001). The logistic regression analysis showed that gender and professional category can predict deaths due to COVID-19 among Brazilian Nursing workers.

Conclusion:

the study contributes to evidencing the risks faced by the professional category in coping with COVID-19, as well as to rethinking measures to reduce the harms imposed by the pandemic on this population segment.

DESCRIPTORS:
COVID-19; Health Personnel; Death; Occupational Exposure; Nursing

Variables	Deaths due to COVID-19
	Yes		No		OR^€ € OR = Odds Ratio;	p-value	χ²2 Organização Pan-Americana de Saúde (OPAS). COVID-19 Information sheet. [Internet]. 2020. [Acesso em 26 ago 2020]. Disponível em: https://www.paho.org/pt/covid19. https://www.paho.org/pt/covid19... ^¥ ¥ Chi-square;
	n	%	n	%
Professional category
Nurse	243	2.6	9,250	97.4	1.1	0.841^£ £ p-value adjusted by the Bonferroni method (p<0.008) of the Professional category variable;	0.04
Nursing Technician	473	2.3	20,370	97.7	1.0	0.000^£ £ p-value adjusted by the Bonferroni method (p<0.008) of the Professional category variable;	16.00
Nursing Assistant	109	4.9	2,115	95.1	2.2	0.000^£ £ p-value adjusted by the Bonferroni method (p<0.008) of the Professional category variable;	54.76
Gender
Male	263	5.2	4,789	94.8	2.6	0.0001	172.8
Female	562	2.0	26,946	98.0	1.0
Brazilian regions
SE^{^* * SE = Southeast;}	218	2.2	9,559	97.8	1.4	0.021^Ͱ Ͱ p-value adjusted by the Bonferroni method (p<0.005) of the Brazilian regions variable	5.29
SO^† † SO = South;	106	1.6	6,654	98.4	1.0	0.000^Ͱ Ͱ p-value adjusted by the Bonferroni method (p<0.005) of the Brazilian regions variable	32.49
NE^‡ ‡ NE = Northeast; ║NO = North;	136	1.7	8,055	98.3	1.1	0.000^Ͱ Ͱ p-value adjusted by the Bonferroni method (p<0.005) of the Brazilian regions variable	33.64
NO^║	240	5.6	4,059	94.4	3.7	0.000^Ͱ Ͱ p-value adjusted by the Bonferroni method (p<0.005) of the Brazilian regions variable	187.69
MW^§ § MW = Midwest;	125	3.5	3,408	96.5	2.3	0.000^Ͱ Ͱ p-value adjusted by the Bonferroni method (p<0.005) of the Brazilian regions variable	16.00

Variables	Age median (n=32,560)	p-value
Death due to COVID-19
Yes	49.0^§ § Median;	0.0001^{^* * Mann-Whitney U test;}
No	38.0^§ § Median;
	Mean age in Death due to COVID-19 (n=825)	f	p-value
Professional category
Nurse	48.1	27.3	0.0001^† † ANOVA test;
Nursing Technician	48.7
Nursing Assistant	56.4^{^**}
Gender
Male	47.3	1.5	0.0001^‡ ‡ Student’s t test; **Tukey HSD test
Female	50.3	1.5	0.0001^‡ ‡ Student’s t test; **Tukey HSD test

Variable	Model A		Model B
Variable	OR	95% CI	OR	95% CI
Age group (years old)
<60	1.0		1.0
>60	10.8	8.9-13.2	11.1	9.1-13.5
Gender
Female	1.0		1.0
Male	2.7	2.3-3.1	2.9	2.4-3.3
Professional category
Nurse	1.0		1.0
Nursing Technician	1.3	1.0-1.5	1.2	1.0-1.5
Nursing Assistant	1.3	1.1-1.5	1.2	1.1-1.4
Brazilian regions
NE	1.0
SO	1.0	0.8-1.3
NO	3.2	2.6-4.0
SE	1.2	0.9-1.4
MW	2.2	1.7-2.8

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[1] Role of Authors:

Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work - Barreto MAF, Pessoa GR, Queiroz Neto JB de, Chaves, EMC, Silva LMS, Moreira TMM; Drafting the work or revising it critically for important intellectual content - Barreto MAF, Pessoa GR, Queiroz Neto JB de, Chaves, EMC, Silva LMS, Moreira TMM; Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved - Barreto MAF, Pessoa GR, Queiroz Neto JB de, Chaves, EMC, Silva LMS, Moreira TMM. All authors approved the final version of the text.