Lethality and characteristics of deaths due to COVID-19 in Rondônia: an observational study

Escobar, Ana Lúcia; Rodriguez, Tomás Daniel Menéndez; Monteiro, Janne Cavalcante

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Epidemiologia e Serviços de Saúde

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Sumário

Original article • Epidemiol. Serv. Saúde 30 (1) • 2021 • https://doi.org/10.1590/S1679-49742021000100019 copy

Lethality and characteristics of deaths due to COVID-19 in Rondônia: an observational study

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To describe the characteristics of deaths due to COVID-19 in the state of Rondônia.

Methods

This was a descriptive study, with data from the Brazilian National Health System Epidemiological Surveillance System Computerization Strategy (E-SUS-VE, notified between January 1 and August 20, 2020. Statistical tests (Chi-square and Marascuilo procedure) were applied, where differences were considered to be significant when p< 0.05.

Results

184,146 suspected cases were reported, of which 49,804 were confirmed as COVID-19, and 1,020 died (lethality 2.1%). Statistically significant differences were observed between age groups and lethality (p-value <0.001); lethality was greater as age increased (Marascuilo procedure, significant in the comparison between the over 60s and the other age groups); death was higher among males (2.7% lethality); and lethality was higher among Black people (3.0%).

Conclusion

Lethality was greater among the elderly, males and people of brown and black skin color in Rondônia.

Epidemiology, Descriptive; Mortality; Age Groups; Sex Distribution; Race Factors; Coronavirus Infections

Variable	Confirmed COVID-19 cases

	No			Yes

	Death			Death

	No	Yes	Lethality (%)	No	Yes	Lethality (%)
Age group (in years)

< 1	561	1	0.18	188	2	1.05
1 - 9	2,539	0	0.00	994	2	0.20
10 - 19	8,075	0	0.00	2,990	6	0.20
20 - 39	63,837	7	0.01	22,709	78	0.34
40 - 59	47,172	21	0.04	16,973	281	1.63
60 - 69	7,922	16	0.20	3,146	222	6.59
70 - 79	2,989	11	0.37	1,289	265	17.05
80 ou mais	1,174	17	1.43	495	164	24.89

Sex

Female	73,900	24	0.03	26,282	394	1.48
Male	60,334	49	0.08	22,501	626	2.71
Undefined or not informed	35	0	0.00	1	0	0.00

Race/skin color

Yellow	17,302	6	0.03	6,974	106	1.50
White	33,065	18	0.05	10,882	183	1.65
Indigenous	983	3	0.30	831	12	1.42
Brown	70,704	39	0.06	26,101	597	2.24
Black	4,794	2	0.04	1,789	53	2.88
Not informed	7,421	5	0.07	2,207	69	3.03

Grand total	134,342	73	0.05	49,804	1,020	2.05

Age class	Proportion difference	Critical value
p(80 or over)

p(70 - 79)^a	0.601	0.106
p(60 - 69)^a	0.793	0.094
p(40 - 59)^a	0.855	0.092
p(20 - 39)^a	0.863	0.092
p(10 - 19)^a	0.866	0.092
p(1 - 9)^a	0.866	0.093
p(< 1)^a	0.864	0.093

p(70 - 79)

p(60 - 69)^a	0.192	0.056
p(40 - 59)^a	0.254	0.053
p(20 - 39)^a	0.262	0.053
p(10 - 19)^a	0.265	0.053
p(1 - 9)^a	0.265	0.053
p(< 1)^a	0.263	0.054

p(60 - 69)

p(40 - 59)^a	0.062	0.018
p(20 - 39)^a	0.070	0.018
p(10 - 19)^a	0.072	0.018
p(1 - 9)^a	0.073	0.018
p(< 1)^a	0.070	0.021

p(40 - 59)

p(20 - 39)^a	0.008	0.003
p(10 - 19)^a	0.010	0.004
p(1 - 9)^a	0.011	0.005
p(< 1)	0.008	0.011

p(20 - 39)

p(10 - 19)	0.003	0.003
p(1 - 9)	0.003	0.005
p(< 1)	0.001	0.011

p(10 - 19)

p(1 - 9)	0.000	0.005
p(< 1)	0.002	0.011

p(1 - 9)

p(< 1 year)	0.002	0.011

Race/skin color	Value	Critical value
p(yellow)

p(white)	0.002	0.006
p(indigenous)	0.001	0.013
p(brown)^a	0.007	0.005
p(black)^a	0.014	0.013

p(white)

p(indigenous)	0.002	0.013
p(brown)^a	0.006	0.005
p(black)	0.012	0.013

p(indigenous)

p(brown)	0.008	0.013
p(black)	0.015	0.017

p(brown)

p(black)	0.006	0.012

Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 61 3315-3464, Fax: +55 61 3315-3464 - Brasília - DF - Brazil
E-mail: ress.svs@gmail.com

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[1] Correspondence: Ana Lúcia Escobar – Universidade Federal de Rondônia, Departamento de Medicina, Campus José Ribeiro, BR 364, km 9,5, Porto Velho, RO, Brazil. Postcode: 76801-059. E-mail: ana@unir.br