COVID-19 – The Availability of ICU Beds in Brazil during the Onset of Pandemic

Background: Brazil faces some challenges in the battle against the COVID-19 pandemic, including: the risks for cross-infection (community infection) increase in densely populated areas; low access to health services in areas where the number of beds in intensive care units (ICUs) is scarce and poorl...

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Autores principales:	Camila Vantini Capasso Palamim, Fernando Augusto Lima Marson
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2020
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/86bdd03873de4945836ac9c687efcc20
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spelling	oai:doaj.org-article:86bdd03873de4945836ac9c687efcc202021-12-02T08:46:45ZCOVID-19 – The Availability of ICU Beds in Brazil during the Onset of Pandemic2214-999610.5334/aogh.3025https://doaj.org/article/86bdd03873de4945836ac9c687efcc202020-08-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/3025https://doaj.org/toc/2214-9996Background: Brazil faces some challenges in the battle against the COVID-19 pandemic, including: the risks for cross-infection (community infection) increase in densely populated areas; low access to health services in areas where the number of beds in intensive care units (ICUs) is scarce and poorly distributed, mainly in states with low population density. Objective: To describe and intercorrelate epidemiology and geographic data from Brazil about the number of intensive care unit (ICU) beds at the onset of COVID-19 pandemic. Methods: The epidemiology and geographic data were correlated with the distribution of ICU beds (public and private health systems) and the number of beneficiaries of private health insurance using Pearson’s Correlation Coefficient. The same data were correlated using partial correlation controlled by gross domestic product (GDP) and number of beneficiaries of private health insurance. Findings: Brazil has a large geographical area and diverse demographic and economic aspects. This diversity is also present in the states and the Federal District regarding the number of COVID-19 cases, deaths and case fatality rate. The effective management of severe COVID-19 patients requires ICU services, and the scenario was also dissimilar as for ICU beds and ICU beds/10,000 inhabitants for the public (SUS) and private health systems mainly at the onset of COVID-19 pandemic. The distribution of ICUs was uneven between public and private services, and most patients rely on SUS, which had the lowest number of ICU beds. In only a few states, the number of ICU beds at SUS was above 1 to 3 by 10,000 inhabitants, which is the number recommended by the World Health Organization (WHO). Conclusions: Brazil needed to improve the number of ICU beds units to deal with COVID-19 pandemic, mainly for the SUS showing a late involvement of government and health authorities to deal with the COVID-19 pandemic.Camila Vantini Capasso PalamimFernando Augusto Lima MarsonUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Camila Vantini Capasso Palamim Fernando Augusto Lima Marson COVID-19 – The Availability of ICU Beds in Brazil during the Onset of Pandemic
description	Background: Brazil faces some challenges in the battle against the COVID-19 pandemic, including: the risks for cross-infection (community infection) increase in densely populated areas; low access to health services in areas where the number of beds in intensive care units (ICUs) is scarce and poorly distributed, mainly in states with low population density. Objective: To describe and intercorrelate epidemiology and geographic data from Brazil about the number of intensive care unit (ICU) beds at the onset of COVID-19 pandemic. Methods: The epidemiology and geographic data were correlated with the distribution of ICU beds (public and private health systems) and the number of beneficiaries of private health insurance using Pearson’s Correlation Coefficient. The same data were correlated using partial correlation controlled by gross domestic product (GDP) and number of beneficiaries of private health insurance. Findings: Brazil has a large geographical area and diverse demographic and economic aspects. This diversity is also present in the states and the Federal District regarding the number of COVID-19 cases, deaths and case fatality rate. The effective management of severe COVID-19 patients requires ICU services, and the scenario was also dissimilar as for ICU beds and ICU beds/10,000 inhabitants for the public (SUS) and private health systems mainly at the onset of COVID-19 pandemic. The distribution of ICUs was uneven between public and private services, and most patients rely on SUS, which had the lowest number of ICU beds. In only a few states, the number of ICU beds at SUS was above 1 to 3 by 10,000 inhabitants, which is the number recommended by the World Health Organization (WHO). Conclusions: Brazil needed to improve the number of ICU beds units to deal with COVID-19 pandemic, mainly for the SUS showing a late involvement of government and health authorities to deal with the COVID-19 pandemic.
format	article
author	Camila Vantini Capasso Palamim Fernando Augusto Lima Marson
author_facet	Camila Vantini Capasso Palamim Fernando Augusto Lima Marson
author_sort	Camila Vantini Capasso Palamim
title	COVID-19 – The Availability of ICU Beds in Brazil during the Onset of Pandemic
title_short	COVID-19 – The Availability of ICU Beds in Brazil during the Onset of Pandemic
title_full	COVID-19 – The Availability of ICU Beds in Brazil during the Onset of Pandemic
title_fullStr	COVID-19 – The Availability of ICU Beds in Brazil during the Onset of Pandemic
title_full_unstemmed	COVID-19 – The Availability of ICU Beds in Brazil during the Onset of Pandemic
title_sort	covid-19 – the availability of icu beds in brazil during the onset of pandemic
publisher	Ubiquity Press
publishDate	2020
url	https://doaj.org/article/86bdd03873de4945836ac9c687efcc20
work_keys_str_mv	AT camilavantinicapassopalamim covid19theavailabilityoficubedsinbrazilduringtheonsetofpandemic AT fernandoaugustolimamarson covid19theavailabilityoficubedsinbrazilduringtheonsetofpandemic
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COVID-19 – The Availability of ICU Beds in Brazil during the Onset of Pandemic

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