Evidence map›Paper›PMID 33384978›Full record

ArticleFrontiers in public health2020

Underreporting of Death by COVID-19 in Brazil's Second Most Populous State.

Thiago Henrique Evangelista Alves, Tafarel Andrade de Souza, Samyla de Almeida Silva, Nayani Alves Ramos, Stefan Vilges de Oliveira

Open access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.3field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 42 citations in OpenAlex.

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  6. Evaluation of SARS-CoV-2 concentrations in wastewater and river water samples.Case studies in chemical and environmental engineering · 2022
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  14. How many more? Under-reporting of the COVID-19 deaths in Brazil in 2020.Tropical medicine & international health : TM & IH · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Thiago Henrique Evangelista AlvesDepartment of Collective Health, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil.
Tafarel Andrade de SouzaDepartment of Collective Health, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil.
Samyla de Almeida SilvaDepartment of Collective Health, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil.
Nayani Alves RamosDepartment of Collective Health, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil.
Stefan Vilges de OliveiraDepartment of Collective Health, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil.
Universidade Federal de Uberlândia · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic brings to light the reality of the Brazilian health system. The underreporting of COVID-19 deaths in the state of Minas Gerais (MG), where the second largest population of the country is concentrated, reveals government unpreparedness, as there is a low capacity of testing in the population, which prevents the real understanding of the general panorama of SARS-CoV-2 dissemination. The goals of this research are to analyze the causes of deaths in different Brazilian government databases (Civil Registry Transparency Portal and InfoGripe) and to assess whether there are sub-records showing an unexpected increase in the frequency of deaths from causes clinically similar to COVID-19. A descriptive and quantitative analysis of the number of deaths by COVID-19 and similar causes was performed in different databases. Our results demonstrate that different official sources had a discrepancy of 109.45% between these data referring to the same period. There was also a 758.57% increase in SARI deaths in 2020, when compared to the average of previous years. Finally, it was shown that there was an increase in the rate of pneumonia and respiratory insufficiency (RI) by 6.34 and 6.25%, respectively. In conclusion, there is an underreporting of COVID-19 deaths in MG due to the unexplained excess of deaths caused by SARI, respiratory insufficiency, and pneumonia compared to previous years.

Indexed as

COVID-19Severe Acute Respiratory SyndromeBrazilCause of DeathHumansPneumoniaRespiratory InsufficiencySARS-CoV-2BrazilCOVID-19 deathsMinas GeraisSARI deathsunderreporting

Identifiers

PMID33384978
PMCPMC7769942
OpenAlexW3112962147

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.