Observational studyEpidemiology and infection2021
COVID-19 in Brazil: spatial risk, social vulnerability, human development, clinical manifestations and predictors of mortality - a retrospective study with data from 59 695 individuals.
Observational study in Epidemiology and infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- What Makes Urban Communities More Resilient to COVID-19? A Systematic Review of Current Evidence.International journal of environmental research and public health · 2022Pooled it
- Territorial Vulnerabilities and Healthcare Capacity During the COVID-19 Pandemic: A Spatiotemporal Study of Hospitalizations and Mortality in a Large Metropolitan Area in Brazil.International journal of environmental research and public health · 2026Article
- COVID-19 Clinical Predictors in Patients Treated via a Telemedicine Platform in 2022.Tropical medicine and infectious disease · 2025Article
- A retrospective assessment of COVID-19 vulnerability index indicators and mortality rates pre-COVID-19 (2018-2020) and during COVID-19 (2020-2022) in a health and demographic surveillance site, Soweto, South Africa.Population health metrics · 2025Article
- [Impact of COVID-19 on home mortality in the city of Rio de Janeiro, Brazil: temporal and spatial analysis, 2010 to 2020].Cadernos de saude publica · 2025Article
- SARS-CoV-2 Pandemic in a Small-Sized Municipality in Ceará State, Brazil: Temporal and Spatial Evolution.Tropical medicine and infectious disease · 2024Article
- Prevalence and Factors Associated with Olfactory Dysfunction in Individuals with COVID-19 in Brazil: A Study of 20,669 Cases from 2020 to 2021.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2024Article
- Development of a composite regional vulnerability index and its relationship with the impacts of the COVID-19 pandemic.Computational urban science · 2023Article
- Community vulnerability to the COVID-19 pandemic: A narrative synthesis from an ecological perspective.Journal of global health · 2022Article
- Epidemiological Characteristics of Deaths from COVID-19 in Peru during the Initial Pandemic Response.Healthcare (Basel, Switzerland) · 2022Article
- COVID-19 mortality and deprivation: pandemic, syndemic, and endemic health inequalities.The Lancet. Public health · 2022Review
- In-Hospital Mortality from Cardiovascular Diseases in Brazil during the First Year of The COVID-19 Pandemic.Arquivos brasileiros de cardiologia · 2022Article
- Heterogeneity and Risk of Bias in Studies Examining Risk Factors for Severe Illness and Death in COVID-19: A Systematic Review and Meta-Analysis.Pathogens (Basel, Switzerland) · 2022Review
- Human Development Index Is Associated with COVID-19 Case Fatality Rate in Brazil: An Ecological Study.International journal of environmental research and public health · 2022Article
- Clinical characteristics and laboratory parameters associated with the risk of severe COVID-19 in patients from two hospitals in Northeast Brazil.Revista da Sociedade Brasileira de Medicina Tropical · 2022Article
- Severe Acute Respiratory Distress Syndrome (ARDS) Caused by COVID-19: A Regional Factor.Arquivos brasileiros de cardiologia · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Brazil ranks second in the number of confirmed cases of COVID-19 worldwide. In spite of this, coping measures differ throughout the national territory, as does the disease's impact on the population. This cross-sectional observational study, with 59 695 cases of COVID-19 registered in the state of Alagoas between March and August 2020, analysed clinical-epidemiological variables, incidence rate, mortality rate, case fatality rate (CFR) and the social indicators municipal human development index (MHDI) and social vulnerability index (SVI). Moran statistics and regression models were applied. Logistic regression analysis was applied to determine the predictors of death. The incidence rate was 1788.7/100 000 inhabitants; mortality rate was 48.0/100 000 and CFR was 2.7%. The highest incidence rates were observed in municipalities with better human development (overall MHDI (I = 0.1668; p = 0.002), education MHDI (I = 0.1649; p = 0.002) and income MHDI (I = 0.1880; p = 0.005)) and higher social vulnerability (overall SVI (I = 0.0599; p = 0.033)). CFR was associated with higher social vulnerability (SVI human capital (I = 0.0858; p = 0.004) and SVI urban infrastructure (I = 0.0985; p = 0.040)). Of the analysed cases, 55.4% were female; 2/3 were Black or Brown and the median age was 41 years. Among deaths, most were male (919; 57.4%) and elderly (1171; 73.1%). The predictors of death were male sex, advanced age and the presence of comorbidities. In Alagoas, Brazil, the disease has undergone a process of interiorisation and caused more deaths in poorer municipalities. The presence of comorbidities and advanced age were predictors of death.
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