Multimorbidity Profile of COVID-19 Deaths in Portugal during 2020

Background: COVID-19 is caused by SARS-CoV-2 infection and has reached pandemic proportions. Since then, several clinical characteristics have been associated with poor outcomes. This study aimed to describe the morbidity profile of COVID-19 deaths in Portugal. Methods: A study was performed including deaths certificated in Portugal with “COVID-19” (ICD-10: U07.1 or U07.2) coded as the underlying cause of death from the National e-Death Certificates Information System between 16 March and 31 December 2020. Comorbidities were derived from ICD-10 codes using the Charlson and Elixhauser indexes. The resident Portuguese population estimates for 2020 were used. Results: The study included 6701 deaths (death rate: 65.1 deaths/100,000 inhabitants), predominantly males (72.1). The male-to-female mortality ratio was 1.1. The male-to-female mortality rate ratio was 1.2; however, within age groups, it varied 5.0–11.4-fold. COVID-19 deaths in Portugal during 2020 occurred mainly in individuals aged 80 years or older, predominantly in public healthcare institutions. Uncomplicated hypertension, uncomplicated diabetes mellitus, congestive heart failure, renal failure, cardiac arrhythmias, dementia, and cerebrovascular disease were observed among COVID-19 deceased patients, with prevalences higher than 10%. A high prevalence of zero morbidities was registered using both the Elixhauser and Charlson comorbidities lists (above 40.2%). Nevertheless, high multimorbidity was also identified at the time of COVID-19 death (about 36.5%). Higher multimorbidity levels were observed in men, increasing with age up to 80 years old. Zero-morbidity prevalence and high multimorbidity prevalences varied throughout the year 2020, seemingly more elevated in the mortality waves’ peaks, suggesting variation according to the degree of disease incidence at a given period. Conclusions: This study provides detailed sociodemographic and clinical information on all certificated deaths from COVID-19 in Portugal during 2020, showing complex and extreme levels of morbidity (zero-morbidity vs. high multimorbidity) dynamics during the first year of the pandemic in Portugal. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Paulo Jorge Nogueira [verfasserIn] Miguel de Araújo Nobre [verfasserIn] Cecília Elias [verfasserIn] Rodrigo Feteira-Santos [verfasserIn] António C.-V. Martinho [verfasserIn] Catarina Camarinha [verfasserIn] Leonor Bacelar-Nicolau [verfasserIn] Andreia Silva Costa [verfasserIn] Cristina Furtado [verfasserIn] Liliane Morais [verfasserIn] Juan Rachadell [verfasserIn] Mário Pereira Pinto [verfasserIn] Fausto Pinto [verfasserIn] Antó Vaz Carneiro [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	COVID-19 mortality comorbidity Charlson comorbidity index Elixhauser comorbidity index Portugal

Übergeordnetes Werk:	In: Journal of Clinical Medicine - MDPI AG, 2013, 11(2022), 7, p 1898
Übergeordnetes Werk:	volume:11 ; year:2022 ; number:7, p 1898

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/jcm11071898

Katalog-ID:	DOAJ000980226

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allfields	10.3390/jcm11071898 doi (DE-627)DOAJ000980226 (DE-599)DOAJab2edae606314e11bb7c861ef557427a DE-627 ger DE-627 rakwb eng Paulo Jorge Nogueira verfasserin aut Multimorbidity Profile of COVID-19 Deaths in Portugal during 2020 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: COVID-19 is caused by SARS-CoV-2 infection and has reached pandemic proportions. Since then, several clinical characteristics have been associated with poor outcomes. This study aimed to describe the morbidity profile of COVID-19 deaths in Portugal. Methods: A study was performed including deaths certificated in Portugal with “COVID-19” (ICD-10: U07.1 or U07.2) coded as the underlying cause of death from the National e-Death Certificates Information System between 16 March and 31 December 2020. Comorbidities were derived from ICD-10 codes using the Charlson and Elixhauser indexes. The resident Portuguese population estimates for 2020 were used. Results: The study included 6701 deaths (death rate: 65.1 deaths/100,000 inhabitants), predominantly males (72.1). The male-to-female mortality ratio was 1.1. The male-to-female mortality rate ratio was 1.2; however, within age groups, it varied 5.0–11.4-fold. COVID-19 deaths in Portugal during 2020 occurred mainly in individuals aged 80 years or older, predominantly in public healthcare institutions. Uncomplicated hypertension, uncomplicated diabetes mellitus, congestive heart failure, renal failure, cardiac arrhythmias, dementia, and cerebrovascular disease were observed among COVID-19 deceased patients, with prevalences higher than 10%. A high prevalence of zero morbidities was registered using both the Elixhauser and Charlson comorbidities lists (above 40.2%). Nevertheless, high multimorbidity was also identified at the time of COVID-19 death (about 36.5%). Higher multimorbidity levels were observed in men, increasing with age up to 80 years old. Zero-morbidity prevalence and high multimorbidity prevalences varied throughout the year 2020, seemingly more elevated in the mortality waves’ peaks, suggesting variation according to the degree of disease incidence at a given period. Conclusions: This study provides detailed sociodemographic and clinical information on all certificated deaths from COVID-19 in Portugal during 2020, showing complex and extreme levels of morbidity (zero-morbidity vs. high multimorbidity) dynamics during the first year of the pandemic in Portugal. COVID-19 mortality comorbidity Charlson comorbidity index Elixhauser comorbidity index Portugal Medicine R Miguel de Araújo Nobre verfasserin aut Cecília Elias verfasserin aut Rodrigo Feteira-Santos verfasserin aut António C.-V. Martinho verfasserin aut Catarina Camarinha verfasserin aut Leonor Bacelar-Nicolau verfasserin aut Andreia Silva Costa verfasserin aut Cristina Furtado verfasserin aut Liliane Morais verfasserin aut Juan Rachadell verfasserin aut Mário Pereira Pinto verfasserin aut Fausto Pinto verfasserin aut Antó Vaz Carneiro verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 7, p 1898 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:7, p 1898 https://doi.org/10.3390/jcm11071898 kostenfrei https://doaj.org/article/ab2edae606314e11bb7c861ef557427a kostenfrei https://www.mdpi.com/2077-0383/11/7/1898 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 7, p 1898
spelling	10.3390/jcm11071898 doi (DE-627)DOAJ000980226 (DE-599)DOAJab2edae606314e11bb7c861ef557427a DE-627 ger DE-627 rakwb eng Paulo Jorge Nogueira verfasserin aut Multimorbidity Profile of COVID-19 Deaths in Portugal during 2020 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: COVID-19 is caused by SARS-CoV-2 infection and has reached pandemic proportions. Since then, several clinical characteristics have been associated with poor outcomes. This study aimed to describe the morbidity profile of COVID-19 deaths in Portugal. Methods: A study was performed including deaths certificated in Portugal with “COVID-19” (ICD-10: U07.1 or U07.2) coded as the underlying cause of death from the National e-Death Certificates Information System between 16 March and 31 December 2020. Comorbidities were derived from ICD-10 codes using the Charlson and Elixhauser indexes. The resident Portuguese population estimates for 2020 were used. Results: The study included 6701 deaths (death rate: 65.1 deaths/100,000 inhabitants), predominantly males (72.1). The male-to-female mortality ratio was 1.1. The male-to-female mortality rate ratio was 1.2; however, within age groups, it varied 5.0–11.4-fold. COVID-19 deaths in Portugal during 2020 occurred mainly in individuals aged 80 years or older, predominantly in public healthcare institutions. Uncomplicated hypertension, uncomplicated diabetes mellitus, congestive heart failure, renal failure, cardiac arrhythmias, dementia, and cerebrovascular disease were observed among COVID-19 deceased patients, with prevalences higher than 10%. A high prevalence of zero morbidities was registered using both the Elixhauser and Charlson comorbidities lists (above 40.2%). Nevertheless, high multimorbidity was also identified at the time of COVID-19 death (about 36.5%). Higher multimorbidity levels were observed in men, increasing with age up to 80 years old. Zero-morbidity prevalence and high multimorbidity prevalences varied throughout the year 2020, seemingly more elevated in the mortality waves’ peaks, suggesting variation according to the degree of disease incidence at a given period. Conclusions: This study provides detailed sociodemographic and clinical information on all certificated deaths from COVID-19 in Portugal during 2020, showing complex and extreme levels of morbidity (zero-morbidity vs. high multimorbidity) dynamics during the first year of the pandemic in Portugal. COVID-19 mortality comorbidity Charlson comorbidity index Elixhauser comorbidity index Portugal Medicine R Miguel de Araújo Nobre verfasserin aut Cecília Elias verfasserin aut Rodrigo Feteira-Santos verfasserin aut António C.-V. Martinho verfasserin aut Catarina Camarinha verfasserin aut Leonor Bacelar-Nicolau verfasserin aut Andreia Silva Costa verfasserin aut Cristina Furtado verfasserin aut Liliane Morais verfasserin aut Juan Rachadell verfasserin aut Mário Pereira Pinto verfasserin aut Fausto Pinto verfasserin aut Antó Vaz Carneiro verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 7, p 1898 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:7, p 1898 https://doi.org/10.3390/jcm11071898 kostenfrei https://doaj.org/article/ab2edae606314e11bb7c861ef557427a kostenfrei https://www.mdpi.com/2077-0383/11/7/1898 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 7, p 1898
allfields_unstemmed	10.3390/jcm11071898 doi (DE-627)DOAJ000980226 (DE-599)DOAJab2edae606314e11bb7c861ef557427a DE-627 ger DE-627 rakwb eng Paulo Jorge Nogueira verfasserin aut Multimorbidity Profile of COVID-19 Deaths in Portugal during 2020 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: COVID-19 is caused by SARS-CoV-2 infection and has reached pandemic proportions. Since then, several clinical characteristics have been associated with poor outcomes. This study aimed to describe the morbidity profile of COVID-19 deaths in Portugal. Methods: A study was performed including deaths certificated in Portugal with “COVID-19” (ICD-10: U07.1 or U07.2) coded as the underlying cause of death from the National e-Death Certificates Information System between 16 March and 31 December 2020. Comorbidities were derived from ICD-10 codes using the Charlson and Elixhauser indexes. The resident Portuguese population estimates for 2020 were used. Results: The study included 6701 deaths (death rate: 65.1 deaths/100,000 inhabitants), predominantly males (72.1). The male-to-female mortality ratio was 1.1. The male-to-female mortality rate ratio was 1.2; however, within age groups, it varied 5.0–11.4-fold. COVID-19 deaths in Portugal during 2020 occurred mainly in individuals aged 80 years or older, predominantly in public healthcare institutions. Uncomplicated hypertension, uncomplicated diabetes mellitus, congestive heart failure, renal failure, cardiac arrhythmias, dementia, and cerebrovascular disease were observed among COVID-19 deceased patients, with prevalences higher than 10%. A high prevalence of zero morbidities was registered using both the Elixhauser and Charlson comorbidities lists (above 40.2%). Nevertheless, high multimorbidity was also identified at the time of COVID-19 death (about 36.5%). Higher multimorbidity levels were observed in men, increasing with age up to 80 years old. Zero-morbidity prevalence and high multimorbidity prevalences varied throughout the year 2020, seemingly more elevated in the mortality waves’ peaks, suggesting variation according to the degree of disease incidence at a given period. Conclusions: This study provides detailed sociodemographic and clinical information on all certificated deaths from COVID-19 in Portugal during 2020, showing complex and extreme levels of morbidity (zero-morbidity vs. high multimorbidity) dynamics during the first year of the pandemic in Portugal. COVID-19 mortality comorbidity Charlson comorbidity index Elixhauser comorbidity index Portugal Medicine R Miguel de Araújo Nobre verfasserin aut Cecília Elias verfasserin aut Rodrigo Feteira-Santos verfasserin aut António C.-V. Martinho verfasserin aut Catarina Camarinha verfasserin aut Leonor Bacelar-Nicolau verfasserin aut Andreia Silva Costa verfasserin aut Cristina Furtado verfasserin aut Liliane Morais verfasserin aut Juan Rachadell verfasserin aut Mário Pereira Pinto verfasserin aut Fausto Pinto verfasserin aut Antó Vaz Carneiro verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 7, p 1898 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:7, p 1898 https://doi.org/10.3390/jcm11071898 kostenfrei https://doaj.org/article/ab2edae606314e11bb7c861ef557427a kostenfrei https://www.mdpi.com/2077-0383/11/7/1898 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 7, p 1898
allfieldsGer	10.3390/jcm11071898 doi (DE-627)DOAJ000980226 (DE-599)DOAJab2edae606314e11bb7c861ef557427a DE-627 ger DE-627 rakwb eng Paulo Jorge Nogueira verfasserin aut Multimorbidity Profile of COVID-19 Deaths in Portugal during 2020 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: COVID-19 is caused by SARS-CoV-2 infection and has reached pandemic proportions. Since then, several clinical characteristics have been associated with poor outcomes. This study aimed to describe the morbidity profile of COVID-19 deaths in Portugal. Methods: A study was performed including deaths certificated in Portugal with “COVID-19” (ICD-10: U07.1 or U07.2) coded as the underlying cause of death from the National e-Death Certificates Information System between 16 March and 31 December 2020. Comorbidities were derived from ICD-10 codes using the Charlson and Elixhauser indexes. The resident Portuguese population estimates for 2020 were used. Results: The study included 6701 deaths (death rate: 65.1 deaths/100,000 inhabitants), predominantly males (72.1). The male-to-female mortality ratio was 1.1. The male-to-female mortality rate ratio was 1.2; however, within age groups, it varied 5.0–11.4-fold. COVID-19 deaths in Portugal during 2020 occurred mainly in individuals aged 80 years or older, predominantly in public healthcare institutions. Uncomplicated hypertension, uncomplicated diabetes mellitus, congestive heart failure, renal failure, cardiac arrhythmias, dementia, and cerebrovascular disease were observed among COVID-19 deceased patients, with prevalences higher than 10%. A high prevalence of zero morbidities was registered using both the Elixhauser and Charlson comorbidities lists (above 40.2%). Nevertheless, high multimorbidity was also identified at the time of COVID-19 death (about 36.5%). Higher multimorbidity levels were observed in men, increasing with age up to 80 years old. Zero-morbidity prevalence and high multimorbidity prevalences varied throughout the year 2020, seemingly more elevated in the mortality waves’ peaks, suggesting variation according to the degree of disease incidence at a given period. Conclusions: This study provides detailed sociodemographic and clinical information on all certificated deaths from COVID-19 in Portugal during 2020, showing complex and extreme levels of morbidity (zero-morbidity vs. high multimorbidity) dynamics during the first year of the pandemic in Portugal. COVID-19 mortality comorbidity Charlson comorbidity index Elixhauser comorbidity index Portugal Medicine R Miguel de Araújo Nobre verfasserin aut Cecília Elias verfasserin aut Rodrigo Feteira-Santos verfasserin aut António C.-V. Martinho verfasserin aut Catarina Camarinha verfasserin aut Leonor Bacelar-Nicolau verfasserin aut Andreia Silva Costa verfasserin aut Cristina Furtado verfasserin aut Liliane Morais verfasserin aut Juan Rachadell verfasserin aut Mário Pereira Pinto verfasserin aut Fausto Pinto verfasserin aut Antó Vaz Carneiro verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 7, p 1898 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:7, p 1898 https://doi.org/10.3390/jcm11071898 kostenfrei https://doaj.org/article/ab2edae606314e11bb7c861ef557427a kostenfrei https://www.mdpi.com/2077-0383/11/7/1898 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 7, p 1898
allfieldsSound	10.3390/jcm11071898 doi (DE-627)DOAJ000980226 (DE-599)DOAJab2edae606314e11bb7c861ef557427a DE-627 ger DE-627 rakwb eng Paulo Jorge Nogueira verfasserin aut Multimorbidity Profile of COVID-19 Deaths in Portugal during 2020 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: COVID-19 is caused by SARS-CoV-2 infection and has reached pandemic proportions. Since then, several clinical characteristics have been associated with poor outcomes. This study aimed to describe the morbidity profile of COVID-19 deaths in Portugal. Methods: A study was performed including deaths certificated in Portugal with “COVID-19” (ICD-10: U07.1 or U07.2) coded as the underlying cause of death from the National e-Death Certificates Information System between 16 March and 31 December 2020. Comorbidities were derived from ICD-10 codes using the Charlson and Elixhauser indexes. The resident Portuguese population estimates for 2020 were used. Results: The study included 6701 deaths (death rate: 65.1 deaths/100,000 inhabitants), predominantly males (72.1). The male-to-female mortality ratio was 1.1. The male-to-female mortality rate ratio was 1.2; however, within age groups, it varied 5.0–11.4-fold. COVID-19 deaths in Portugal during 2020 occurred mainly in individuals aged 80 years or older, predominantly in public healthcare institutions. Uncomplicated hypertension, uncomplicated diabetes mellitus, congestive heart failure, renal failure, cardiac arrhythmias, dementia, and cerebrovascular disease were observed among COVID-19 deceased patients, with prevalences higher than 10%. A high prevalence of zero morbidities was registered using both the Elixhauser and Charlson comorbidities lists (above 40.2%). Nevertheless, high multimorbidity was also identified at the time of COVID-19 death (about 36.5%). Higher multimorbidity levels were observed in men, increasing with age up to 80 years old. Zero-morbidity prevalence and high multimorbidity prevalences varied throughout the year 2020, seemingly more elevated in the mortality waves’ peaks, suggesting variation according to the degree of disease incidence at a given period. Conclusions: This study provides detailed sociodemographic and clinical information on all certificated deaths from COVID-19 in Portugal during 2020, showing complex and extreme levels of morbidity (zero-morbidity vs. high multimorbidity) dynamics during the first year of the pandemic in Portugal. COVID-19 mortality comorbidity Charlson comorbidity index Elixhauser comorbidity index Portugal Medicine R Miguel de Araújo Nobre verfasserin aut Cecília Elias verfasserin aut Rodrigo Feteira-Santos verfasserin aut António C.-V. Martinho verfasserin aut Catarina Camarinha verfasserin aut Leonor Bacelar-Nicolau verfasserin aut Andreia Silva Costa verfasserin aut Cristina Furtado verfasserin aut Liliane Morais verfasserin aut Juan Rachadell verfasserin aut Mário Pereira Pinto verfasserin aut Fausto Pinto verfasserin aut Antó Vaz Carneiro verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 7, p 1898 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:7, p 1898 https://doi.org/10.3390/jcm11071898 kostenfrei https://doaj.org/article/ab2edae606314e11bb7c861ef557427a kostenfrei https://www.mdpi.com/2077-0383/11/7/1898 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 7, p 1898
language	English
source	In Journal of Clinical Medicine 11(2022), 7, p 1898 volume:11 year:2022 number:7, p 1898
sourceStr	In Journal of Clinical Medicine 11(2022), 7, p 1898 volume:11 year:2022 number:7, p 1898
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	COVID-19 mortality comorbidity Charlson comorbidity index Elixhauser comorbidity index Portugal Medicine R
isfreeaccess_bool	true
container_title	Journal of Clinical Medicine
authorswithroles_txt_mv	Paulo Jorge Nogueira @@aut@@ Miguel de Araújo Nobre @@aut@@ Cecília Elias @@aut@@ Rodrigo Feteira-Santos @@aut@@ António C.-V. Martinho @@aut@@ Catarina Camarinha @@aut@@ Leonor Bacelar-Nicolau @@aut@@ Andreia Silva Costa @@aut@@ Cristina Furtado @@aut@@ Liliane Morais @@aut@@ Juan Rachadell @@aut@@ Mário Pereira Pinto @@aut@@ Fausto Pinto @@aut@@ Antó Vaz Carneiro @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
hierarchy_top_id	718632478
id	DOAJ000980226
language_de	englisch
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Uncomplicated hypertension, uncomplicated diabetes mellitus, congestive heart failure, renal failure, cardiac arrhythmias, dementia, and cerebrovascular disease were observed among COVID-19 deceased patients, with prevalences higher than 10%. A high prevalence of zero morbidities was registered using both the Elixhauser and Charlson comorbidities lists (above 40.2%). Nevertheless, high multimorbidity was also identified at the time of COVID-19 death (about 36.5%). Higher multimorbidity levels were observed in men, increasing with age up to 80 years old. Zero-morbidity prevalence and high multimorbidity prevalences varied throughout the year 2020, seemingly more elevated in the mortality waves’ peaks, suggesting variation according to the degree of disease incidence at a given period. 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author	Paulo Jorge Nogueira
spellingShingle	Paulo Jorge Nogueira misc COVID-19 misc mortality misc comorbidity misc Charlson comorbidity index misc Elixhauser comorbidity index misc Portugal misc Medicine misc R Multimorbidity Profile of COVID-19 Deaths in Portugal during 2020
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topic_title	Multimorbidity Profile of COVID-19 Deaths in Portugal during 2020 COVID-19 mortality comorbidity Charlson comorbidity index Elixhauser comorbidity index Portugal
topic	misc COVID-19 misc mortality misc comorbidity misc Charlson comorbidity index misc Elixhauser comorbidity index misc Portugal misc Medicine misc R
topic_unstemmed	misc COVID-19 misc mortality misc comorbidity misc Charlson comorbidity index misc Elixhauser comorbidity index misc Portugal misc Medicine misc R
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title	Multimorbidity Profile of COVID-19 Deaths in Portugal during 2020
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title_full	Multimorbidity Profile of COVID-19 Deaths in Portugal during 2020
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author_browse	Paulo Jorge Nogueira Miguel de Araújo Nobre Cecília Elias Rodrigo Feteira-Santos António C.-V. Martinho Catarina Camarinha Leonor Bacelar-Nicolau Andreia Silva Costa Cristina Furtado Liliane Morais Juan Rachadell Mário Pereira Pinto Fausto Pinto Antó Vaz Carneiro
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title_sort	multimorbidity profile of covid-19 deaths in portugal during 2020
title_auth	Multimorbidity Profile of COVID-19 Deaths in Portugal during 2020
abstract	Background: COVID-19 is caused by SARS-CoV-2 infection and has reached pandemic proportions. Since then, several clinical characteristics have been associated with poor outcomes. This study aimed to describe the morbidity profile of COVID-19 deaths in Portugal. Methods: A study was performed including deaths certificated in Portugal with “COVID-19” (ICD-10: U07.1 or U07.2) coded as the underlying cause of death from the National e-Death Certificates Information System between 16 March and 31 December 2020. Comorbidities were derived from ICD-10 codes using the Charlson and Elixhauser indexes. The resident Portuguese population estimates for 2020 were used. Results: The study included 6701 deaths (death rate: 65.1 deaths/100,000 inhabitants), predominantly males (72.1). The male-to-female mortality ratio was 1.1. The male-to-female mortality rate ratio was 1.2; however, within age groups, it varied 5.0–11.4-fold. COVID-19 deaths in Portugal during 2020 occurred mainly in individuals aged 80 years or older, predominantly in public healthcare institutions. Uncomplicated hypertension, uncomplicated diabetes mellitus, congestive heart failure, renal failure, cardiac arrhythmias, dementia, and cerebrovascular disease were observed among COVID-19 deceased patients, with prevalences higher than 10%. A high prevalence of zero morbidities was registered using both the Elixhauser and Charlson comorbidities lists (above 40.2%). Nevertheless, high multimorbidity was also identified at the time of COVID-19 death (about 36.5%). Higher multimorbidity levels were observed in men, increasing with age up to 80 years old. Zero-morbidity prevalence and high multimorbidity prevalences varied throughout the year 2020, seemingly more elevated in the mortality waves’ peaks, suggesting variation according to the degree of disease incidence at a given period. Conclusions: This study provides detailed sociodemographic and clinical information on all certificated deaths from COVID-19 in Portugal during 2020, showing complex and extreme levels of morbidity (zero-morbidity vs. high multimorbidity) dynamics during the first year of the pandemic in Portugal.
abstractGer	Background: COVID-19 is caused by SARS-CoV-2 infection and has reached pandemic proportions. Since then, several clinical characteristics have been associated with poor outcomes. This study aimed to describe the morbidity profile of COVID-19 deaths in Portugal. Methods: A study was performed including deaths certificated in Portugal with “COVID-19” (ICD-10: U07.1 or U07.2) coded as the underlying cause of death from the National e-Death Certificates Information System between 16 March and 31 December 2020. Comorbidities were derived from ICD-10 codes using the Charlson and Elixhauser indexes. The resident Portuguese population estimates for 2020 were used. Results: The study included 6701 deaths (death rate: 65.1 deaths/100,000 inhabitants), predominantly males (72.1). The male-to-female mortality ratio was 1.1. The male-to-female mortality rate ratio was 1.2; however, within age groups, it varied 5.0–11.4-fold. COVID-19 deaths in Portugal during 2020 occurred mainly in individuals aged 80 years or older, predominantly in public healthcare institutions. Uncomplicated hypertension, uncomplicated diabetes mellitus, congestive heart failure, renal failure, cardiac arrhythmias, dementia, and cerebrovascular disease were observed among COVID-19 deceased patients, with prevalences higher than 10%. A high prevalence of zero morbidities was registered using both the Elixhauser and Charlson comorbidities lists (above 40.2%). Nevertheless, high multimorbidity was also identified at the time of COVID-19 death (about 36.5%). Higher multimorbidity levels were observed in men, increasing with age up to 80 years old. Zero-morbidity prevalence and high multimorbidity prevalences varied throughout the year 2020, seemingly more elevated in the mortality waves’ peaks, suggesting variation according to the degree of disease incidence at a given period. Conclusions: This study provides detailed sociodemographic and clinical information on all certificated deaths from COVID-19 in Portugal during 2020, showing complex and extreme levels of morbidity (zero-morbidity vs. high multimorbidity) dynamics during the first year of the pandemic in Portugal.
abstract_unstemmed	Background: COVID-19 is caused by SARS-CoV-2 infection and has reached pandemic proportions. Since then, several clinical characteristics have been associated with poor outcomes. This study aimed to describe the morbidity profile of COVID-19 deaths in Portugal. Methods: A study was performed including deaths certificated in Portugal with “COVID-19” (ICD-10: U07.1 or U07.2) coded as the underlying cause of death from the National e-Death Certificates Information System between 16 March and 31 December 2020. Comorbidities were derived from ICD-10 codes using the Charlson and Elixhauser indexes. The resident Portuguese population estimates for 2020 were used. Results: The study included 6701 deaths (death rate: 65.1 deaths/100,000 inhabitants), predominantly males (72.1). The male-to-female mortality ratio was 1.1. The male-to-female mortality rate ratio was 1.2; however, within age groups, it varied 5.0–11.4-fold. COVID-19 deaths in Portugal during 2020 occurred mainly in individuals aged 80 years or older, predominantly in public healthcare institutions. Uncomplicated hypertension, uncomplicated diabetes mellitus, congestive heart failure, renal failure, cardiac arrhythmias, dementia, and cerebrovascular disease were observed among COVID-19 deceased patients, with prevalences higher than 10%. A high prevalence of zero morbidities was registered using both the Elixhauser and Charlson comorbidities lists (above 40.2%). Nevertheless, high multimorbidity was also identified at the time of COVID-19 death (about 36.5%). Higher multimorbidity levels were observed in men, increasing with age up to 80 years old. Zero-morbidity prevalence and high multimorbidity prevalences varied throughout the year 2020, seemingly more elevated in the mortality waves’ peaks, suggesting variation according to the degree of disease incidence at a given period. Conclusions: This study provides detailed sociodemographic and clinical information on all certificated deaths from COVID-19 in Portugal during 2020, showing complex and extreme levels of morbidity (zero-morbidity vs. high multimorbidity) dynamics during the first year of the pandemic in Portugal.
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score	7.3998413

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Multimorbidity Profile of COVID-19 Deaths in Portugal during 2020

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Vorhandene Bände

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