Sílvia Carla da Silva André Uehara’s research while affiliated with Federal University of São Carlos and other places

Objetivo: mapear a literatura científica sobre as características clínicas e demográficas da COVID Longa. Método: trata-se de uma revisão de escopo baseada nos princípios preconizados pelo JBI e as diretrizes do PRISMA para a extração dos dados, realizada a partir de quatro bases de dados. Utilizou-se a estratégia PCC para a coleta de dados, sendo os resultados descritos e diagramados. A seleção dos estudos foi realizada após a remoção de duplicatas, avaliação individual e em pares. Resultados: uma análise dos 13 artigos selecionados mostraram que a COVID Longa atinge todas as faixas etárias e pessoas de ambos os sexos, apresentando uma multiplicidade de sintomas, como fadiga (61,5%), dispneia (46,1%), alterações no olfato e/ou paladar (38,6%), ansiedade (15,3%) e comprometimento cognitivo (30,7%). No sexo feminino foi identificado risco aumentado para desenvolver COVID Longa. Conclusão: a identificação dos sintomas prevalentes na COVID Longa contribuem na estratégia de saúde pública, para o diagnóstico e assistência às pessoas acometidas pela doença. Recomenda-se estudos futuros sobre a abordagem da persistência dos sintomas na COVID Longa e a relação da adesão ao esquema vacinal contra a COVID-19, sexo, raça/etnia, grau de susceptibilidade nas diferentes faixas etárias, nível de escolaridade e renda além das comorbidades mais recorrentes na população.

Objetivo: mapear la literatura científica sobre las características clínicas y demográficas de la COVID prolongada. Método: se trata de una revisión de alcance basada en los principios recomendados por el JBI y las directrices del PRISMA para la extracción de datos, realizada a partir de cuatro bases de datos. Se utilizó la estrategia PCC para la recolección de datos, siendo los resultados descritos y diagramados. La selección de los estudios se realizó después de la eliminación de duplicados, evaluación individual y en pares. Resultados: un análisis de los 13 artículos seleccionados mostró que la COVID prolongada afecta a todas las franjas etarias y a personas de ambos sexos, presentando una multiplicidad de síntomas, como fatiga (61,5%), disnea (46,1%), alteraciones en el olfato y/o gusto (38,6%), ansiedad (15,3%) y deterioro cognitivo (30,7%). En el sexo femenino se identificó un mayor riesgo de desarrollar COVID prolongada. Conclusión: la identificación de los síntomas prevalentes en la COVID prolongada contribuye a la estrategia de salud pública, para el diagnóstico y asistencia a las personas afectadas por la enfermedad. Se recomiendan estudios futuros sobre el abordaje de la persistencia de los síntomas en la COVID prolongada y la relación de la adherencia al esquema de vacunación contra la COVID-19, sexo, raza/etnia, grado de susceptibilidad en las diferentes franjas etarias, nivel educativo e ingresos, además de las comorbilidades más frecuentes en la población.

Objective:to map the scientific literature on the clinical and demographic characteristics of Long COVID-19. Method:this is a scoping review based on the principles recommended by the JBI and the PRISMA guidelines for data extraction, carried out on four databases. The PCC strategy was used for data collection, and the results were described and diagrammed. The studies were selected after removing duplicates, individual and peer review. Results:an analysis of the 13 articles selected showed that Long COVID affects all age groups and people of both sexes, presenting a multiplicity of symptoms, such as fatigue (61.5%), dyspnea (46.1%), changes in smell and/or taste (38.6%), anxiety (15.3%) and cognitive impairment (30.7%). Females were found to be at increased risk of developing Long COVID. Conclusion:identifying the symptoms prevalent in Long COVID contributes to public health strategies for diagnosing and assisting people affected by the disease. Future studies are recommended on the approach to the persistence of symptoms in Long COVID and the relationship between adherence to the vaccination schedule against COVID-19, gender, race/ethnicity, degree of susceptibility in the different age groups, level of education and income, as well as the most recurrent comorbidities in the population

Objective This study aimed to analyze and compare the organization and care offered by Primary Health Care (PHC) to people with suspected and/or diagnosed COVID-19 in Brazilian municipalities, considering the Human Development Index (HDI). Methods This is an analytical cross-sectional study carried out with managers of PHC services in Brazilian municipalities. The data were collected using a self-administered questionnaire via Google Forms between April and September 2022 and were analyzed using prevalence ratios, using a Poisson regression model with a random effect and a 5% significance level. Results The results indicated that municipalities with a low HDI were the most adherent to measures to reorganize PHC services during the health emergency phase of the pandemic when compared to municipalities with a medium, high, or very high HDI. Conclusion This may be related to the better organization and structure of this level of care in the municipalities analyzed, pointing to the need for management that considers the population’s living conditions when dealing with public health emergencies.

Objective to analyze the association between the cumulative incidence, mortality, and lethality rates of COVID-19 in the older and socioeconomic indicators. Methods this is an ecological time-trend study that considered all COVID-19 cases and deaths reported by the elderly people in all municipalities in the state of São Paulo. Results weak positive correlations were found between the cumulative incidence rate of COVID-19 and factors such as the illiteracy rate in people aged 60 and over and elderly people with an income of up to one minimum wage. In addition, there were weak positive correlations between mortality and lethality rates and the municipal Human Development Index. There was a moderate correlation between the mortality rate and the rate of elderly people with no income. Conclusion there is an association between income, schooling, and the municipal Human Development Index with the cumulative incidence, mortality, and lethality rates of COVID-19 in older people. Contributions to practice the need for individualized and integrated approaches in health services is strengthened to minimize the effects of the social determinants of health on elderly people, especially in health emergencies.

Objective to analyze the influence of the Human Development Index on the restructuring of primary healthcare services during the critical phase of the COVID-19 pandemic. Methods a cross-sectional, analytical, and exploratory study was carried out with 1,474 primary care service managers from Brazilian municipalities. Data were collected using Google Forms and analyzed using prevalence ratios and a Poisson regression model with a random effect. Results municipalities with a low development index had higher prevalence rates for adopting preventive measures, diagnosis, notification, implementation of protocols, active surveillance, and checking the availability of beds in a referral hospital. Guidance on preventive measures and active and ongoing surveillance was lower in municipalities with a medium development index than in cities with high and very high development indexes. On the other hand, active and ongoing surveillance was higher in municipalities with a high development index than in those with a very high development index. Conclusion Poorer municipalities had greater organizational resilience to meet the high demand during the pandemic. Contributions to practice: collaborate in formulating public policies, protocols, and plans for dealing with public health emergencies, taking socio-economic indicators into account.

Objective To map the scientific evidence on the care offered to health service users with Long Covid-19. Method This is a scoping review based on the methods of the Joanna Briggs Institute. Primary studies were included, in Portuguese, English and Spanish, published between December 2019 and June 2023, in the Virtual Health Library, Web of Science, Scopus, PUBMED, SciELO and LITCovid LongCovid databases. Results Of the ١٣ articles analyzed, it stands out that the care provided to patients with Long Covid is associated with drug prescription, indication of physical exercises, telerehabilitation and physiotherapy. Conclusion A fragmentation was identified in the care provided to users of health services with Long Covid, with care directed only at isolated symptoms, without addressing the biopsychosocial care that people with this condition need. DESCRIPTORS COVID-19 Post Acute Syndrome; Evaluation of Results in Health Care; Patient Care; Health Services

Objective To map the scientific evidence on the care offered to health service users with Long Covid-19. Method This is a scoping review based on the methods of the Joanna Briggs Institute. Primary studies were included, in Portuguese, English and Spanish, published between December 2019 and June 2023, in the Virtual Health Library, Web of Science, Scopus, PUBMED, SciELO and LITCovid LongCovid databases. Results Of the ١٣ articles analyzed, it stands out that the care provided to patients with Long Covid is associated with drug prescription, indication of physical exercises, telerehabilitation and physiotherapy. Conclusion A fragmentation was identified in the care provided to users of health services with Long Covid, with care directed only at isolated symptoms, without addressing the biopsychosocial care that people with this condition need. DESCRIPTORS COVID-19 Post Acute Syndrome; Evaluation of Results in Health Care; Patient Care; Health Services

This ecological study analyzed the spatial correlation between socioeconomic and demographic indicators and deaths due to COVID-19 in Brazil. The independent variables covered population, sex, age, race, literacy, and Gini index, while the dependent variable was COVID-19 mortality. Socioeconomic and demographic data were obtained from the Continuous National Household Sample Survey, and data on COVID-19 cases and deaths were obtained from the Ministry of Health website. The analysis included the calculation of univariate and bivariate Global Moran’s Indices. The results revealed a significant spatial correlation of the independent variables with COVID-19 mortality. A moderate positive correlation stands out for literate individuals aged 20 to 59 years. Therefore, there is an association between socioeconomic factors and COVID-19 mortality, with variations between Brazilian states. This conclusion highlights the need to implement intersectoral measures to ensure universal access to health and allocate resources equitably across states. KEYWORDS COVID-19; SARS-CoV-2; Social indicators; Economic indexes; Mortality.

This ecological study analyzed the spatial correlation between socioeconomic and demographic indicators and deaths due to COVID-19 in Brazil. The independent variables covered population, sex, age, race, literacy, and Gini index, while the dependent variable was COVID-19 mortality. Socioeconomic and demographic data were obtained from the Continuous National Household Sample Survey, and data on COVID-19 cases and deaths were obtained from the Ministry of Health website. The analysis included the calculation of univariate and bivariate Global Moran’s Indices. The results revealed a significant spatial correlation of the independent variables with COVID-19 mortality. A moderate positive correlation stands out for literate individuals aged 20 to 59 years. Therefore, there is an association between socioeconomic factors and COVID-19 mortality, with variations between Brazilian states. This conclusion highlights the need to implement intersectoral measures to ensure universal access to health and allocate resources equitably across states. KEYWORDS COVID-19; SARS-CoV-2; Social indicators; Economic indexes; Mortality.