Spatial correlation of covid-19 with intensive care unit beds in Paraná

Covre, Eduardo Rocha; Pereira, Natan David; Oliveira, Natan Nascimento de; Charlo, Patrícia Bossolani; Oliveira, Magda Lúcia Félix de; Oliveira, Rosana Rosseto de; Carreira, Lígia; Facchini, Luiz Augusto; Vissoci, João Ricardo Nickenig; Salci, Maria Aparecida

doi:10.11606/s1518-8787.2022056003868

Brasil

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Original Article • Rev. Saúde Pública 56 • 2022 • https://doi.org/10.11606/s1518-8787.2022056003868 linkcopy

Spatial correlation of covid-19 with intensive care unit beds in Paraná

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

OBJECTIVE To analyze the spatial correlation between confirmed cases of covid-19 and the intensive care unit beds exclusive to the disease in municipalities of Paraná.

METHODS This is an epidemiological study of ecological type which used data from the Epidemiological Report provided by the Department of Health of Paraná on the confirmed cases of covid-19 from March 12, 2020, to January 18, 2021. The number of intensive care beds exclusive to covid-19 in each municipality of Paraná was obtained by the Cadastro Nacional de Estabelecimentos de Saúde (CNES - National Registry of Health Establishments), provided online by the Departamento de Informática do Sistema Único de Saúde (Datasus - Informatics Department of the Brazilian Unified Health System). The Bivariate Moran’s Index (local and global) was used to analyze the intensive care bed variable and spatial correlation, with a 5% significance level. LISA Map was used to identify critical and transition areas.

RESULTS In the analyzed period, we found 499,777 confirmed cases of covid-19 and 1,029 intensive care beds exclusive to the disease in Paraná. We identified a positive spatial autocorrelation between the confirmed cases of covid-19 (0.404–p ≤ 0.001) and intensive care beds exclusive to the disease (0.085–p ≤ 0.001) and disparities between the regions of Paraná.

CONCLUSION Spatial analysis indicated that confirmed cases of covid-19 are related to the distribution of intensive care beds exclusive to the disease in Paraná, allowing us to find priority areas of care in the state regarding the dissemination and control of the disease.

COVID-19, complications; Intensive Care Units, supply & distribution; Spatial Analysis; Health Services Needs and Demand; Ecological Studies

Health Region (HR)	Population	Confirmed cases	ICU beds^b	Prevalence of cases^c	Beds per inhabitants^d
1^st HR Paranaguá	299,824	16,903	20	5.64	6.68
2^nd HR Metropolitana	3,693,891	157,945	416	4.27	11.26
3^rd HR Ponta Grossa	642,624	24,764	30	3.85	4.67
4^th HR Irati	176,074	5,558	4	3.15	2.27
5^th HR Guarapuava	457,280	12,331	40	2.70	8.75
6^th HR União da Vitória	178,277	3,285	6	1.84	3.37
7^th HR Pato Branco	268,563	11,550	28	4.30	10.43
8^th HR Francisco Beltrão	359,601	18,014	10	5.00	2.78
9^th HR Foz do Iguaçu	405,246	30,737	50	7.58	12.34
10^th HR Cascavel	554,233	27,861	46	5.03	8.30
11^th HR Campo Mourão	327,595	10,404	31	3.17	9.46
12^th HR Umuarama	277,003	12,076	30	4.36	10.83
13^th HR Cianorte	162,273	6,502	8	4.00	4.93
14^th HR Paranavaí	277,060	7,515	10	2.71	3.61
15^th HR Maringá	847,559	42,190	94	4.98	11.09
16^th HR Apucarana	387,414	13,469	50	3.48	12.91
17^th HR Londrina	972,283	47,998	80	4.94	8.23
18^th HR Cornélio Procópio	221,744	7,430	8	3.35	3.61
19^th HR Jacarezinho	289,587	7,772	10	2.68	3.45
20^th HR Toledo	401,772	22,640	30	5.63	7.47
21^st HR Telêmaco Borba	189,750	9,516	24	5.01	12.65
22^nd HR Ivaiporã	127,237	3,317	4	2.60	3.14
Paraná	11,516,840	499,777	1,029	4.34	8.93

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Faculdade de Saúde Pública da Universidade de São Paulo Avenida Dr. Arnaldo, 715, 01246-904 São Paulo SP Brazil, Tel./Fax: +55 11 3061-7985 - São Paulo - SP - Brazil
E-mail: revsp@usp.br

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[TFN1] ^a Coronavirus disease 2019.

[TFN2] ^b ICU: intensive care unit, exclusive to covid-19.

[TFN3] ^c Per 100 inhabitants.

[TFN4] ^d Per 100,000 inhabitants.