Aspectos Epidemiológicos E Clínicos Associados À Morbimortalidade Por Covid-19 Em Belém, Amazônia

Objective: To analyze COVID-19 mortality in the city of Belém, considering two main factors: demographic characteristics and clinical signs and symptoms. Methodology: This ecological, quantitative study was conducted between February 2020 and February 2022 in Belém. COVID-19 data were obtained from the Pará State Public Health Department (SESPA), and sociodemographic data were sourced from the Brazilian Institute of Geography and Statistics (IBGE). Descriptive statistics, probability distribution graphs, nonparametric tests, and summary tables were used for analysis. Results: Higher mortality rates were observed in socially vulnerable areas, particularly in the DABEL District, and among elderly males. The most prevalent symptoms among those who died were dyspnea, cough, and fever. The comorbidities most commonly associated with COVID-19 mortality were heart disease and diabetes mellitus. Odynophagia was the only symptom significantly associated with sex, while asthma and obesity were the only comorbidities with a significant sex-based association. Conclusions: The findings underscore the importance of robust epidemiological surveillance in Belém and the need for ongoing identification of priority groups in response to shifts in the epidemiological landscape.