{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:35:01Z","timestamp":1747186501369,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"21-22","license":[{"start":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T00:00:00Z","timestamp":1600128000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005283","name":"Funda\u00e7\u00e3o Cearense de Apoio ao Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005283","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To estimate the prevalence and associated factors of COVID\u201019 in people with flu\u2010like syndrome in Cear\u00e1, Brazil.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>COVID\u201019 is an infectious disease that has led to a worldwide public health emergency. More than 30,000 cases were confirmed in Brazil, especially in the States of S\u00e3o Paulo, Rio de Janeiro and Cear\u00e1. The capital of the Cear\u00e1 State is the one with the highest incidence of COVID\u201019 in Brazil. Estimating the prevalence of the disease and its associated factors is important to offer adequate health care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional study with secondary data of people notified with flu\u2010like syndrome and COVID\u201019 test results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>19,967 cases of flu\u2010like syndrome were analysed according to the result of the COVID\u201019 test. Predictive variables were as follows: age range, sex, women in puerperium, presence or absence of cardiovascular diseases, diabetes, haematological illness, immunodeficiencies, neurological diseases, obesity, renal diseases and Down syndrome. Robust Poisson regression models estimated the prevalence ratios of COVID\u201019. The research was reported via STROBE guidelines for cross\u2010sectional studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of COVID\u201019 in the population was 10.37%. In the final model, the following variables were associated with COVID\u201019: aged people, male sex, cardiovascular diseases and diabetes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Among the flu\u2010like syndrome cases, COVID\u201019 prevalence was high. In the Cear\u00e1 State, clinical factors such as aged people, male sex, cardiovascular diseases and diabetes can enhance the prevalence of COVID\u201019 by up to 2.57 times.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>The identification of factors that are associated with the enhanced prevalence of COVID\u201019 facilitates early diagnosis, and adequate and prompt treatment. This knowledge may avoid an unfavourable prognosis of the disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15472","type":"journal-article","created":{"date-parts":[[2020,8,29]],"date-time":"2020-08-29T03:50:59Z","timestamp":1598673059000},"page":"4343-4348","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["COVID\u201019 in a state of Brazilian Northeast: Prevalence and associated factors in people with flu\u2010like syndrome"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1670-725X","authenticated-orcid":false,"given":"Thiago S.","family":"Garces","sequence":"first","affiliation":[{"name":"Department of Nursing Cear\u00e1 State University Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0291-6613","authenticated-orcid":false,"given":"George J. B.","family":"Sousa","sequence":"additional","affiliation":[{"name":"Department of Nursing Cear\u00e1 State University Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3119-7187","authenticated-orcid":false,"given":"Raquel S.","family":"Flor\u00eancio","sequence":"additional","affiliation":[{"name":"Department of Nursing Cear\u00e1 State University Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virna R. F.","family":"Cestari","sequence":"additional","affiliation":[{"name":"Department of Nursing Cear\u00e1 State University Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria L. D.","family":"Pereira","sequence":"additional","affiliation":[{"name":"Department of Nursing Cear\u00e1 State University Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thereza M. M.","family":"Moreira","sequence":"additional","affiliation":[{"name":"Department of Nursing Cear\u00e1 State University Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,15]]},"reference":[{"key":"e_1_2_11_2_1","article-title":"Why inequality could spread COVID\u201019","volume":"2020","author":"Ahmed F.","year":"2020","journal-title":"Lancet Public Health."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1128\/JVI.77.16.8801-8811.2003"},{"key":"e_1_2_11_4_1","unstructured":"Brazilian Ministry of Health(2020).Epidemiological situation of COVID\u201019. Retrieved from:https:\/\/portalarquivos.saude.gov.br\/images\/pdf\/2020\/April\/17\/2020\u201004\u201016\u2013\u2010BE10\u2013\u2010Boletim\u2010do\u2010COE\u201021h.pdf"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(20)30303-0"},{"key":"e_1_2_11_6_1","article-title":"Imaging and clinical features of patients with 2019 novel coronavirus SARS\u2010CoV\u20102: A systematic review and meta\u2010analysis","volume":"1","author":"Cao Y.","year":"2020","journal-title":"Journal of Medical Virology"},{"key":"e_1_2_11_7_1","unstructured":"Cear\u00e1(2020).Disease by the new coronavirus (COVID\u201019).Retrieved fromhttps:\/\/coronavirus.ceara.gov.br\/wp\u2010content\/uploads\/2020\/04\/BOLETIM_COVID_14_04_2020.pdf"},{"key":"e_1_2_11_8_1","article-title":"Clinical characteristics of 113 deceased patients with coronavirus disease 2019: Retrospective study","volume":"368","author":"Chen T.","year":"2020","journal-title":"BMJ"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(20)30110-3"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102008000600003"},{"key":"e_1_2_11_11_1","doi-asserted-by":"crossref","unstructured":"Denis M. Vandeweerd V. Verbeke R. &Van der Vliet D.(2020).Overview of information available to support the development of medical countermeasures and interventions against COVID\u201019. Retrieved from:https:\/\/rega.kuleuven.be\/if\/pdf_corona","DOI":"10.11116\/TDI2020.4.10.SI.Covipendium"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30893-X"},{"issue":"2","key":"e_1_2_11_13_1","first-page":"E002","article-title":"Exploring the mechanism of liver enzyme abnormalities in patients with novel coronavirus\u2010infected pneumonia","volume":"28","author":"Guan G. W.","year":"2020","journal-title":"Zhonghua Gan Zang Bing Za Zhi"},{"key":"e_1_2_11_14_1","unstructured":"IntegraSUS. (2020).COVID\u201019 indicators. Retrieved from:https:\/\/indicadores.integrasus.saude.ce.gov.br\/indicadores\/indicadores\u2010coronavirus\/coronavirus\u2010ceara"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-virology-110615-042301"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9040967"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmaid.2020.101623"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2020.0994"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2020.03.017"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-020-2012-7"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2020.03.020"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.15472","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.15472","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.15472","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T11:00:49Z","timestamp":1693825249000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.15472"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,15]]},"references-count":20,"journal-issue":{"issue":"21-22","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1111\/jocn.15472"],"URL":"https:\/\/doi.org\/10.1111\/jocn.15472","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"type":"print","value":"0962-1067"},{"type":"electronic","value":"1365-2702"}],"subject":[],"published":{"date-parts":[[2020,9,15]]},"assertion":[{"value":"2020-04-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}