{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T12:44:03Z","timestamp":1772714643470,"version":"3.50.1"},"reference-count":11,"publisher":"FapUNIFESP (SciELO)","issue":"4","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: A vigil\u00e2ncia de s\u00edndrome respirat\u00f3ria aguda grave (SRAG) no Brasil visa a caracterizar a circula\u00e7\u00e3o dos v\u00edrus Influenza A e B em casos hospitalizados e \u00f3bitos, tendo sido ampliada em 2012 para incluir outros v\u00edrus respirat\u00f3rios. A COVID-19 foi detectada no Brasil pela primeira vez na 9\u00aa semana epidemiol\u00f3gica de 2020 e o teste para o v\u00edrus SARS-CoV-2 foi inclu\u00eddo no protocolo de vigil\u00e2ncia a partir da 12\u00aa semana epidemiol\u00f3gica. O objetivo deste estudo foi investigar o padr\u00e3o de hospitaliza\u00e7\u00f5es por SRAG no pa\u00eds ap\u00f3s a entrada do SARS-CoV-2, comparando o perfil temporal, et\u00e1rio e de resultados laboratoriais com os anos de 2010 a 2019. Em 2020, a hospitaliza\u00e7\u00e3o por SRAG, contabilizada desde a data do primeiro caso de COVID-19 confirmado at\u00e9 a 12\u00aa semana, superou o observado, no mesmo per\u00edodo, em cada um dos 10 anos anteriores. A faixa et\u00e1ria acima de 60 anos foi a mais acometida, em n\u00edvel acima do hist\u00f3rico. Houve um aumento consider\u00e1vel de testes laboratoriais negativos, sugerindo a circula\u00e7\u00e3o de um v\u00edrus diferente dos presentes no painel. Conclu\u00edmos que o aumento das hospitaliza\u00e7\u00f5es por SRAG, a falta de informa\u00e7\u00e3o espec\u00edfica sobre o agente etiol\u00f3gico e a predomin\u00e2ncia de casos entre idosos, no mesmo per\u00edodo de tempo em que cresce o n\u00famero de casos novos de COVID-19, \u00e9 coerente com a hip\u00f3tese de que os casos graves da doen\u00e7a j\u00e1 estejam sendo detectados pela vigil\u00e2ncia de SRAG com sobrecarga para o sistema de sa\u00fade. A inclus\u00e3o da testagem para SARS-CoV-2 no protocolo de vigil\u00e2ncia de SRAG e sua efetiva implementa\u00e7\u00e3o s\u00e3o de grande import\u00e2ncia para acompanhar a evolu\u00e7\u00e3o dos casos graves da doen\u00e7a no pa\u00eds.<\/jats:p>","DOI":"10.1590\/0102-311x00070120","type":"journal-article","created":{"date-parts":[[2020,4,22]],"date-time":"2020-04-22T14:31:10Z","timestamp":1587565870000},"source":"Crossref","is-referenced-by-count":51,"title":["COVID-19 e hospitaliza\u00e7\u00f5es por SRAG no Brasil: uma compara\u00e7\u00e3o at\u00e9 a 12\u00aa semana epidemiol\u00f3gica de 2020"],"prefix":"10.1590","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1406-0122","authenticated-orcid":false,"given":"Leonardo Soares","family":"Bastos","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil; London School of Hygiene and Tropical Medicine,  United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1075-3113","authenticated-orcid":false,"given":"Roberta Pereira","family":"Niquini","sequence":"additional","affiliation":[{"name":"Instituto Federal de Educa\u00e7\u00e3o, Ci\u00eancia e Tecnologia do Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7573-1364","authenticated-orcid":false,"given":"Raquel Martins","family":"Lana","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8371-2959","authenticated-orcid":false,"given":"Daniel A. M.","family":"Villela","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3289-3195","authenticated-orcid":false,"given":"Oswaldo G.","family":"Cruz","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3868-4391","authenticated-orcid":false,"given":"Fl\u00e1vio C.","family":"Coelho","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Get\u00falio Vargas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1174-178X","authenticated-orcid":false,"given":"Claudia T.","family":"Code\u00e7o","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4693-5402","authenticated-orcid":false,"given":"Marcelo F. C.","family":"Gomes","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"key":"ref1","series-title":"Vigil\u00e2ncia sentinela de s\u00edndrome respirat\u00f3ria aguda grave (SRAG) em unidade de terapia intensiva"},{"key":"ref2","series-title":"Guia para a Rede Laboratorial de Vigil\u00e2ncia de Influenza no Brasil"},{"key":"ref3","article-title":"Doen\u00e7a pelo coronav\u00edrus 2019: amplia\u00e7\u00e3o da vigil\u00e2ncia, medidas n\u00e3o farmacol\u00f3gicas e descentraliza\u00e7\u00e3o do diagn\u00f3stico laboratorial","volume":"5","year":"2020","journal-title":"Boletim Epidemiol\u00f3gico"},{"key":"ref4","article-title":"Coronavirus disease 2019 (COVID-19)","volume":"38","year":"2020","journal-title":"Situation Report"},{"key":"ref5","article-title":"COVID-19 cases in Brazil at city level","author":"Cota W.","year":"2020","journal-title":"Kaggle"},{"key":"ref6","series-title":"Ficha de Registro Individual - Casos de S\u00edndrome Respirat\u00f3ria Aguda Grave Hospitalizados"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"4363","DOI":"10.1002\/sim.8303","article-title":"A modelling approach for correcting reporting delays in disease surveillance data","volume":"38","author":"Bastos LS","year":"2019","journal-title":"Stat Med"},{"key":"ref8","series-title":"Plano de conting\u00eancia para resposta \u00e0s emerg\u00eancias de sa\u00fade p\u00fablica: influenza - prepara\u00e7\u00e3o para a sazonalidade e epidemias"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1016\/S0140-6736(20)30566-3","article-title":"Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China a retrospective cohort study","volume":"395","author":"Zhou F","year":"2020","journal-title":"Lancet"},{"key":"ref10","article-title":"Human respiratory syncytial virus and influenza seasonality patterns: early findings from the WHO global respiratory syncytial virus surveillance","author":"Chadha M","year":"2020","journal-title":"Influenza Other Respir Viruses"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1186\/s12879-018-3484-z","article-title":"Seasonal dynamics of influenza in Brazil the latitude effect","volume":"18","author":"Almeida A","year":"2018","journal-title":"BMC Infect Dis"}],"container-title":["Cadernos de Sa\u00fade P\u00fablica"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/csp\/v36n4\/1678-4464-csp-36-04-e00070120.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,23]],"date-time":"2021-01-23T23:43:14Z","timestamp":1611445394000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-311X2020000406001&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":11,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020]]}},"alternative-id":["S0102-311X2020000406001"],"URL":"https:\/\/doi.org\/10.1590\/0102-311x00070120","relation":{},"ISSN":["1678-4464","0102-311X"],"issn-type":[{"value":"1678-4464","type":"electronic"},{"value":"0102-311X","type":"print"}],"subject":[],"published":{"date-parts":[[2020]]},"article-number":"e00070120"}}