{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:44:12Z","timestamp":1762868652531,"version":"build-2065373602"},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT:   Objective:  The aim of this study was to compare the proportion of deaths among hospitalized cases of COVID-19 in S\u00e3o Paulo and Rio de Janeiro, stratified by private and public services.   Methods:  Hospitalization data for severe acute respiratory syndrome (SARS) were obtained using the SIVEP-Gripe Database. All hospitalized adults who were diagnosed as COVID-19 or unspecified SARS, between January and December 2020, were included in the analysis. Logistic regression models were fitted to evaluate the risk of death between Rio de Janeiro and S\u00e3o Paulo, adjusted for age, sex, and comorbidities.   Results:  A total of 388,657 hospital registers for Rio de Janeiro and S\u00e3o Paulo (91,532 and 297,125, respectively) were analyzed. Missing data are frequent in the database and it was greater in Rio de Janeiro, at the state and capital levels. Adjusting for confounders, the odds ratio of dying by COVID-19, comparing the state of Rio de Janeiro with S\u00e3o Paulo, was 2.51 in the private hospitals and 2.29 in the public ones. For the capitals, the scenario is worse. The lethality among hospitalized patients with COVID-19 is at least twice in Rio de Janeiro than S\u00e3o Paulo, both at the states and capitals. The public or private services showed important differences, with odds ratios of 2.74 and 3.46, respectively.   Conclusion:  It appears that the worst governance in the health sector in Rio de Janeiro, more than lack of resources, explains the excess mortality of hospitalized COVID-19 patients in Rio de Janeiro.<\/jats:p>","DOI":"10.1590\/1980-549720210056","type":"journal-article","created":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T14:16:20Z","timestamp":1632492980000},"source":"Crossref","is-referenced-by-count":9,"title":["High discrepancies in the mortality of hospitalized patients with COVID-19 in the two most economically important states in Brazil"],"prefix":"10.1590","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4972-1269","authenticated-orcid":false,"given":"Vitor Barreto","family":"Paravidino","sequence":"first","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro,  Brazil; Marinha do Brasil,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5286-5354","authenticated-orcid":false,"given":"Rosely","family":"Sichieri","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7272-7175","authenticated-orcid":false,"given":"Danilo Cosme Klein","family":"Gomes","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8734-2799","authenticated-orcid":false,"given":"Gulnar Azevedo e","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"year":"2021","series-title":"Painel coronav\u00edrus","key":"ref1"},{"issue":"6","key":"ref2","article-title":"Mortalidade por COVID-19 padronizada por idade nas capitais das diferentes regi\u00f5es do Brasil","volume":"37","author":"Azevedo e Silva G","year":"2021","journal-title":"Cad Sa\u00fade P\u00fablica"},{"year":"2021","series-title":"Rela\u00e7\u00e3o de leitos por mil habitantes - recorte regional","key":"ref3"},{"year":"2021","series-title":"Produto Interno Bruto - PIB","key":"ref4"},{"year":"2021","series-title":"Unidades Geogr\u00e1ficas: Brasil","key":"ref5"},{"journal-title":"Revista Consultor Jur\u00eddico","article-title":"Demiss\u00e3o em massa. TRT-1 bloqueia R$ 38 milh\u00f5es do Rio para pagar indeniza\u00e7\u00e3o a agentes de sa\u00fade","year":"2019","key":"ref6"},{"year":"2020","series-title":"IBGE cidades","key":"ref7"},{"series-title":"Relat\u00f3rios de Informa\u00e7\u00f5es Sociais. RI Bolsa Fam\u00edlia e Cadastro \u00danico","key":"ref8"},{"key":"ref9","article-title":"Higher mortality during the COVID-19 pandemic in socially vulnerable areas in Belo Horizonte: implications for vaccine prioritization","volume":"24","author":"Passos VMA","year":"2021","journal-title":"Rev Bras Epidemiol"},{"issue":"6","key":"ref10","first-page":"1723","article-title":"Thirty years of the Unified Health System (SUS)","volume":"23","author":"Paim JS","year":"2018","journal-title":"Cien Saude Colet"},{"year":"2020","series-title":"Fortalecer o SUS, em defesa da democracia e da vida","key":"ref11"},{"issue":"8","key":"ref12","first-page":"2783","article-title":"The current challenges of the fight for a universal right to health in Brazil","volume":"24","author":"Souza LEPF","year":"2019","journal-title":"Cien Saude Colet"},{"key":"ref13","first-page":"52","article-title":"Public expenditure on hospitalizations for COVID-19 treatment in 2020, in Brazil","volume":"55","author":"Santos HLPC","year":"2021","journal-title":"Rev Saude Publica"},{"issue":"especial 5","key":"ref14","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1590\/0103-11042019s505","article-title":"O futuro do SUS: impactos das reformas neoliberais na sa\u00fade p\u00fablica - austeridade versus universalidade","volume":"43","author":"Menezes APR","year":"2019","journal-title":"Sa\u00fade Debate"},{"year":"2020","series-title":"Pesquisa de or\u00e7amentos familiares 2017-2018","key":"ref15"}],"container-title":["Revista Brasileira de Epidemiologia"],"original-title":[],"deposited":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T12:15:32Z","timestamp":1638360932000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1415-790X2021000100216&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":15,"alternative-id":["S1415-790X2021000100216"],"URL":"https:\/\/doi.org\/10.1590\/1980-549720210056","relation":{},"ISSN":["1980-5497","1415-790X"],"issn-type":[{"type":"electronic","value":"1980-5497"},{"type":"print","value":"1415-790X"}],"subject":[],"published":{"date-parts":[[2021]]},"article-number":"e210056"}}