• Jefferson Paixão Cardoso, Maria Inês Pardo Calazans, Aretha Lorena Fonseca Cantanhede Carneiro, Cayara Mattos Costa, Edna Luisa Oliveira Monteiro, Liliana Yanet Gómez Aristizábal, Juliana da Silva Oliveira, and Alcione Miranda Dos Santos.
• PhD. Physiotherapist and Full Professor, Department of Health II, Núcleo de Estudos em Saúde da População (NESP), Universidade Estadual do Sudoeste da Bahia (UESB), Jequié (BA), Brazil.
• Sao Paulo Med J. 2022 Jan 1; 141 (3): e2022226e2022226.

BackgroundMultimorbidity can influence intensive care unit (ICU) admissions and deaths due to coronavirus disease (COVID-19).ObjectiveTo analyze the association between multimorbidity, ICU admissions, and deaths due to COVID-19 in Brazil.Design And SettingThis cross-sectional study was conducted using data from patients with severe acute respiratory syndrome (SARS) due to COVID-19 recorded in the Influenza Epidemiological Surveillance Information System (SIVEP-Gripe) in 2020.MethodsDescriptive and stratified analyses of multimorbidity were performed based on sociodemographic, ventilatory support, and diagnostic variables. Poisson regression was used to estimate the prevalence ratios.ResultsWe identified 671,593 cases of SARS caused by COVID-19, of which 62.4% had at least one morbidity. Multimorbidity was associated with male sex, age 60-70 and ≥ 80 years, brown and black skin color, elementary education and high school, ventilatory support, and altered radiologic exams. Moreover, all regions of the country and altered computed tomography due to COVID-19 or other diseases were associated with death; only the northeast region and higher education were associated with ICU admission.ConclusionOur results showed an association between multimorbidity, ICU admission, and death in COVID-19 patients in Brazil.

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