ANÁLISE TEMPORAL DA COVID-19 NA PREVALÊNCIA DE INTERNAÇÕES POR DOENÇAS CEREBROVASCULARES

Justification and Objectives: The relationship between Covid-19 and noncommunicable diseases has increased their global burden, affecting the entire health system through its direct effect as a communicable disease, as well as its ability to alter general mortality, mainly such as stroke stroke, which has a timedependent prognosis. In this way, the study aimed to analyze the prevalence of hospital admissions due to cerebrovascular accident (CVA) before the Covid-19 pandemic period and after its onset. Methods: Ecological study that included cases of hospital admissions, in the city of São Paulo, Brazil, for stroke, identified from the hospital information system (Datasus) between 2017 and 2021, using the International Classification of Diseases (ICD-10) followed by a comparison between the months in each year. Statistical analysis was performed using linear regression and the findings were presented by β (Beta) and 95% Confidence Interval (95%CI). Results: An increase in the number of hospitalizations was observed for cases between stroke subtypes, such as: intracranial hemorrhage, 7.3% and cerebral infarction, 1.1%. And, a reduction in cases of: unspecified stroke, -17.7% and other cerebrovascular diseases, 35.3%. Conclusion: It was observed that during the pandemic period there was an increase in hospital admissions for cerebrovascular diseases such as intracranial hemorrhage and cerebral infarction, which can be understood by the relationship between the pathophysiology of neurological abnormalities and Covid-19. And, a reduction in the demand for health services and the number of hospitalizations for less serious cases, to better meet the demands of Covid-19.