Spatial correlation of covid-19 with intensive care unit beds in Parana

OBJECTIVE: To analyze the spatial correlation between confirmed cases of covid-19 and the intensive care unit beds exclusive to the disease in municipalities of Parana. METHODS: This is an epidemiological study of ecological type which used data from the Epidemiological Report provided by the Department of Health of Parana on the confirmed cases of covid-19 from March 12, 2020, to January 18, 2021. The number of intensive care beds exclusive to covid-19 in each municipality of Parana was obtained by the Cadastro Nacional de Estabelecimentos de Saude (CNES - National Registry of Health Establishments), provided online by the Departamento de Informatica do Sistema Unico de Saude (Datasus - Informatics Department of the Brazilian Unified Health System). The Bivariate Moran's Index (local and global) was used to analyze the intensive care bed variable and spatial correlation, with a 5% significance level. LISA Map was used to identify critical and transition areas. RESULTS: In the analyzed period, we found 499,777 confirmed cases of covid-19 and 1,029 intensive care beds exclusive to the disease in Parana. We identified a positive spatial autocorrelation between the confirmed cases of covid-19 (0.404-p = 0.001) and intensive care beds exclusive to the disease (0.085-p = 0.001) and disparities between the regions of Parana. CONCLUSION: Spatial analysis indicated that confirmed cases of covid-19 are related to the distribution of intensive care beds exclusive to the disease in Parana, allowing us to find priority areas of care in the state regarding the dissemination and control of the disease.