{"id":2506,"date":"2020-05-01T15:26:56","date_gmt":"2020-05-01T14:26:56","guid":{"rendered":"http:\/\/oxfordbrazilebm.com\/?page_id=2506"},"modified":"2020-05-05T02:31:39","modified_gmt":"2020-05-05T01:31:39","slug":"monitorando-a-mortalidade-ao-longo-do-tempo-2","status":"publish","type":"page","link":"https:\/\/oxfordbrazilebm.com\/index.php\/monitorando-a-mortalidade-ao-longo-do-tempo-2\/","title":{"rendered":"Monitorando a mortalidade ao longo do tempo"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]Tradutor: Ana Paula Pires dos Santos, Luis Eduardo Fontes<\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">3 de abril de 2020<\/p>\n<p style=\"text-align: justify;\">Jason Oke, Nick DeVito, Carl Heneghan.<\/p>\n<p style=\"text-align: justify;\"><em>N\u00f3s estamos monitorando os dados do ONS (\u201cOffice for National Statistics\u201d \u2013 Gabinete de Estat\u00edsticas Nacionais) sobre <\/em><em><a href=\"https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/deaths\/datasets\/weeklyprovisionalfiguresondeathsregisteredinenglandandwales\">mortes<\/a><\/em><em>, que s\u00e3o atualizados toda ter\u00e7a-feira.<\/em><\/p>\n<p style=\"text-align: justify;\">Como podemos saber se a COVID-19 \u00e9 a principal causa dessas mortes?\u00a0 Ou se elas teriam ocorrido na aus\u00eancia da COVID-19, particularmente em idosos e pessoas com problemas cr\u00f4nicos de sa\u00fade? (veja o \u00a0<a href=\"https:\/\/medium.com\/wintoncentre\/how-much-normal-risk-does-covid-represent-4539118e1196\">artigo<\/a> de David Spiegelhalter para uma explica\u00e7\u00e3o).<\/p>\n<p style=\"text-align: justify;\">Uma maneira \u00e9 examinar as taxas de mortalidade e determinar se h\u00e1 mais pessoas morrendo do que se esperaria. O que queremos saber \u00e9 se as mortes relatadas pela COVID representam um &#8220;excesso&#8221; em rela\u00e7\u00e3o \u00e0 norma.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><strong>O n\u00famero semanal de mortes registradas para todas as idades.<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2507\" src=\"http:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0001.jpg\" alt=\"\" width=\"644\" height=\"495\" srcset=\"https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0001.jpg 644w, https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0001-300x231.jpg 300w\" sizes=\"auto, (max-width: 644px) 100vw, 644px\" \/><\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Atualiza\u00e7\u00e3o em 28 de abril:<\/strong> a divulga\u00e7\u00e3o de hoje refere-se \u00e0 semana que terminou no dia 17 de abril (semana 16)<\/p>\n<ul style=\"text-align: justify;\">\n<li>Total de mortes em todas as idades 22.351 mortes.<\/li>\n<li>Este \u00e9 um excesso de 12.034 mortes: mais do que o dobro do esperado nesta \u00e9poca do ano, RR 2,14 (IC 95% 2,10 a 2,20; p&lt;0,0001).<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Gr\u00e1ficos interativos dispon\u00edveis <a href=\"https:\/\/ebmdatalab.github.io\/mortality_tracking-covid-notebook\/\">aqui<\/a><\/strong><\/p>\n<p style=\"text-align: justify;\"><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2508\" src=\"http:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0002.jpg\" alt=\"\" width=\"644\" height=\"223\" srcset=\"https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0002.jpg 644w, https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0002-300x104.jpg 300w\" sizes=\"auto, (max-width: 644px) 100vw, 644px\" \/><\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Diferen\u00e7a entre o total de mortes e as mortes esperadas ao longo de uma m\u00e9dia de 5 anos.<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2509\" src=\"http:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0003.jpg\" alt=\"\" width=\"646\" height=\"402\" srcset=\"https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0003.jpg 646w, https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0003-300x187.jpg 300w\" sizes=\"auto, (max-width: 646px) 100vw, 646px\" \/><\/p>\n<p style=\"text-align: justify;\">O n\u00famero de mortes excedeu 3 DPs (desvios-padr\u00e3o) em cinco ocasi\u00f5es distintas nos \u00faltimos tr\u00eas anos. <a href=\"https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/deaths\/bulletins\/excesswintermortalityinenglandandwales\/2017to2018provisionaland2016to2017final\">No per\u00edodo entre o inverno de 2017 e o de 2018<\/a>, houve 50.100 mortes em excesso na Inglaterra e no Pa\u00eds de Gales. O maior n\u00famero de mortes j\u00e1 registrado (do qual temos conhecimento) por semana <a href=\"https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/deaths\/bulletins\/excesswintermortalityinenglandandwales\/2016to2017provisionaland2015to2016final\">ocorreu na semana 52 de 1999<\/a>, quando foram registradas 18.500 mortes naquela semana.<\/p>\n<p style=\"text-align: justify;\"><strong>Excesso de mortes nas \u00faltimas 6 semanas<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2510\" src=\"http:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0004.jpg\" alt=\"\" width=\"641\" height=\"370\" srcset=\"https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0004.jpg 641w, https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0004-300x173.jpg 300w\" sizes=\"auto, (max-width: 641px) 100vw, 641px\" \/><\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>O excesso no n\u00famero de mortes foi devido \u00e0 COVID?<\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li>Na semana 16, das 12.034 mortes em excesso, 8.758 (73%) mencionaram COVID no atestado de \u00f3bito, 3.276 (27%) n\u00e3o o fizeram.<\/li>\n<li>29% (n =7916) de todas as mortes em excesso nas \u00faltimas 6 semanas n\u00e3o mencionaram COVID no atestado de \u00f3bito.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2511\" src=\"http:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0005.jpg\" alt=\"\" width=\"644\" height=\"495\" srcset=\"https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0005.jpg 644w, https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0005-300x231.jpg 300w\" sizes=\"auto, (max-width: 644px) 100vw, 644px\" \/><\/p>\n<p style=\"text-align: justify;\">H\u00e1 duas explica\u00e7\u00f5es poss\u00edveis para que a COVID n\u00e3o seja mencionada no atestado de \u00f3bito:<\/p>\n<ol style=\"text-align: justify;\">\n<li>Subnotifica\u00e7\u00e3o da COVID no atestado de \u00f3bito<\/li>\n<li>As mortes por outras causas est\u00e3o aumentando<\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong>O pico de mortes<\/strong> \u00e9 consistente com o pico de mortes do NHS na Inglaterra (8 de abril). Isto poderia ser revisto para cima, mas os dados s\u00e3o consistentes com os dados do NHS da Inglaterra sobre mortes (ver <a href=\"https:\/\/www.cebm.net\/covid-19\/covid-19-death-data-in-england-update-21st-april\/\">COVID-19 Dados de Mortes na Inglaterra \u2013 Atualiza\u00e7\u00e3o em 21 de abril)<\/a><\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2512\" src=\"http:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0006.jpg\" alt=\"\" width=\"647\" height=\"432\" srcset=\"https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0006.jpg 647w, https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0006-300x200.jpg 300w\" sizes=\"auto, (max-width: 647px) 100vw, 647px\" \/><\/p>\n<p style=\"text-align: justify;\">As duas fontes mais confi\u00e1veis s\u00e3o as mortes no ONS por data real da morte &#8211; e o NHS Inglaterra por data da morte<\/p>\n<p style=\"text-align: justify;\"><strong>Idade das mortes\u00a0 <\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li>72,8% de todas as mortes ocorreram em &gt;75 anos<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2513\" src=\"http:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0007.jpg\" alt=\"\" width=\"644\" height=\"402\" srcset=\"https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0007.jpg 644w, https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0007-300x187.jpg 300w\" sizes=\"auto, (max-width: 644px) 100vw, 644px\" \/><\/p>\n<ul style=\"text-align: justify;\">\n<li>71 % das mortes por COVID ocorreram em &gt;75 anos<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2514\" src=\"http:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0008.jpg\" alt=\"\" width=\"643\" height=\"414\" srcset=\"https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0008.jpg 643w, https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0008-300x193.jpg 300w\" sizes=\"auto, (max-width: 643px) 100vw, 643px\" \/><\/p>\n<p style=\"text-align: justify;\"><strong>Gr\u00e1ficos interativos <\/strong><strong><a href=\"https:\/\/ebmdatalab.github.io\/mortality_tracking-covid-notebook\/\">de mortalidade por idade por 100.000 pessoas<\/a><\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: justify;\">\u00e9 importante observar as taxas de mortalidade por idade da popula\u00e7\u00e3o sob risco (h\u00e1 menos pessoas de 85 anos do que aqueles na faixa et\u00e1ria de 45 a 64 anos). O que isto mostra \u00e9 o risco muito maior nos idosos em compara\u00e7\u00e3o com as faixas et\u00e1rias mais jovens.<\/p>\n<p style=\"text-align: justify;\"><strong>Mortalidade por idade por 100.000 pessoas<\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li>&gt;85: 236\/100.000<\/li>\n<li>75-84: 82 por 100.000<\/li>\n<li>65-74: 24 por 100.000<\/li>\n<li>45-64: 6,4 por 100.000<\/li>\n<li>15-44: 0,45 por 100.000<\/li>\n<li>1-14: 0,02 por 100.000<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2515\" src=\"http:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0009.jpg\" alt=\"\" width=\"644\" height=\"207\" srcset=\"https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0009.jpg 644w, https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_0009-300x96.jpg 300w\" sizes=\"auto, (max-width: 644px) 100vw, 644px\" \/><\/p>\n<p style=\"text-align: justify;\">O relat\u00f3rio do ONS n\u00e3o nos diz se a COVID foi mencionada como a doen\u00e7a ou condi\u00e7\u00e3o que levou diretamente \u00e0 morte.<\/p>\n<ul style=\"text-align: justify;\">\n<li>A causa imediata da morte &#8211; (primeira linha do atestado de \u00f3bito na Parte I)<\/li>\n<li>As causas subjacentes da morte &#8211; consideram a cadeia de eventos que levam \u00e0 morte (linhas mais inferiores na Parte I)<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Todas as mortes por doen\u00e7as respirat\u00f3rias (CID-10 J00-J99) incluem mortes por pneumonia viral (codificada como J12).<\/p>\n<ul style=\"text-align: justify;\">\n<li>Semana 14: 2.106 um aumento de 572 (27%) mortes respirat\u00f3rias em compara\u00e7\u00e3o com a semana anterior.<\/li>\n<li>Semana 15: 1.810 uma diminui\u00e7\u00e3o de 298 (14%) em compara\u00e7\u00e3o com a \u00faltima semana.<\/li>\n<li>Semana 16: 1776 uma diminui\u00e7\u00e3o de 34 (1,9%) em compara\u00e7\u00e3o com a \u00faltima semana.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Esperar\u00edamos que a pneumonia estivesse em ascens\u00e3o se o SARS-CoV-2 causasse predominantemente pneumonia viral. Um atestado de \u00f3bito conteria tanto COVID quanto pneumonia viral, se este fosse o caso. Isto sugere que a causa predominante de morte por COVID n\u00e3o \u00e9 respirat\u00f3ria. Uma an\u00e1lise mais profunda dos dados do ONS pode revelar as outras causas, mas isto ainda n\u00e3o est\u00e1 dispon\u00edvel.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2516\" src=\"http:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_00010.jpg\" alt=\"\" width=\"641\" height=\"203\" srcset=\"https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_00010.jpg 641w, https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_00010-300x95.jpg 300w\" sizes=\"auto, (max-width: 641px) 100vw, 641px\" \/><\/p>\n<p style=\"text-align: justify;\"><strong>Gr\u00e1ficos interativos dispon\u00edveis <a href=\"https:\/\/ebmdatalab.github.io\/mortality_tracking-covid-notebook\/\">aqui<\/a><\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Local de morte<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2517\" src=\"http:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_00011.jpg\" alt=\"\" width=\"636\" height=\"381\" srcset=\"https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_00011.jpg 636w, https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_00011-300x180.jpg 300w\" sizes=\"auto, (max-width: 636px) 100vw, 636px\" \/><\/p>\n<p style=\"text-align: justify;\">As mortes em asilos (n=7.316) e em casa (4.570) somadas foram maiores que o n\u00famero de mortes no hospital (n=9.434).<\/p>\n<p style=\"text-align: justify;\">Houve uma propor\u00e7\u00e3o maior de mortes n\u00e3o relacionadas \u00e0 COVID em casa (91%) e em asilos (72%) do que de mortes n\u00e3o relacionadas \u00e0 COVID (m\u00e9dias da semana 13 fornecidas para compara\u00e7\u00e3o).<\/p>\n<p style=\"text-align: justify;\"><strong>Mortes por regi\u00e3o<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2518\" src=\"http:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_00012.jpg\" alt=\"\" width=\"642\" height=\"345\" srcset=\"https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_00012.jpg 642w, https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_00012-300x161.jpg 300w\" sizes=\"auto, (max-width: 642px) 100vw, 642px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2519\" src=\"http:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_00013.jpg\" alt=\"\" width=\"645\" height=\"334\" srcset=\"https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_00013.jpg 645w, https:\/\/oxfordbrazilebm.com\/wp-content\/uploads\/2020\/05\/mat14_00013-300x155.jpg 300w\" sizes=\"auto, (max-width: 645px) 100vw, 645px\" \/><\/p>\n<p style=\"text-align: justify;\"><strong>Veja tamb\u00e9m<\/strong><\/p>\n<ul>\n<li style=\"text-align: justify;\"><a href=\"https:\/\/www.cebm.net\/covid-19\/covid-19-tracking-european-mortality\/\">COVID-19 \u2013\u00a0Monitorando a mortalidade na Europa<\/a><\/li>\n<\/ul>\n<hr \/>\n<p>&nbsp;<\/p>\n<p><strong>AUTORES<\/strong><br \/>\nJason Oke is \u00e9 um estat\u00edstico senior no Nuffield Department of Primary Care Health Sciences. (<a href=\"https:\/\/www.phc.ox.ac.uk\/team\/jason-oke\">Biografia<\/a>)<\/p>\n<p>NickDeVito \u00e9 um Doutorando no EBM DataLab (<a href=\"https:\/\/www.phc.ox.ac.uk\/team\/nicholas-devito\">Biografia<\/a>)<\/p>\n<p><strong><a href=\"https:\/\/www.phc.ox.ac.uk\/team\/carl-heneghan\">Carl Heneghan<\/a><\/strong><strong>\u00a0<\/strong>\u00e9 professor de Medicina Baseada em Evid\u00eancia, diretor do\u00a0<a href=\"http:\/\/www.cebm.net\/\">Centro de Medicina Baseada em Evid\u00eancia<\/a>. (Biografia completa e declara\u00e7\u00e3o de conflitos de interesse <a href=\"https:\/\/www.phc.ox.ac.uk\/team\/carl-heneghan\">aqui<\/a>).<\/p>\n<p><strong>Aviso:<\/strong> o artigo n\u00e3o foi revisado por pares; ele n\u00e3o deve substituir o julgamento cl\u00ednico individual e as fontes citadas devem ser verificadas. As opini\u00f5es expressas neste coment\u00e1rio representam as opini\u00f5es dos autores e n\u00e3o necessariamente as da institui\u00e7\u00e3o anfitri\u00e3, do NHS, do NIHR, ou do Departamento de Sa\u00fade e Assist\u00eancia Social. Os pontos de vista n\u00e3o s\u00e3o um substituto para o aconselhamento m\u00e9dico profissional.[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text]Tradutor: Ana Paula Pires dos Santos, Luis Eduardo Fontes &nbsp; 3 de abril de 2020 Jason Oke, Nick DeVito, Carl Heneghan. N\u00f3s estamos monitorando os dados do ONS (\u201cOffice for National Statistics\u201d \u2013 Gabinete de Estat\u00edsticas Nacionais) sobre mortes, que s\u00e3o atualizados toda ter\u00e7a-feira. Como podemos saber se a COVID-19 \u00e9 a principal causa dessas&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2506","page","type-page","status-publish","hentry","description-off"],"_links":{"self":[{"href":"https:\/\/oxfordbrazilebm.com\/index.php\/wp-json\/wp\/v2\/pages\/2506","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/oxfordbrazilebm.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/oxfordbrazilebm.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/oxfordbrazilebm.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/oxfordbrazilebm.com\/index.php\/wp-json\/wp\/v2\/comments?post=2506"}],"version-history":[{"count":2,"href":"https:\/\/oxfordbrazilebm.com\/index.php\/wp-json\/wp\/v2\/pages\/2506\/revisions"}],"predecessor-version":[{"id":2574,"href":"https:\/\/oxfordbrazilebm.com\/index.php\/wp-json\/wp\/v2\/pages\/2506\/revisions\/2574"}],"wp:attachment":[{"href":"https:\/\/oxfordbrazilebm.com\/index.php\/wp-json\/wp\/v2\/media?parent=2506"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}