An Analysis of COVID-19 Patients Receiving Care in a Tertiary Facility in Southern Nigeria.

التفاصيل البيبلوغرافية
العنوان:	An Analysis of COVID-19 Patients Receiving Care in a Tertiary Facility in Southern Nigeria.
المؤلفون:	Okwara BU; Department of Medicine, University of Benin Teaching Hospital, Benin City, PMB 1111, Edo State,Nigeria., Ogboghodo EO; Community Health, University of Benin Teaching Hospital, Benin City, PMB 1111, Edo State,Nigeria., Osaigbovo II; Department of Medical Microbiology, University of Benin Teaching Hospital, Benin City, PMB 1111, Edo State,Nigeria., Obaseki DE; Chief Medical Directors Office/Department of Anatomic Pathology, University of Benin Teaching Hospital, Benin City, PMB 1111, Edo State,Nigeria., Omuemu CE; Department of Medicine, University of Benin Teaching Hospital, Benin City, PMB 1111, Edo State,Nigeria., Oduware E; Department of Family Medicine, University of Benin Teaching Hospital, Benin City, PMB 1111, Edo State,Nigeria., Osemwenkhai M; Nursing Services, University of Benin Teaching Hospital, Benin City, PMB 1111, Edo State,Nigeria.
المصدر:	West African journal of medicine [West Afr J Med] 2020 Dec; Vol. 37 (7), pp. 715-720.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: West African College Of Physicians And West African College Of Surgeons Country of Publication: Nigeria NLM ID: 8301891 Publication Model: Print Cited Medium: Print ISSN: 0189-160X (Print) Linking ISSN: 0189160X NLM ISO Abbreviation: West Afr J Med Subsets: MEDLINE
أسماء مطبوعة:	Publication: Lagos : West African College Of Physicians And West African College Of Surgeons Original Publication: [Yaba, Lagos, Nigeria] : West African College of Physicians and West African College of Surgeons, [1981-
مواضيع طبية MeSH:	COVID-19/*therapy, Adult ; Age Factors ; Aged ; COVID-19/mortality ; Comorbidity ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Nigeria/epidemiology ; Pandemics ; Sex Factors ; Young Adult
مستخلص:	Background: Information pertaining to the clinical characteristics of COVID-19 in sub-Saharan Africa remains sparse. In Nigeria, it is limited to few isolated reports and case series confined to the early phase of the outbreak. The objective of this study is to describe the presenting characteristics, co-morbidities and outcomes of Nigerian patients managed over a 3-month period in a tertiary hospital. Methods: This was a descriptive cross-sectional study involving the total population of patients with laboratory confirmed diagnosis of COVID-19 in the University of Benin Teaching Hospital, Edo State, Nigeria from March 31 to June 30, 2020. Data was collected using a review of patients' records. Analysis was by IBM SPSS version 25.0. The level of significance was set at p < 0.05. Results: A total of 173 patients with mean age (SD) 50.7± 20.1 years were managed. One hundred and five (60.7%) were males and the commonest age group was 20-39 years (34.7%). The commonest presenting symptoms were fever, cough and malaise found in 103 (71.5%), 101 (70.1%) and 63 (43.8%) patients respectively. Twenty-five (14.5%) patients had severe disease; 60 (34.7%) had underlying medical conditions mostly hypertension and diabetes mellitus. Outcome analyses showed 117 (67.6%) discharges, 45 (26.0%) deaths, 10 (5.8%) discharges against medical advice, and 1 (0.6%) transfer to another facility. Male sex (p=0.044), increasing age (p<0.001), presence of symptoms (p=0.010), presence of co-morbidities (p=0.010) and non-healthcare worker status (p< 0.001) were significantly associated with mortality. Conclusion: The first epidemiological and clinical summary of COVID-19 cases in Edo state, Nigeria over a three-month period is presented showing globally recognized patterns of male predilection and higher mortality with increasing age and co-morbidity.
تواريخ الأحداث:	Date Created: 20201209 Date Completed: 20201214 Latest Revision: 20201214
رمز التحديث:	20221213
PMID:	33296477
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	0189-160X