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Characteristics and outcomes of patients hospitalized with COVID-19 at a tertiary hospital in Nigeria
Journal article   Open access   Peer reviewed

Characteristics and outcomes of patients hospitalized with COVID-19 at a tertiary hospital in Nigeria

Olukemi Adekanmbi, Olayinka Ilesanmi, Olusola Idowu, Arinola Esan, Yemi R Raji, Adeola Fowotade, Olubunmi Ogunlade, Adegboyega Akere, Oluwaseun Ololade, Kehinde Ojifinni, …
African health sciences, Vol.23(1), pp.72-82
03/01/2023
DOI: 10.4314/ahs.v23i1.9
PMCID: PMC10398429
PMID: 37545917
url
https://doi.org/10.4314/ahs.v23i1.9View
Published (Version of record) Open Access

Abstract

Data regarding the features and outcomes of hospitalized COVID-19 patients in Africa are increasingly available. To describe socio-demographic, clinical and laboratory characteristics and outcomes of COVID-19 patients. A cross-sectional study of 86 adult patients hospitalized with COVID-19 between March and November 2020. Characteristics were described in survivors and non-survivors. Mean age was 60.9±16.1 years, 53(61.6%) were male. Co-morbidities were found in 77(89.5%) patients. On severity, 6(7%) were mild, 23(26.7%) moderate, 51(59.3%) severe and 6(7%) critical. Oxygen saturation and respiratory rate were 71±22% and 38±11/minute in non-survivors and 90±7% and 31±7/minute in survivors respectively (p<0.001, p<0.001)). Overall mortality was 47.7% with no death among patients with mild disease and deaths in all patients with critical disease. Duration of hospitalization was 2.0(1.0-4.5) days in those who died and 12(7.0-15.0) days in those who survived (p<0.001). Of the 42 patients that received dexamethasone, 11(26.2%) died, while 31(73.8%) survived (p=<0.001). Most of the patients had co-morbidities and there was high mortality in patients with severe and critical COVID-19. Mean oxygen saturation was low and respiratory rate high overall. Factors associated with mortality included: Significantly greater hypoxia and tachypnea, less dexamethasone use and shorter hospitalization.
Adult Aged COVID-19 - epidemiology COVID-19 - therapy Cross-Sectional Studies Dexamethasone Female Hospitalization Humans Male Middle Aged Nigeria - epidemiology Retrospective Studies SARS-CoV-2 Tertiary Care Centers

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