Author: Jaspard, Marie; Sow, Mamadou Saliou; Juchet, Sylvain; Dienderé, Eric; Serra, Beatrice; Kojan, Richard; Sivahera, Billy; Martin, Caroline; Kinda, Moumouni; Lang, Hans-Joerg; Sako, Fodé Bangaly; Traoré, Fodé Amara; Koumbem, Eudoxie; Tinto, Halidou; Sanou, Adama; Sondo, Apoline; Kaboré, Flavien; Donamou, Joseph; Guilavogui, Jean-Paul-Yassa; Velardo, Fanny; Bicaba, Brice; Marcy, Olivier; Augier, Augustin; Sayadi, Sani; Poda, Armel; Keita, Sakoba; Anglaret, Xavier; Malvy, Denis
Title: Clinical presentation, outcomes and factors associated with mortality: a prospective study from three COVID-19 referral care centers in West Africa Cord-id: 84g7z7re Document date: 2021_5_14
ID: 84g7z7re
Snippet: OBJECTIVES: In Africa, the overall death toll from COVID-19 is reported to be low but there is few individual-level evidence on the severity of the disease. We report the clinical spectrum and outcome of patients monitored in COVID-19 care centers (CCC) in two West-African countries. METHODS: Burkina Faso and Guinea set up referral CCCs to hospitalize all symptomatic SARS-CoV-2 carriers, regardless of the severity of their symptoms. We report the data collected from hospitalized patients by Nove
Document: OBJECTIVES: In Africa, the overall death toll from COVID-19 is reported to be low but there is few individual-level evidence on the severity of the disease. We report the clinical spectrum and outcome of patients monitored in COVID-19 care centers (CCC) in two West-African countries. METHODS: Burkina Faso and Guinea set up referral CCCs to hospitalize all symptomatic SARS-CoV-2 carriers, regardless of the severity of their symptoms. We report the data collected from hospitalized patients by November 2020. RESULT: 1805 patients (64% men, median age 41) were admitted with COVID-19. Symptoms lasted for a median of 7 days (IQR 4-11). During hospitalization, 443 (25%) had at least once a SpO2 < 94%, 237 (13%) received oxygen and 266 (15%) corticosteroids. Mortality was 5% overall, and 1%, 5% and 14% in patients aged <40, 40-59 and ≥60. In multivariable analysis, the risk of death was higher in men (aOR 2.0, 95%CI 1.1;3.6), people aged ≥60 (aOR 2.9, 95%CI 1.7;4.8) and those with chronic hypertension (aOR 2.1, 95%CI 1.2;3.4). CONCLUSION: COVID-19 is as severe in Africa as elsewhere and common risk factors such as greater age and hypertension should make us vigilant.
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