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Prevalence of pneumonia by chest x-ray, associated demographic characteristics and health risk factors among COVID-19 patients in Ghana
Oliver-Commey, Joseph A; Puplampu, Peter; Owoo, Christian; Asare-Boateng, Kwame; Yawson, Anita O; Tetteh, John; Calys-Tagoe, Benedict N L; Udofia, Emilia; Kenu, Ernest; Samba, Ali; Yawson, Alfred E; Lartey, Margaret.
Afiliação
  • Oliver-Commey, Joseph A; National COVID-19 Treatment Centre, Ga East Municipal Hospital, Ghana Health Service (GHS). LEKMA Hospital, Ghana Health Service. National COVID-19 Case Management Team. Accra. GH
  • Puplampu, Peter; National COVID-19 Treatment Centre, Ga East Municipal Hospital, Ghana Health Service (GHS). Department of Medicine and Therapeutics, University of Ghana Medical School, College of Health Sciences, University of Ghana. Pentecost Convention Centre- National COVID-19 Treatment Centre. Accra. GH
  • Owoo, Christian; National COVID-19 Case Management Team. National COVID-19 Treatment Centre, University of Ghana Medical Centre. Department of Anaesthesia, University of Ghana Medical School, College of Health Sciences, University of Ghana. Accra. GH
  • Asare-Boateng, Kwame; National COVID-19 Treatment Centre, Ga East Municipal Hospital, Ghana Health Service (GHS). Accra. GH
  • Yawson, Anita O; National COVID-19 Treatment Centre, Ga East Municipal Hospital, Ghana Health Service (GHS). Department of Anaesthesia, Korle-Bu Teaching Hospital. Accra. GH
  • Tetteh, John; Department of Community Health, University of Ghana Medical School, College of Health Sciences, University of Ghana. Accra. GH
  • Calys-Tagoe, Benedict N L; Department of Community Health, University of Ghana Medical School, College of Health Sciences, University of Ghana. Accra. GH
  • Udofia, Emilia; Department of Community Health, University of Ghana Medical School, College of Health Sciences, University of Ghana. Accra. GH
  • Kenu, Ernest; Department of Epidemiology and Disease Control, School of Public Health, University of Ghana. Accra. GH
  • Samba, Ali; Department of Obstetrics & Gynaecology Department, Korle-Bu Teaching Hospital. Accra. GH
  • Yawson, Alfred E; Department of Community Health, University of Ghana Medical School, College of Health Sciences, University of Ghana. Accra. GH
  • Lartey, Margaret; Department of Medicine and Therapeutics, University of Ghana Medical School, College of Health Sciences, University of Ghana. Accra. GH
Ghana Med. J. (Online) ; 55(2): 21-28, 2021. Tables, figures
Article em En | AIM | ID: biblio-1293277
Biblioteca responsável: CG1.1
ABSTRACT

Objective:

The study was conducted to determine the prevalence of radiologically diagnosed pneumonia among COVID-19 patients and associated factors. Design, setting, and

participants:

A retrospective manual data extraction of 275 medical records of COVID-19 patients was conducted at two COVID-19 national treatment centres in Accra from March to May 2020. All patients had a chest x-ray done. Main outcome and

analysis:

The main outcome was the presence of pneumonia. Descriptive statistics and Chi-square test of independence were employed to determine the associations between independent variables and the presence of pneumonia. All analysis was performed using Stata 16, and a p-value ≤ 0.05 was deemed significant

Results:

The prevalence of pneumonia was 44%(95%CI) =38.2-50.0). Chi-square independent test indicated that pneumonia in the COVID-19 patients was associated with educational level, history of domestic and international travel, mass gathering in the past 14 days before diagnosis, and discharge plan (p-value< 0.05). Patients classified as secondary cases (61.5%) and those discharged as fully recovered from the health facility (61.2%) had a higher prevalence of pneumonia. In addition, COVID-19 patients with hypertension (32.1%) and asthma (5.2%) had a significantly higher prevalence of pneumonia.

Conclusion:

Overall, the prevalence of pneumonia was 44% and was associated with the demographic and personal characteristics of the patients. Early detection through contact tracing and community surveillance should be intensified to pick up more asymptomatic cases. The role of the chest x-ray for triaging patients and for clinical management of symptomatic patients remains key
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Texto completo: 1 Índice: AIM Assunto principal: Pneumonia / Radiografia Pulmonar de Massa / COVID-19 Tipo de estudo: Etiology_studies / Guideline / Prevalence_studies / Risk_factors_studies / Screening_studies Limite: Adult / Female / Humans / Male País/Região como assunto: Africa Idioma: En Revista: Ghana Med. J. (Online) Ano de publicação: 2021 Tipo de documento: Article
Texto completo: 1 Índice: AIM Assunto principal: Pneumonia / Radiografia Pulmonar de Massa / COVID-19 Tipo de estudo: Etiology_studies / Guideline / Prevalence_studies / Risk_factors_studies / Screening_studies Limite: Adult / Female / Humans / Male País/Região como assunto: Africa Idioma: En Revista: Ghana Med. J. (Online) Ano de publicação: 2021 Tipo de documento: Article