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Challenges of Case Management of COVID-19 in University of Uyo Teaching Hospital: A One-Year Experience
Oloyede, I P; Onukak, A; Motilewa, O O; Ekuma, A; Udoette, S; Eyo, C; Abudu, E K; Umoh, V A; Bassey, E; Peters, E.
Afiliação
  • Oloyede, I P; Department of Paediatrics, University of Uyo/ University of Uyo Teaching Hospital,. Akwa Ibom State. NG
  • Onukak, A; Department of Internal Medicine, University of Uyo/ University of Uyo Teaching Hospital. Akwa Ibom State. NG
  • Motilewa, O O; Department of Community Medicine, University of Uyo/University of Uyo Teaching Hospital. Akwa Ibom State. NG
  • Ekuma, A; Department of Medical Microbiology, University of Uyo/ University of Uyo Teaching Hospital. Akwa Ibom State. NG
  • Udoette, S; Department of Internal Medicine, University of Uyo/ University of Uyo Teaching Hospital. Akwa Ibom State. NG
  • Eyo, C; Department of Anaesthesia, University of Uyo/ University of Uyo Teaching Hospital,. Akwa Ibom State. NG
  • Abudu, E K; Department of Pathology, University of Uyo and University of Uyo Teaching Hospital. Akwa Ibom State. NG
  • Umoh, V A; Department of Internal Medicine, University of Uyo/ University of Uyo Teaching Hospital. Akwa Ibom State. NG
  • Bassey, E; Department of Obstetrics and Gynaecology, University of Uyo/ University of Uyo Teaching Hospital. Akwa Ibom State. NG
  • Peters, E; Department of Internal Medicine, University of Uyo/ University of Uyo Teaching Hospital. Akwa Ibom State. NG
West Afr. j. med ; 39(11): 1119-1126, 2022. tales, figures
Artigo em Inglês | AIM (África) | ID: biblio-1410931
Biblioteca responsável: CG1.1
ABSTRACT
BACKGROUND AND

OBJECTIVES:

Coronavirus disease 2019 (COVID-19) is a global pandemic. Older people and those with poorly controlled co-morbidities have higher risk of mortality. This study was conducted to highlight the clinical features, challenges of management and outcome for the patients we have seen in our centre over the past one year.

METHODS:

This was a retrospective cross-sectional study involving all patients admitted in the COVID-19 Isolation unit of University of Uyo Teaching Hospital (UUTH) from June, 2020­May, 2021. Clinical and laboratory information were obtained from the patient case notes. Ethical clearance for the conduct of the study was obtained from the Ethics committee, UUTH, Uyo. Data was analysed with STATA version 13.

RESULTS:

Thirty-three (37.9%) patients were COVID-19 PCR positive. The mean ± SD age of COVID-19 PCR positive patients was 57.3 ± 13.4 years with majority (69.7%) being above 50 years. There was a male preponderance (75%). Eleven (34.4%) patients died while 21(65.6%) were discharged. The highest co-morbidity associated with COVID-19 mortality was diabetes mellitus (7 out of 11; 63.6%). There was a poor uptake of supportive investigations for the management of COVID-19 patients. A raised body temperature (P=0.0006), a low SPO2(0.00004), high respiratory rate (0.0009) on admission and shorter duration of admission (0.0002), were associated with mortality.

CONCLUSION:

The presence of co-morbidities, fever, low SPO2 and high respiratory rates on admission are associated with increased mortality from COVID-19 disease. A paucity of supportive investigations was a major challenge to COVID-19 management. We therefore recommend the strengthening of our laboratory capacity.
Assuntos

Texto completo: Disponível Contexto em Saúde: ODS3 - Meta 3.8 Atingir a cobertura universal de saúde / ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis / ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis Problema de saúde: Arranjos de Entrega / Arranjos Financeiros / COVID-19 / Pneumonía / Outras Doenças Respiratórias Base de dados: AIM (África) Assunto principal: Estudos Transversais / COVID-19 Tipo de estudo: Estudo observacional / Estudo de prevalência / Fatores de risco Aspecto: Aspectos éticos Limite: Humanos Idioma: Inglês Revista: West Afr. j. med Ano de publicação: 2022 Tipo de documento: Artigo Instituição/País de afiliação: University of Uyo Teaching Hospital,+NG / University of Uyo Teaching Hospital+NG / University of Uyo Teaching Hospital+NG / University of Uyo Teaching Hospital+NG / University of Uyo Teaching Hospital+NG / University of Uyo Teaching Hospital,+NG / Department of Pathology, University of Uyo and University of Uyo Teaching Hospital/NG
Texto completo: Disponível Contexto em Saúde: ODS3 - Meta 3.8 Atingir a cobertura universal de saúde / ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis / ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis Problema de saúde: Arranjos de Entrega / Arranjos Financeiros / COVID-19 / Pneumonía / Outras Doenças Respiratórias Base de dados: AIM (África) Assunto principal: Estudos Transversais / COVID-19 Tipo de estudo: Estudo observacional / Estudo de prevalência / Fatores de risco Aspecto: Aspectos éticos Limite: Humanos Idioma: Inglês Revista: West Afr. j. med Ano de publicação: 2022 Tipo de documento: Artigo Instituição/País de afiliação: University of Uyo Teaching Hospital,+NG / University of Uyo Teaching Hospital+NG / University of Uyo Teaching Hospital+NG / University of Uyo Teaching Hospital+NG / University of Uyo Teaching Hospital+NG / University of Uyo Teaching Hospital,+NG / Department of Pathology, University of Uyo and University of Uyo Teaching Hospital/NG
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