Incidence and predictors of mortality among COVID-19 patients admitted to treatment centers in North West Ethiopia; A retrospective cohort study, 2021.
Int J Afr Nurs Sci
; 16: 100419, 2022.
Article
em En
| MEDLINE
| ID: mdl-35530744
ABSTRACT
Background:
Currently, coronavirus disease 2019 (COVID-19) is the leading cause of death and the rate of mortality is rapidly increasing over time. There is a paucity of information regarding the incidence and predictors of mortality among COVID-19 patients from low-income countries, particularly in Ethiopia.Objective:
To assess incidence and predictors of mortality among COVID-19 patients admitted to treatment centers in North West Ethiopia.Methods:
An institution-based retrospective cohort study was conducted among 552 laboratory-confirmed COVID-19 cases at Debre Markos University and Tibebe Ghion Hospital COVID-19 treatment centers in North West Ethiopia from March 2020 to March 2021. Data were collected from patients' medical records using a structured data extraction tool. Cox-proportional hazards regression models was fitted to identify significant predictors of mortality.Result:
The overall mortality rate of COVID-19 was 4.7, (95 % CI 3.3-6.8) per 1000 person day observations. Older age (AHR 4.9; 95% CI 1.8, 13.5), rural residence (AHR 0.18; 95% CI 0.05, 0.64), presence of hypertension (AHR 3.04; 95% CI 1.18, 7.8), presence of diabetes mellitus (AHR 8.1; 95% CI 2.9, 22.4) and cardiovascular disease (AHR 5.2; 95% CI (1.69, 16.2) were significantly associated with mortality.Conclusions:
The rate of mortality among hospitalized COVID-19 patients in this study was low. COVID-19 patients from urban residences, older patients, and patients with comorbidity have a high risk of death. These high risk groups should be prioritized for COVID-19 vaccinations, and early screening and appropriate intervention should be established on presentation to health facility.
COVID-19, Coronavirus Disease 2019; Coronavirus; DMU, Debre Markos University; Ethiopia; ICU, Intensive Care Unit; Mortality; RT-PCR, Real-Time Reverse Transcriptase-Polymerase Chain Reaction; SARS-CoV-2, Severe Acute Respiratory Syndrome Coronavirus 2; Survival analysis; TGH, Tibebe Ghion Hospital WHO: World Health Organization
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Int J Afr Nurs Sci
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Etiópia