Pronostic comparé de l'embolie pulmonaire chez les patients infectés au COVID-19 et les patients non infectés au COVID-19 à Ouagadougou

Y. Kambiré , G.R.C. Millogo , K.J. Kologo , A. Tall-Thiam , V. Agossou , L. Konaté , H. Somé , I. Diallo , N.V. Yameogo , K.A. Samadoulougou , P. Zabsonré
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Abstract

Objective

the study's objective was to determine impact of COVID-19 on the prognosis of pulmonary embolism.

Patients and methods

An analytical multicenter cross-sectional study with retrospective data collection was carried out in three university hospitals and a private clinic in Ouagadougou from March, 2020 to July 2021. It included consecutive patients hospitalized for PE confirmed on chest CT angiography or by the association an acute cor pulmonale on echocardiography-Doppler with deep vein thrombosis on venous ultrasound-Doppler of the lower limbs and having carried out a COVID-19 test (RT-PCR or rapid diagnostic test). Control cases consisted of all COVID-19 negative PE cases. Data comparison was carried out using the Epi info 7 software. A univariate then multivariate analysis allowed the comparison of the prognosis of the two subpopulations. The significance level retained was p < 0.05.

Results

96 patients with COVID-19+ and 70 COVID-19- PE were included. The prevalence of PE in patients hospitalized for COVID-19 was 7.05%. The average patient age was 61.5±17 years for COVID-19+ patients and 49.6±15.9 years for COVID-19- patients. Pulmonary condensation syndrome (p=0.007), desaturation (p=0.0003) and respiratory distress syndrome (p=0.006) were more common in COVID-19+ patients. The hospital death rate was 27.1% in COVID-19+ patients and 10% in COVID-19- patients (p=0.0024). Age > 65 years and COVID-19 pneumonia were the independent factors of death.

Conclusion

COVID-19 is associated with clinical severity and excess mortality in patients with pulmonary embolism.

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瓦加杜古感染 COVID-19 和未感染 COVID-19 的患者肺栓塞预后比较
患者和方法2020年3月至2021年7月,在瓦加杜古的三所大学医院和一家私人诊所开展了一项回顾性数据收集的多中心横断面分析研究。研究对象包括经胸部CT血管造影证实患有肺栓塞,或经超声心动图多普勒检查证实患有急性肺动脉栓塞,并经下肢静脉超声多普勒检查证实患有深静脉血栓,且进行过COVID-19检测(RT-PCR或快速诊断检测)的连续住院患者。对照病例包括所有 COVID-19 阴性的 PE 病例。数据比较使用 Epi info 7 软件进行。通过单变量和多变量分析,对两个亚群的预后进行了比较。结果纳入了 96 例 COVID-19+ PE 患者和 70 例 COVID-19- PE 患者。因 COVID-19 住院的 PE 患者发病率为 7.05%。COVID-19+患者的平均年龄为(61.5±17)岁,COVID-19-患者的平均年龄为(49.6±15.9)岁。在 COVID-19+ 患者中,肺凝结综合征(P=0.007)、饱和度降低(P=0.0003)和呼吸窘迫综合征(P=0.006)更为常见。COVID-19+ 患者的住院死亡率为 27.1%,而 COVID-19- 患者的住院死亡率为 10%(P=0.0024)。结论COVID-19与肺栓塞患者的临床严重程度和超额死亡率有关。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention. Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.
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