卡杜纳州COVID-19患者的社会人口统计学和临床特征及结局

Usman Idris, Oyefabi Adegboyega Moses, Ishaq Umar Muhammad, Ogunsina Modupe Arinola, Abubakar Sadiq Muazu, Mahmud Abdullahi Saulawa, Fadila Maryam Isah, Hajara Niima Kera, Muazu Mahmood Dalhat, Halima Bello Manga
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摘要

年龄增长和男性性别与COVID-19感染的致命表现和结果有关。确定与病情严重程度和死亡率相关的因素可以改善COVID-19的管理。在尼日利亚北部病例最多的卡杜纳州进行了一项描述性研究,描述了COVID-19患者的社会人口统计学和临床特征/概况和结果,以探讨严重程度和总死亡率的决定因素。对2020年3月27日至2021年12月31日在该州4个隔离中心收治的902例新冠肺炎患者的临床记录进行回顾性横断面分析。数据采用SPSS 26和STATA SE 12进行统计学分析,P≤0.05。在992例(902例)符合纳入标准的患者中,大多数年龄在40岁及496岁以下(55%),平均年龄±S.D为40.1±16.0。大多数是男性524人(58.1%),基督徒494人(54.8%),非南部卡杜纳部落593人(65.7%)。老年男性发病时间(9.36±3.79)天,女性发病时间(8.5±3.20)天。双因素分析显示,年龄(X2 = 51.20 P=0.0001)、宗教信仰(X2 = 6.51 P=0.011)、婚姻状况(X2 = 7.89 P=0.005)、职业(X2 = 7.80 P=0.005)和合并症的存在显著影响COVID-19患者临床表现的严重程度和总死亡率。性别仅对临床症状的严重程度有影响(X2 = 9.90 P=0.002),但对总死亡率没有影响(X2 = 2.24 P=0.13)。年龄、宗教、婚姻状况、职业和是否存在合并症是卡杜纳州COVID-19最严重临床特征和死亡率的预测因素。
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Socio-Demographic and Clinical Characteristics and Outcomes of COVID-19 Patients in Kaduna State
Advancing age and male sex were found to contribute to the fatal presentation and outcome of COVID-19 infection. Identifying factors associated with severity of presentation and mortality could improve management of COVID-19. A descriptive study to describe sociodemographic and clinical characteristics/profile and outcome of COVID-19 patients in Kaduna state with highest cases in Northern Nigeria was conducted to explore determinants of severity and overall mortality. A retrospective cross-sectional review of clinical records of 902 COVID-19 patients from 27th March, 2020 to 31st December, 2021 in the 4 isolation centers in the state was conducted. Data was analyzed using SPSS 26 and STATA SE 12 at P ≤ 0.05.Out of the nine-hundred and two (902) that satisfied the inclusion criteria, the majority were 40 years and below 496 (55%), mean age ± S.D was 40.1 ± 16.0. Majority were Males 524 (58.1%), Christians 494 (54.8%), and Non-southern Kaduna tribes 593 (65.7%). The duration of illness was found to be prolonged among the elderly males (9.36 ± 3.79) compared to females (8.5 ± 3.20days). Bivariate analysis revealed that age (X2 = 51.20 P=0.0001), Religion (X2 = 6.51 P=0.011), Marital status (X2 = 7.89 P=0.005), occupation (X2 = 7.80 P=0.005) and presence of comorbidities significantly affected the severity of clinical presentation and overall mortality among COVID-19 patients. Sex was only found to have an effect on severity of clinical symptoms (X2 = 9.90 P=0.002), but not overall mortality (X2 = 2.24 P=0.13). Age, religion, marital status, occupation and presence of comorbidity were predictors of worst clinical characteristics and mortality of COVID-19 in Kaduna State.
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