Comorbidities and Associated Factors with Death in Patients Hospitalized for COVID-19 at the Infectious Diseases Department of the El Hadji Ibrahima Niasse Regional Hospital of Kaolack, Senegal

Abstract

Introduction: COVID-19 is a systemic zoonosis with predominant respiratory tropism caused by coronavirus. It was declared a public health emergency and a pandemic in March 2020. Following the opening of the first CTE at Fann in Dakar, an Outbreak Care Center was established at Kaolack Hospital. This study aimed to evaluate comorbidities and risk factors in patients hospitalized for COVID-19 at this center. Methodology: This is a retrospective, descriptive, and analytical cross-sectional study conducted from February 4 to September 28, 2021, on 76 patients with COVID-19. Results: The median age of the patients was 61.5 (18 – 90) years. The dominant age group was 60 and Males (51.3%) with a sex ratio of 1.05. Hypertension was the main comorbidity (34.2%) followed by Diabetes (23.7%). The average length of hospital stay was 6.7 days (0 - 35 days). Symptomatic patients accounted for 94.7%. The most common functional signs were cough (90.8%) and dyspnea (77.6%). Anemia was present in 69.7% and CRP 100%. Age was a significant risk factor for severity (p<0.001) and mortality (p-value<0.05). Thirteen (17.1%) patients died. Conclusion: COVID-19 disease is a serious infectious disease with severity and high lethality in senior. Effective prevention is essential.