Clinical Profile and Outcome of COVID-19 Cases Admitted at a Tertiary Health Facility In South-West Nigeria
T. O. Ojo, T. A. Adetunji, A. A. Amuda, O. Fajobi, O. T. Elugbaju, O. E. Adeoye, B. A. Omotoso, O. F. Awopeju, A O. Olagunoye, A. M. Owojuyigbe, A. A. Onayade, V. A. Adetiloye
Keywords:
COVID-19,, Clinical Profile, Outcome, Case management, Isolation centreAbstract
BACKGROUND: Coronavirus Disease 2019 (COVID-19) is an
emerging disease with a global spread that has affected millions of
lives. In Nigeria, the third wave of the outbreak is being experienced
with many patients requiring hospitalization. Being a novel disease,
we characterized the clinical profile and outcomes of patients admitted
into our isolation centre.
METHODS: A case series of 65 COVID-19 patients admitted at the
Isolation Centre of Obafemi Awolowo University Teaching Hospitals
Complex, Ile-Ife, from June 2020 to March 2021 is presented.
Information on demographic characteristics, medical history,
symptoms, treatment and outcomes was obtained. Data were
analysed using SPSS version 25.
RESULTS: Most (47; 72.3%) patients were less than 65 years old
and 39 (60.0%) were males. The commonest symptoms were cough
(42; 64.6%), breathlessness (41; 63.1%), fever (40; 61.5%), muscle
aches (40; 61.5%), and anosmia (16; 24.6%). Hypertension (41;
63.1%) and diabetes (18; 27.7%) were the most predominant comorbidities.
Forty-three patients (66.2%) had supplemental oxygen
therapy. The majority (44; 70%) of patients were admitted for 10
days or less and 58 (89.3%) patients were discharged home. However,
6 deaths (9.2%) were recorded among patients with advanced comorbidities
and severe sepsis with all deaths occuring within 5 days
of admission.
CONCLUSION: There was a male predominance among patients
admitted at the Isolation Centre and all mortalities occurred within
five days of admission. Early detection, prompt management of cases
with hypoxaemia and optimal treatment of comorbidities are
recommended for good outcomes in COVID-19 patients. WAJM 2022;
39(3): 241–247.
Keywords: COVID-19, Clinical Profile, Outcome, Case management,
Isolation centre.
