Your browser doesn't support javascript.
[Influence of arterial hypertension on the clinical profile and prognosis of patients hospitalized for COVID-19 in the city of Bukavu, in the Democratic Republic of Congo : Prospective cohort study]. / Influence de l'hypertension artérielle sur le profil clinique et le pronostic des patients hospitalisés pour COVID-19 dans la ville de Bukavu, en République Démocratique du Congo : étude de cohorte prospective.
Yannick, Chibinda Birato; Justin, Muderhwa Busingo; Aimerance, Nabintu Barinjibanjwa; Bertin, Bijira; Muzaliya, Kingombe; Delphin, Murhula Katabana; Philippe, Katchunga Bianga.
  • Yannick CB; Cliniques Universitaires de Bukavu, Faculté de Médecine, Université Officielle de Bukavu, Bukavu, RD Congo.
  • Justin MB; Cliniques Universitaires de Bukavu, Faculté de Médecine, Université Officielle de Bukavu, Bukavu, RD Congo.
  • Aimerance NB; Cliniques Universitaires de Bukavu, Faculté de Médecine, Université Officielle de Bukavu, Bukavu, RD Congo.
  • Bertin B; Cliniques Universitaires de Bukavu, Faculté de Médecine, Université Officielle de Bukavu, Bukavu, RD Congo.
  • Muzaliya K; Cliniques Universitaires de Bukavu, Faculté de Médecine, Université Officielle de Bukavu, Bukavu, RD Congo.
  • Delphin MK; Cliniques Universitaires de Bukavu, Faculté de Médecine, Université Officielle de Bukavu, Bukavu, RD Congo.
  • Philippe KB; Cliniques Universitaires de Bukavu, Faculté de Médecine, Université Officielle de Bukavu, Bukavu, RD Congo; Clinique Saint-Luc de Bukavu, Bukavu, RD Congo. Electronic address: philkatch@yahoo.fr.
Ann Cardiol Angeiol (Paris) ; 2022 Oct 26.
Article in French | MEDLINE | ID: covidwho-2237246
ABSTRACT

PROBLEM:

There are no studies on the association between high blood pressure and COVID-19 in South Kivu.

OBJECTIVE:

to determine the influence of arterial hypertension on the clinical characteristics and prognosis of COVID-19 patients hospitalized in the city of Bukavu.

METHODOLOGY:

Between June 2020 and June 2022, an open cohort of hypertensive and non-hypertensive COVID-19 patients admitted to two clinics in the city of Bukavu was formed. The primary endpoint was the occurrence of death. Thus, a prospective modeling of mortality by the Kaplan-Meier estimator was carried out.

RESULTS:

Among the 178 admissions for COVID-19, 68 (38.2%) patients were hypertensive. Compared to non-hypertensives, hypertensive patients were significantly older [61.0 (56.0-71.0) vs. 48.0 (32.7-64.0); p < 0,0001). During the observation period of 1059 patient-days, the incidence of death (3.2/100 patient-days) was non-significantly higher in hypertensive patients (4.3/100 patient-days) (p = 0.06). On the other hand, the independent predictors of death were Sepsis [adjusted HR = 3.7 (1.5-8.7)], CRP > 100 mg/L [adjusted HR = 3.0 (1.2-7, 0)] and SaO2 < 90 % [adjusted HR = 3.9 (1.3-11.8)].

CONCLUSION:

This study shows that hypertension was very common in patients admitted for COVID-19 in the city of Bukavu but did not influence the vital prognosis of the latter, thus confirming the finds of most authors who have addressed the question.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study Language: French Year: 2022 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study Language: French Year: 2022 Document Type: Article