Characteristics, management and factors associated with poor outcomes in COVID-19 patients in Burkina Faso: insights from a 2021 large-scale ambispective study

Ariane Mamguem Kamga*, Samiratou Ouédraogo, Firmin Nongodo Kaboré, Isidore Tiandiogo Traoré, Esperance Ouédraogo, Armel Poda, Arnaud Eric Diendéré, Dramane Kania, Hermann Badolo, Guillaume Sanou, Amariane Koné, Therese Samdapawindé Kagoné, Blahima Konaté, Rachel Médah, Nathalie de Rekeneire, Boukary Ouédraogo, Oumar Billa, Gilles Paradis, Halidou Tinto, Tienhan Sandrine Dabakuyo-yonli

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: To assess treatment and identify predictive factors of worsening in COVID-19 patients. Methods: This study was ambispective (both prospective and retrospective) and part of a multidisciplinary, multicenter project designed to generate epidemiological, sociological and anthropological data about the COVID-19 epidemic in Burkina Faso. Medical records of patients admitted for COVID-19 at the hospitals of Ouagadougou and Bobo-Dioulasso from March 2020 to April 2021 were reviewed. To identify predictive factors of severe complications, we used Poisson regression models. Results: In total, 1,511 patients were included, of whom 70% were aged ≤50 years, 59% were men and 97% were living in an urban area. Of the 86% of patients treated, 92.9% of them received the combo Azithromycin-hydroxychloroquine. A total of 78 (5.2%) patients experienced complications during hospitalization, and 49 (3.3%) patients died. Multivariate analysis identified patient's age, residence and comorbidity as factors associated with poor outcomes. Conclusions: Although most people had symptoms, most of them recovered without sequelae, and few patients had severe forms of disease. Age was a strong predictor of worse outcomes in this population.

Original languageEnglish (US)
Article number1542024
JournalFrontiers in Public Health
Volume13
DOIs
StatePublished - 2025
Externally publishedYes

Funding

The author(s) declare that financial support was received for the research and/or publication of this article. This project was supported by the ANRS (France REcherche Nord & Sud Sida-hiv-Hépatites) [ANRS-COV13/EMuLCOVID-19]. The funding bodies was not involved in the study design, collection, analysis, and interpretation of data, the writing of this article or the decision to submit it for publication.

Keywords

  • COVID-19
  • age
  • comorbidity
  • complications
  • treatment

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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