Prevalence of comorbidities in cases of Middle East respiratory syndrome coronavirus: a retrospective study
Identifieur interne : 000849 ( Main/Exploration ); précédent : 000848; suivant : 000850Prevalence of comorbidities in cases of Middle East respiratory syndrome coronavirus: a retrospective study
Auteurs : F. Y. Alqahtani [Arabie saoudite] ; F. S. Aleanizy [Arabie saoudite] ; R. Ali El Hadi Mohamed [Arabie saoudite, Soudan] ; M. S. Alanazi [Arabie saoudite] ; N. Mohamed [Arabie saoudite, Suède] ; M. M. Alrasheed [Arabie saoudite] ; N. Abanmy [Arabie saoudite] ; T. Alhawassi [Arabie saoudite]Source :
- Epidemiology and Infection [ 0950-2688 ] ; 2018.
Abstract
The Middle East respiratory syndrome coronavirus (MERS-CoV) is a life-threatening respiratory disease with a high case fatality rate; however, its risk factors remain unclear. We aimed to explore the influence of demographic factors, clinical manifestations and underlying comorbidities on mortality in MERS-CoV patients. Retrospective chart reviews were performed to identify all laboratory-confirmed cases of MERS-COV infection in Saudi Arabia that were reported to the Ministry of Health of Saudi Arabia between 23 April 2014 and 7 June 2016. Statistical analyses were conducted to assess the effect of sex, age, clinical presentation and comorbidities on mortality from MERS-CoV. A total of 281 confirmed MERS-CoV cases were identified: 167 (59.4%) patients were male and 55 (20%) died. Mortality predominantly occurred among Saudi nationals and older patients and was significantly associated with respiratory failure and shortness of breath. Of the 281 confirmed cases, 160 (56.9%) involved comorbidities, wherein diabetes mellitus, hypertension, ischemic heart disease, congestive heart failure, end-stage renal disease and chronic kidney disease were significantly associated with mortality from MERS-CoV and two or three comorbidities significantly affected the fatality rates from MERS-CoV. The findings of this study show that old age and the existence of underlying comorbidities significantly increase mortality from MERS-CoV.
Url:
DOI: 10.1017/S0950268818002923
PubMed: 30394248
PubMed Central: 6518603
Affiliations:
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Y." last="Alqahtani">F. Y. Alqahtani</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Pharmaceutics</addr-line>,<institution>College of Pharmacy, King Saud University</institution>,<addr-line>22452 Riyadh 11495</addr-line>,<country>Saudi Arabia</country></nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Aleanizy, F S" sort="Aleanizy, F S" uniqKey="Aleanizy F" first="F. S." last="Aleanizy">F. S. 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Alanazi</name><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Emergency medicine consultant</addr-line>,<addr-line>Emergency Department</addr-line>,<institution>Prince Mohamed Bin Abdulaziz Hospital</institution>,<addr-line>Ministry of Health</addr-line>,<addr-line>Riyadh 12455</addr-line>,<country>Saudi Arabia</country></nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Mohamed, N" sort="Mohamed, N" uniqKey="Mohamed N" first="N." last="Mohamed">N. Mohamed</name><affiliation wicri:level="1"><nlm:aff id="aff5"><institution>College of Medicine, Princess Nourah bint Abdulrahman University</institution>,<addr-line>Riyadh 12484</addr-line>,<country>Saudi Arabia</country></nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff6"><addr-line>Clinical Microbiology Department</addr-line>,<institution>Umeå University, Virology Unit</institution>,<country>Sweden</country></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Alrasheed, M M" sort="Alrasheed, M M" uniqKey="Alrasheed M" first="M. M." last="Alrasheed">M. M. Alrasheed</name><affiliation wicri:level="1"><nlm:aff id="aff7"><addr-line>Department of Clinical Pharmacy</addr-line>,<institution>College of Pharmacy, King Saud University</institution>,<addr-line>22452 Riyadh 11495</addr-line>,<country>Saudi Arabia</country></nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Abanmy, N" sort="Abanmy, N" uniqKey="Abanmy N" first="N." last="Abanmy">N. Abanmy</name><affiliation wicri:level="1"><nlm:aff id="aff7"><addr-line>Department of Clinical Pharmacy</addr-line>,<institution>College of Pharmacy, King Saud University</institution>,<addr-line>22452 Riyadh 11495</addr-line>,<country>Saudi Arabia</country></nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Alhawassi, T" sort="Alhawassi, T" uniqKey="Alhawassi T" first="T." last="Alhawassi">T. Alhawassi</name><affiliation wicri:level="1"><nlm:aff id="aff7"><addr-line>Department of Clinical Pharmacy</addr-line>,<institution>College of Pharmacy, King Saud University</institution>,<addr-line>22452 Riyadh 11495</addr-line>,<country>Saudi Arabia</country></nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Epidemiology and Infection</title><idno type="ISSN">0950-2688</idno><idno type="eISSN">1469-4409</idno><imprint><date when="2018">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The Middle East respiratory syndrome coronavirus (MERS-CoV) is a life-threatening respiratory disease with a high case fatality rate; however, its risk factors remain unclear. We aimed to explore the influence of demographic factors, clinical manifestations and underlying comorbidities on mortality in MERS-CoV patients. Retrospective chart reviews were performed to identify all laboratory-confirmed cases of MERS-COV infection in Saudi Arabia that were reported to the Ministry of Health of Saudi Arabia between 23 April 2014 and 7 June 2016. Statistical analyses were conducted to assess the effect of sex, age, clinical presentation and comorbidities on mortality from MERS-CoV. A total of 281 confirmed MERS-CoV cases were identified: 167 (59.4%) patients were male and 55 (20%) died. Mortality predominantly occurred among Saudi nationals and older patients and was significantly associated with respiratory failure and shortness of breath. Of the 281 confirmed cases, 160 (56.9%) involved comorbidities, wherein diabetes mellitus, hypertension, ischemic heart disease, congestive heart failure, end-stage renal disease and chronic kidney disease were significantly associated with mortality from MERS-CoV and two or three comorbidities significantly affected the fatality rates from MERS-CoV. The findings of this study show that old age and the existence of underlying comorbidities significantly increase mortality from MERS-CoV.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Zaki, Am" uniqKey="Zaki A">AM Zaki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Groot, Rj" uniqKey="De Groot R">RJ de Groot</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chan, Jf" uniqKey="Chan J">JF Chan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Boheemen, S" uniqKey="Van Boheemen S">S van Boheemen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cotten, M" uniqKey="Cotten M">M Cotten</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Memish, Za" uniqKey="Memish Z">ZA Memish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Omrani, As" uniqKey="Omrani A">AS Omrani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Memish, Za" uniqKey="Memish Z">ZA Memish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Assiri, A" uniqKey="Assiri A">A Assiri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guery, B" uniqKey="Guery B">B Guery</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Arabi, Ym" uniqKey="Arabi Y">YM Arabi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Assiri, A" uniqKey="Assiri A">A Assiri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cauchemez, S" uniqKey="Cauchemez S">S Cauchemez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zumla, A" uniqKey="Zumla A">A Zumla</name></author><author><name sortKey="Hui, Ds" uniqKey="Hui D">DS Hui</name></author><author><name sortKey="Perlman, S" uniqKey="Perlman S">S Perlman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Majumder, Ms" uniqKey="Majumder M">MS Majumder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rivers, Cm" uniqKey="Rivers C">CM Rivers</name></author><author><name sortKey="Majumder, Ms" uniqKey="Majumder M">MS Majumder</name></author><author><name sortKey="Lofgren, Et" uniqKey="Lofgren E">ET Lofgren</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Tawfiq, Ja" uniqKey="Al Tawfiq J">JA Al-Tawfiq</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, X" uniqKey="Chen X">X Chen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bermingham, A" uniqKey="Bermingham A">A Bermingham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cauchemez, S" uniqKey="Cauchemez S">S Cauchemez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oboho, Ik" uniqKey="Oboho I">IK Oboho</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aleanizy, Fs" uniqKey="Aleanizy F">FS Aleanizy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Shehri, Am" uniqKey="Al Shehri A">AM Al-Shehri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aly, M" uniqKey="Aly M">M Aly</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mertz, D" uniqKey="Mertz D">D Mertz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kusznierz, G" uniqKey="Kusznierz G">G Kusznierz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Suryaprasad, A" uniqKey="Suryaprasad A">A Suryaprasad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moni, Ma" uniqKey="Moni M">MA Moni</name></author><author><name sortKey="Lio, P" uniqKey="Lio P">P Lio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, J" uniqKey="Park J">J Park</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Arabie saoudite</li><li>Soudan</li><li>Suède</li></country></list><tree><country name="Arabie saoudite"><noRegion><name sortKey="Alqahtani, F Y" sort="Alqahtani, F Y" uniqKey="Alqahtani F" first="F. Y." last="Alqahtani">F. Y. Alqahtani</name></noRegion><name sortKey="Abanmy, N" sort="Abanmy, N" uniqKey="Abanmy N" first="N." last="Abanmy">N. Abanmy</name><name sortKey="Alanazi, M S" sort="Alanazi, M S" uniqKey="Alanazi M" first="M. S." last="Alanazi">M. S. Alanazi</name><name sortKey="Aleanizy, F S" sort="Aleanizy, F S" uniqKey="Aleanizy F" first="F. S." last="Aleanizy">F. S. Aleanizy</name><name sortKey="Alhawassi, T" sort="Alhawassi, T" uniqKey="Alhawassi T" first="T." last="Alhawassi">T. Alhawassi</name><name sortKey="Ali El Hadi Mohamed, R" sort="Ali El Hadi Mohamed, R" uniqKey="Ali El Hadi Mohamed R" first="R." last="Ali El Hadi Mohamed">R. Ali El Hadi Mohamed</name><name sortKey="Alrasheed, M M" sort="Alrasheed, M M" uniqKey="Alrasheed M" first="M. M." last="Alrasheed">M. M. Alrasheed</name><name sortKey="Mohamed, N" sort="Mohamed, N" uniqKey="Mohamed N" first="N." last="Mohamed">N. Mohamed</name></country><country name="Soudan"><noRegion><name sortKey="Ali El Hadi Mohamed, R" sort="Ali El Hadi Mohamed, R" uniqKey="Ali El Hadi Mohamed R" first="R." last="Ali El Hadi Mohamed">R. Ali El Hadi Mohamed</name></noRegion></country><country name="Suède"><noRegion><name sortKey="Mohamed, N" sort="Mohamed, N" uniqKey="Mohamed N" first="N." last="Mohamed">N. Mohamed</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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