Prevalence of comorbidities in cases of Middle East respiratory syndrome coronavirus: a retrospective study.
Identifieur interne : 000802 ( PubMed/Checkpoint ); précédent : 000801; suivant : 000803Prevalence 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] ; M S Alanazi [Arabie saoudite] ; N. Mohamed [Arabie saoudite] ; M M Alrasheed [Arabie saoudite] ; N. Abanmy [Arabie saoudite] ; T. Alhawassi [Arabie saoudite]Source :
- Epidemiology and infection [ 1469-4409 ] ; 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.
DOI: 10.1017/S0950268818002923
PubMed: 30394248
Affiliations:
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<front><div type="abstract" xml:lang="en">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.</div>
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<Abstract><AbstractText>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.</AbstractText>
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<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>
</tree>
</affiliations>
</record>
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