Summary Objective The study was conducted to determine the prevalence of radiologically diagnosed pneumonia among COVID-19 patients and associated factors. Design, setting, and participants A retrospective manual data extraction of 275 medical records of COVID-19 patients was conducted at two COVID-19 national treatment centres in Accra from March to May 2020. All patients had a chest x-ray done. Main outcome and analysis The main outcome was the presence of pneumonia. Descriptive statistics and Chi-square test of independence were employed to determine the associations between independent variables and the presence of pneumonia. All analysis was performed using Stata 16, and a p-value ≤ 0.05 was deemed significant Results The prevalence of pneumonia was 44%(95%CI) =38.2–50.0). Chi-square independent test indicated that pneumonia in the COVID-19 patients was associated with educational level, history of domestic and international travel, mass gathering in the past 14 days before diagnosis, and discharge plan (p-value< 0.05). Patients classified as secondary cases (61.5%) and those discharged as fully recovered from the health facility (61.2%) had a higher prevalence of pneumonia. In addition, COVID-19 patients with hypertension (32.1%) and asthma (5.2%) had a significantly higher prevalence of pneumonia. Conclusion Overall, the prevalence of pneumonia was 44% and was associated with the demographic and personal characteristics of the patients. Early detection through contact tracing and community surveillance should be intensified to pick up more asymptomatic cases. The role of the chest x-ray for triaging patients and for clinical management of symptomatic patients remains key. Funding None declared
【저자키워드】 COVID-19, Pneumonia, Ghana, chest X-ray, treatment Centres, 【초록키워드】 Treatment, Asthma, Pneumonia, Diagnosis, Contact tracing, outcome, hypertension, discharge, Prevalence, Health, Symptomatic patients, Characteristics, Asymptomatic, Surveillance, Chest, International, Early detection, Patient, Travel, Factors, Community, Clinical management, chest X-ray, patients, funding, COVID-19 patients, association, retrospective, Analysis, COVID-19 patient, medical records, medical record, chi-square test, national treatment, independent variables, discharge plan, Independence, independent variable, P-value, mass, Descriptive statistics, data extraction, participant, Stata, National, Chi-square, secondary cases, secondary case, objective, independent, Result, indicated, addition, diagnosed, conducted, was performed, determine, significantly higher, discharged, Stata 16, symptomatic patient, through contact, 【제목키워드】 Pneumonia, risk factor, Health, Chest, chest X-ray, COVID-19 patient, demographic characteristics,