Evidence map›Paper›PMID 33183401›Full record

ArticleEpidemiology and infection2020

Understanding the influence of the COVID-19 pandemic on hospital-based mortality in Burundi: a cross-sectional study comparing two time periods.

D Habonimana, L Ouedraogo, E Ndirahisha, N Misago, R Ciza, D Niyomwungere, F Niyongabo, J B Irakoze, J D Nkurunziza, S Manirakiza

Abstract readComparative Study
In one paragraph

Article in Epidemiology and infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

D HabonimanaResearch and Innovation Unit, Department of Community Medicine, Faculty of Medicine, University of Burundi, Bujumbura, Burundi.ORCID 0000-0003-0832-5558
L OuedraogoRegional Adviser for Sexual and Reproductive Health, World Health Organization Regional Office for Africa, Brazaville, Congo.
E NdirahishaDepartment of Internal Medicine, Faculty of Medicine, University of Burundi, Bujumbura, Burundi.
N MisagoHealth Healing Network Burundi, Bujumbura, Burundi.
R CizaHealth Healing Network Burundi, Bujumbura, Burundi.
D NiyomwungereResearch and Innovation Unit, Department of Community Medicine, Faculty of Medicine, University of Burundi, Bujumbura, Burundi.
F NiyongaboNational Health Institute, Ministry of Public Health and AIDS Control, Bujumbura, Burundi.
J B IrakozeFactulty of Medicine, University of Burundi, Bujumbura, Burundi.
J D NkurunzizaDepartment of Statistics, Higher Institute of Education, Bujumbura, Burundi.
S ManirakizaDepartment of Radiology and Imaging, Faculty of Medicine, University of Burundi, Bujumbura, Burundi.

Funding

World Health Organization 001
6 · The paper itself

Abstract

This study used hospital records from two time periods to understand the implication of COVID-19 on hospital-based deaths in Burundi. The place of COVID-19 symptoms was sought among deaths that occurred from January to May 2020 (during the pandemic) vs. January to May 2019 (before the pandemic). First, death proportions were tested to seize differences between mortality rates for each month in 2020 vs. 2019. In the second time, we compared mean time-to-death between the two periods using the Kaplan-Meier survival curve. Finally, a logistic regression was fitted to assess the likelihood of dying from COVID-19 symptoms between the two periods. We found statistical evidence of a higher death rate in May 2020 as compared to May 2019. Moreover, death occurred faster in 2020 (mean = 6.7 days, s.d. = 8.9) than in 2019 (mean = 7.8 days, s.d. = 10.9). Unlike in 2019, being a male was significantly associated with a much lower likelihood of dying with one or more COVID-19 symptom(s) in 2020 (odds ratio 0.35, 95% confidence interval 0.14-0.87). This study yielded some evidence for a possible COVID-19-related hospital-based mortality trend for May 2020. However, considering the time-constraint of the study, further similar studies over a longer period of time need to be conducted to trace a clearer picture on COVID-19 implication on hospital-based deaths in Burundi.

Indexed as

Hospital MortalitySurvival AnalysisBurundiCOVID-19Cross-Sectional StudiesFemaleHospitals, TeachingHumansMalePandemicsSARS-CoV-2BurundiCOVID-19hospital-based deathstertiary hospital

Identifiers

PMID33183401
PMCPMC7711354

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.