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The findings were based on data from 64 hospitals across Egypt, Ethiopia, Ghana, Kenya, Libya, Malawi, Mozambique, Niger, Nigeria and South Africa between May and December 2020.
This was before the emergence of more lethal variants from South Africa and India.
“All in all, it means if you fall critically ill from Covid-19 in Kenya you are more likely to die for want of adequate care than of you had the same critical illness but was in Europe, America or parts of Asia,” Dr Kalebi said. He was not involved in the study.
The authors mention that mortality was strongly associated with organ dysfunction and level of organ support needed at critical admission, advising that outcomes will continue to be severely compromised until problems surrounding critical care resource scarcity are addressed.
A commentary accompanying the study, written by specialists who were not involved, said the study has several strengths, including a large sample size, robust analyses, as well as having a multisite and prospective design.
However, they noted some limitations, including that the study was done in tertiary hospitals.
“More than a third of the hospitals that participated in the study were in Egypt and South Africa, which generally have better resources than many other African nations, indicating Covid-19 death rates outside the cohort study could be even higher,” the commentary authors said.
According to the Ministry of Health, Covid-19 deaths on Thursday reached 3,108 while total infections were 169,697.
This pushed the country’s positivity rate to 9.4 percent.
(edited by o. owino)
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