Characteristics of Adults With Non‐Hospitalized Severe Respiratory Illness: Findings From a COVID‐19 Vaccine Effectiveness Evaluation in Kenya, 2022–2023
ABSTRACT Studies suggest the burden of non‐hospitalized severe respiratory illness might be substantial in Kenya. Using data from a Kenya COVID‐19 vaccine effectiveness evaluation, we compared characteristics of patients aged ≥12 years who were hospitalized with severe respiratory illness to outpatients who were referred for hospitalization and declined (non‐hospitalized). Symptom presentation and lung radiograph findings were similar among both groups, and patients in both were diagnosed with critical conditions, including acute respiratory distress syndrome (12% hospitalized; 4% non‐hospitalized) and sepsis (10% both). Findings underscore the importance of including non‐hospitalized severe illness when estimating the burden of disease for respiratory viruses.
Authors
- Young M. Yoo (ORCID: https://orcid.org/0000-0002-0845-2293)
- Philip Ngere (ORCID: https://orcid.org/0009-0004-6164-7972)
- Richard Omore (ORCID: https://orcid.org/0000-0003-3702-3030)
- Samuel Kadivane
- Eva Leidman (ORCID: https://orcid.org/0000-0002-4191-5931)
- Nzisa Liku (ORCID: https://orcid.org/0000-0002-5729-5132)
- Billy Ogwel (ORCID: https://orcid.org/0000-0002-9097-2713)
- Kathryn E. Lafond (ORCID: https://orcid.org/0000-0001-5018-9591)
- Gideon O. Emukule (ORCID: https://orcid.org/0000-0001-6581-242X)
- Bryan O. Nyawanda (ORCID: https://orcid.org/0000-0003-0069-1473)
- Eric Osoro (ORCID: https://orcid.org/0000-0001-5133-4279)
- Radhika Gharpure (ORCID: https://orcid.org/0000-0002-0702-5628)
- Raphael O. Anyango
- Sidney Ogolla (ORCID: https://orcid.org/0000-0003-1570-6164)
- Brian O. Onyando
Institutions
- Washington State Department of Health (US)
- Centers for Disease Control and Prevention (US)
- Kenya Medical Research Institute (KE)
- Ministry of Health (KE)
- Centers for Disease Control and Prevention (KE)
- Washington State University (US)
Publication Details
- Journal
- Influenza and Other Respiratory Viruses
- Published
- 2025-08-01
- DOI
- https://doi.org/10.1111/irv.70145
- Primary Topic
- SARS-CoV-2 and COVID-19 Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Washington State University
- Centers for Disease Control and Prevention