Características clínicas, evolución y factores pronósticos asociados con mortalidad en adultos mayores hospitalizados por COVID-19 en una Unidad Geriátrica de Agudos / Evolution and prognostic factors associated with mortality in older adults hospitalized for COVID-19 Cecilia Carvachoa
Rev. med. Chile
;
150(9): 1145-1151, sept. 2022. tab
Artículo
en Español
| LILACS
| ID: biblio-1431890
ABSTRACT
BACKGROUND:
SARS-CoV-2 affects all age groups, but higher mortality rates are recorded in older people, men and with comorbidities, mainly hypertension, diabetes and obesity.Aim:
To describe the main clinical characteristics, evolution and prognostic factors for death in older patients hospitalized for COVID-19. MATERIALS ANDMETHODS:
Retrospective analysis of 128 patients aged 73 years, 66% men, hospitalized at a clinical hospital, with a diagnosis of COVID-19, admitted from May 1 to August 1, 2020. Data were collected from the clinical records, a description of the study population was made, and a univariate analysis and logistic regression were performed.Results:
Seventy-two percent of patients had two or more comorbidities, mainly arterial hypertension in 66%, diabetes mellitus in 34% and cardiovascular disease in 19%. Forty-one percent were admitted to intensive care and 31% were connected to mechanical ventilation. In-hospital mortality was 26.6%. A multivariate analysis was performed in two blocks, finding in the first that arterial hypertension and older age significantly predict mortality. However, when previous institutionalization and immuno-suppression were included as variables in the second block, age ceased to be a significant predictor.CONCLUSIONS:
Prognostic factors associated with death in this age group are arterial hypertension and previous institutionalization.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Diabetes Mellitus
/
COVID-19
Tipo de estudio:
Estudio pronóstico
Límite:
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. med. Chile
Asunto de la revista:
Medicina
Año:
2022
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Clínica San Carlos, Red de Salud UC-Christus/CL
/
Instituto Milenio para la Investigación de Depresión y Personalidad (MIDAP)/CL
/
Pontificia Universidad Católica de Chile/CL
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