Your browser doesn't support javascript.
Long-Term Survival of Older Patients Hospitalized for COVID-19. Do Clinical Characteristics upon Admission Matter?
Chojnicki, Michal; Neumann-Podczaska, Agnieszka; Seostianin, Mikolaj; Tomczak, Zofia; Tariq, Hamza; Chudek, Jerzy; Tobis, Slawomir; Mozer-Lisewska, Iwona; Suwalska, Aleksandra; Tykarski, Andrzej; Merks, Piotr; Kropinska, Sylwia; Sobieszczanska, Malgorzata; Romanelli, Frank; Wieczorowska-Tobis, Katarzyna.
  • Chojnicki M; Department of Immunobiology, Poznan University of Medical Sciences, 60-806 Poznan, Poland.
  • Neumann-Podczaska A; Department of Infectious Diseases, Jozef Strus Hospital, 61-285 Poznan, Poland.
  • Seostianin M; Geriatric Unit, Department of Palliative Medicine, Poznan University of Medical Sciences, 61-245 Poznan, Poland.
  • Tomczak Z; Geriatric Unit, Department of Palliative Medicine, Poznan University of Medical Sciences, 61-245 Poznan, Poland.
  • Tariq H; Geriatric Unit, Department of Palliative Medicine, Poznan University of Medical Sciences, 61-245 Poznan, Poland.
  • Chudek J; Geriatric Unit, Department of Palliative Medicine, Poznan University of Medical Sciences, 61-245 Poznan, Poland.
  • Tobis S; Department of Internal Medicine and Oncological Chemotherapy, Medical University of Silesia in Katowice, 40-027 Katowice, Poland.
  • Mozer-Lisewska I; Department of Occupational Therapy, Poznan University of Medical Sciences, 60-781 Poznan, Poland.
  • Suwalska A; Department of Infectious Diseases, Jozef Strus Hospital, 61-285 Poznan, Poland.
  • Tykarski A; Department of Infectious Diseases, Hepatology and Acquired Immunodeficiencies, Karol Marcinkowski University of Medical Sciences, 61-285 Poznan, Poland.
  • Merks P; Department of Mental Health, Chair of Psychiatry Poznan University of Medical Sciences, 60-572 Poznan, Poland.
  • Kropinska S; Department of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, 61-848 Poznan, Poland.
  • Sobieszczanska M; Collegium Medicum, Faculty of Medicine, Cardinal Stefan Wyszynski University, 01-938 Warsaw, Poland.
  • Romanelli F; Geriatric Unit, Department of Palliative Medicine, Poznan University of Medical Sciences, 61-245 Poznan, Poland.
  • Wieczorowska-Tobis K; Department and Clinic of Geriatrics, Wroclaw Medical University, 50-369 Wroclaw, Poland.
Int J Environ Res Public Health ; 18(20)2021 10 12.
Article in English | MEDLINE | ID: covidwho-1463691
ABSTRACT
Older adults are particularly susceptible to COVID-19 in terms of both disease severity and risk of death. To compare clinical differences between older COVID-19 hospitalized survivors and non-survivors, we investigated variables influencing mortality in all older adults with COVID-19 hospitalized in Poznan, Poland, through the end of June 2020 (n = 322). In-hospital, post-discharge, and overall 180-day mortality were analyzed. Functional capacity prior to COVID-19 diagnosis was also documented. The mean age of subjects was 77.5 ± 10.0 years; among them, 191 were females. Ninety-five (29.5%) died during their hospitalization and an additional 30 (9.3%) during the post-discharge period (up to 180 days from the hospital admission). In our study, male sex, severe cognitive impairment, underlying heart disease, anemia, and elevated plasma levels of IL-6 were independently associated with greater mortality during hospitalization. During the overall 180-day observation period (from the hospital admission), similar characteristics, excluding male sex and additionally functional impairment, were associated with increased mortality. During the post-discharge period, severe functional impairment remained the only determinant. Therefore, functional capacity prior to diagnosis should be considered when formulating comprehensive prognoses as well as care plans for older patients infected with SARS-CoV-2.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph182010671

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph182010671