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
Article
in Spanish
| LILACS
| ID: biblio-1431890
Responsible library:
CL126.2
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.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Diabetes Mellitus
/
COVID-19
Type of study:
Prognostic study
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. med. Chile
Journal subject:
Medicine
Year:
2022
Document type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
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