COVID in oldest old: What we learnt in a tertiary care hospital emergency
Background: COVID-19 created extreme havoc among the elderly and the oldest-old bore the maximum brunt during triaging. With COVID cases again on the raise, this retrospective analysis gives an insight of the clinical spectrum and mortality in COVID-19 infected elderly patients admitted to a tertiar...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-06-01
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| Series: | Archives of Gerontology and Geriatrics Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S295030782400016X |
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| Summary: | Background: COVID-19 created extreme havoc among the elderly and the oldest-old bore the maximum brunt during triaging. With COVID cases again on the raise, this retrospective analysis gives an insight of the clinical spectrum and mortality in COVID-19 infected elderly patients admitted to a tertiary care teaching hospital in southern India during the first and the second waves of COVID. Methods: The electronic database search for the patients’ records was performed using hospital HIS platform. The variables included patients’ demography, presenting complaints, comorbidities, d-dimer value, treatment received and the length of stay till discharge or death. The data was presented as n (%) and the odds ratio at a 95 % confidence interval was used to identify the predictors. Results: A total of 1378 COVID-positive elderly patient records were analysed. Elderly aged 60–74 years were considered as young-old, 75–84 years middle old and above 85 years as oldest old. 75.3 % elderly had comorbidities [p < 0.001]. There were 225(16 %) mortalities 31.9 % in oldest-old. Increasing age (OR 1.027, p = 0.022*) male gender (OR 1.598, p = 0.016*), low SpO2 on admission (OR 0.922, p < 0.001*), and duration of hospital stay (OR 0.907, p < 0.001*) were significant predictors of the event. Conclusion: Maximum mortality was seen in the oldest old who had fewer days of hospitalization and d-dimer had no prognostication in the oldest old. |
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| ISSN: | 2950-3078 |