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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| Format: | Article |
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Elsevier
2024-06-01
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| Series: | Archives of Gerontology and Geriatrics Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S295030782400016X |
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| author | Tejeswini CJ Vinaya Rani G Jehath Syed Prathiba Pereira Pankaja S S Shwethashree MS Basavanagowdappa H |
| author_facet | Tejeswini CJ Vinaya Rani G Jehath Syed Prathiba Pereira Pankaja S S Shwethashree MS Basavanagowdappa H |
| author_sort | Tejeswini CJ |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-aeee02b9955f470fbc7c28c0bb080bd8 |
| institution | Kabale University |
| issn | 2950-3078 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Gerontology and Geriatrics Plus |
| spelling | doaj-art-aeee02b9955f470fbc7c28c0bb080bd82024-11-23T06:36:07ZengElsevierArchives of Gerontology and Geriatrics Plus2950-30782024-06-0112100019COVID in oldest old: What we learnt in a tertiary care hospital emergencyTejeswini CJ0Vinaya Rani G1Jehath Syed2Prathiba Pereira3Pankaja S S4Shwethashree MS5Basavanagowdappa H6Department of Geriatrics, JSS Medical College & Hospital, JSS Academy of Higher Education & Research, Mysuru – 570015, Karnataka, India; Corresponding author: Dr. Tejeswini CJ, Associate Professor, Department of Geriatrics, JSS Medical College & Hospital, JSS Academy of Higher Education & Research, Mysuru.Clinical Development Services Agency-Centre of Clinical Research Excellence (CDSA-CCRE), JSS Hospital, JSS Academy of Higher Education & Research, Mysuru – 570004, Karnataka, IndiaDepartment of Pharmacy Practice, JSS College of Pharmacy, JSS Academy of Higher Education & Research, Mysuru – 570015, Karnataka, IndiaDepartment of Geriatrics, JSS Medical College & Hospital, JSS Academy of Higher Education & Research, Mysuru – 570015, Karnataka, IndiaDepartment of Surgery, JSS Medical College & Hospital, JSS Academy of Higher Education & Research, Mysuru – 570015, Karnataka, IndiaClinical Development Services Agency-Centre of Clinical Research Excellence (CDSA-CCRE), JSS Hospital, JSS Academy of Higher Education & Research, Mysuru – 570004, Karnataka, IndiaDepartment of General Medicine, JSS Medical College & Hospital, JSS Academy of Higher Education & Research, Mysuru – 570015, Karnataka, IndiaBackground: 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.http://www.sciencedirect.com/science/article/pii/S295030782400016XCOVID 19Young-oldMiddle-oldOldest-oldComorbidityd-dimer |
| spellingShingle | Tejeswini CJ Vinaya Rani G Jehath Syed Prathiba Pereira Pankaja S S Shwethashree MS Basavanagowdappa H COVID in oldest old: What we learnt in a tertiary care hospital emergency Archives of Gerontology and Geriatrics Plus COVID 19 Young-old Middle-old Oldest-old Comorbidity d-dimer |
| title | COVID in oldest old: What we learnt in a tertiary care hospital emergency |
| title_full | COVID in oldest old: What we learnt in a tertiary care hospital emergency |
| title_fullStr | COVID in oldest old: What we learnt in a tertiary care hospital emergency |
| title_full_unstemmed | COVID in oldest old: What we learnt in a tertiary care hospital emergency |
| title_short | COVID in oldest old: What we learnt in a tertiary care hospital emergency |
| title_sort | covid in oldest old what we learnt in a tertiary care hospital emergency |
| topic | COVID 19 Young-old Middle-old Oldest-old Comorbidity d-dimer |
| url | http://www.sciencedirect.com/science/article/pii/S295030782400016X |
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