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Clinical characteristics and outcomes of older patients with coronavirus disease 2019 (COVID-19) in Wuhan, China (2019): a single-centered, retrospective study
Chen TieLong.
Dai Zhe.
Mo Pingzheng.
Li Xinyu.
Ma Zhiyong.
Song Shihui.
Chen Xiaoping.
Luo Mingqi.
Liang Ke.
Gao Shicheng.
Zhang Yongxi.
Deng Liping.
Xiong Yong.
Acceso Abierto
Atribución-NoComercial-SinDerivadas
10.1093/gerona/glaa089
Abstract Background In December 2019, the coronavirus disease 2019 (COVID-19) emerged in Wuhan city and spread rapidly throughout China and the world. In this study, we aimed to describe the clinical course and outcomes of older patients with COVID-19. Methods This is a retrospective investigation of hospitalized older patients with confirmed COVID-19 at Zhongnan Hospital of Wuhan University from January 1, 2020, to February 10, 2020. Results In total, 203 patients were diagnosed with COVID-19, with a median age of 54 years (interquartile range, 41-68; range, 20-91 years). Men accounted for 108 (53.2%) of the cases, and 55 patients (27.1%) were >65 years of age. Among patients who were 65 years and older, the mortality rate was 34.5% (19/55), which was significantly higher than that of younger patients at 4.7% (7/148). Common symptoms of older patients with COVID-19 included fever (94.5%; n=52), dry cough (69.1%; n=38), and chest distress (63.6%; n=35). Compared with young patients, older patients had more laboratory abnormalities and comorbidities. Through a multivariate analysis of the causes of death in older patients, we found that males, comorbidities, time from disease onset to hospitalization, abnormal kidney function, and elevated procalcitonin levels were all significantly associated with death. Conclusions In the recent outbreak of COVID-19, our local hospital in Wuhan found that patients aged 65 and older had greater initial comorbidities, more severe symptoms, and were more likely to experience multi-organ involvement and death, as compared with younger patients.
The Journals of Gerontology: Series A
2020
Artículo
https://academic.oup.com/biomedgerontology/advance-article-pdf/doi/10.1093/gerona/glaa089/33036472/glaa089.pdf
Inglés
VIRUS RESPIRATORIOS
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