Journals / Cyprus Journal of Medical Sciences / 2022 / Cilt: 7 - Sayı: 3

Factors in Relation with in-Hospital Mortality in Geriatric Patients with COVID-19

Pages
330–336
Publication Date
2022-10-12
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We believe that it would be beneficial to monitor other parameters not only at the time of admission, but also during the hospitalization period of the patients.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:BACKGROUND/AIMS: The World Health Organization has designated a severe acute respiratory syndrome as coronavirus-2 (SARS-CoV-2) infection.
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Key Findings & Data:It is caused by a new coronavirus novel coronavirus disease-2019 (COVID-19), which was initially diagnosed in December, 2019 in Wuhan, China.
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Conclusion & Impact:We believe that it would be beneficial to monitor other parameters not only at the time of admission, but also during the hospitalization period of the patients.
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:Domain Parameters

Abstract

BACKGROUND/AIMS: The World Health Organization has designated a severe acute respiratory syndrome as coronavirus-2 (SARS-CoV-2) infection. It is caused by a new coronavirus novel coronavirus disease-2019 (COVID-19), which was initially diagnosed in December, 2019 in Wuhan, China. SARS-CoV-2 infection particularly affects the geriatric age group, with a more severe progress rate of the disease. This study aimed to define the clinical characteristics of geriatric individuals with COVID-19 and investigate the in-hospital mortality rate and its predictors. MATERIALS AND METHODS: This was a descriptive and retrospective research. This research covered all individuals over the age of 60 who were admitted to hospital with a COVID-19 diagnosis. The demographics, physical examination findings, vital signs, hospital outcomes, comorbidities, and laboratory results of these patients were assessed. The main results were the discovery of the hospital mortality rate and its determinants. RESULTS: A total of 168 elderly individuals with positive polymerase chain reaction (PCR) test findings were included in this research. 51.8 percent of the patients were female, with a median age of 67 years. The patients in our research had an in-hospital death rate of 10.7%. We found that high troponin and fibrinogen and low oxygen saturation at the time of admission had a negative effect on survival. CONCLUSION: High troponin and fibrinogen levels, as well as low oxygen saturation levels at the time of admission, were found to be the most important predictors of in-hospital death in elderly COVID-19 patients according to our study results. We believe that it would be beneficial to monitor other parameters not only at the time of admission, but also during the hospitalization period of the patients.

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Cite This Article

EMEKTAR, E., KOÇ, F., GÖKTAŞ, E. F., DAĞAR, S., UZUNOSMANOĞLU, H. (2022). Factors in Relation with in-Hospital Mortality in Geriatric Patients with COVID-19. Cyprus Journal of Medical Sciences, Cilt: 7 - Sayı: 3, 330–336. https://ajindex.com/articles/482116

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References (12)

  1. Park SE. Epidemiology, virology, and clinical features of severe acute respiratory syndrome -coronavirus-2 (SARS-CoV-2; Coronavirus Disease-19). Clin Exp Pediatr. 2020; 63(4): 119-24
  2. Lai CC, Wang CY, Wang YH, Hsueh SC, Ko WC, Hsueh PR. Global epidemiology of coronavirus disease 2019 (COVID-19): disease incidence, daily cumulative index, mortality, and their association with country healthcare resources and economic status. Int J Antimicrob Agents. 2020; 55(4): 105946
  3. Liu K, Chen Y, Lin R, Han K. Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patients. J Infect. 2020; 80(6): e14-8
  4. Wang L, He W, Yu X, Hu D, Bao M, Liu H, et al. Coronavirus disease 2019 in elderly patients: Characteristics and prognostic factors based on 4-week follow-up. J Infect. 2020; 80 (6): 639-45
  5. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020; 323(13): 1239-42
  6. Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single- centered, retrospective, observational study. Lancet Respir Med. 2020; 8(5): 475-81
  7. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020; 382(18): 1708-20
  8. COVID-19 Treatment Guidelines Panel. Coronavirus Disease 2019 (COVID-19) Treatment Guidelines. National Institutes of Health. Available from: URL:
  9. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020; 323(11): 1061-9. Erratum in: JAMA. 2021; 325(11): 1113
  10. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395(10223): 497-506
  11. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020; 395(10223): 507-13
  12. Verity R, Okell LC, Dorigatti I, Winskill P, Whittaker C, Imai N, et al. Estimates of the severity of coronavirus disease 2019: a model-based analysis. Lancet Infect Dis. 2