Clinical features and short-term outcomes of elderly patients with COVID-19. (August 2020)

• Record Type: Journal Article
• Authors: Li, Ping; Chen, Lulu; Liu, Zheming; Pan, Jinghui; Zhou, Dingyi; Wang, Hui; Gong, Hongyun; Fu, Zhenmin; Song, Qibin; Min, Qian; Ruan, Shasha; Xu, Tangpeng; Cheng, Fan; Li, Xiangpan
• Is Part Of: International journal of infectious diseases. Volume 97(2020)
• Page Start: 245
• Page End: 250
• Publication Date: 2020-08
• Subjects: Coronavirus disease 2019 (COVID-19) -- Elderly -- Clinical features -- Short-term outcomes; Communicable diseases -- Periodicals; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; Electronic journals; 616.9
• DOI: 10.1016/j.ijid.2020.05.107
• Languages: English
• ISSNs: 1201-9712

Abstract

Highlights: The elderly patients of COVID-19 have higher mortality rate. Patients with underlying diseases of lung, heart and kidney are more vulnerable. Dyspnea, age, neutrophilia, elevated ultra-TnI and D-dimers are risk factors. Abstract: Background: The outbreak of Coronavirus Disease 2019 (COVID-19) has become a global public health emergency. Methods: 204 elderly patients (≥60 years old) diagnosed with COVID-19 in Renmin Hospital of Wuhan University from January 31st to February 20th, 2020 were included in this study. Clinical endpoint was in-hospital death. Results: Of the 204 patients, hypertension, diabetes, cardiovascular disease, and chronic obstructive pulmonary disease (COPD) were the most common coexisting conditions. 76 patients died in the hospital. Multivariate analysis showed that dyspnea (hazards ratio (HR) 2.2, 95% confidence interval (CI) 1.414–3.517; p < 0.001), older age (HR 1.1, 95% CI 1.070–1.123; p < 0.001), neutrophilia (HR 4.4, 95% CI 1.310–15.061; p = 0.017) and elevated ultrasensitive cardiac troponin I (HR 3.9, 95% CI 1.471–10.433; p = 0.006) were independently associated with death. Conclusion: Although so far the overall mortality of COVID-19 is relatively low, the mortality of elderly patients is much higher. Early diagnosis and supportive care are of great importance for the elderly patients of COVID-19.