Confirmed SARS-CoV-2 infection and mortality : associated factors in hospitalized people 75 and older
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Data
2023-03-07Autore
Aruachan-Torres, Samir AlejandroChavarro-Carvajal, Diego Andrés
Ariza-Galindo, Carlos José
Gómez Arteaga, Ronald Camilo
Caicedo-Correa, Sandra Milena
Cano Gutierrez, Carlos Alberto
Autore/i aziendale
Pontificia Universidad Javeriana. Facultad de Medicina. Instituto de Envejecimiento
Tipo
Artículo de revista
ISSN
2516-3507 (Electrónico)
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Titolo inglese
Confirmed SARS-CoV-2 infection and mortality : associated factors in hospitalized people 75 and olderSommario
Introducción: La infección por COVID-19 en adultos mayores plantea desafíos en los sistemas de salud y la atención clínica por parte de la salud
personal.
Objetivo: Describir los factores asociados a la mortalidad en personas de 75 años y más con COVID-19 en un alto
hospital de alta complejidad en Bogotá, Colombia.
Métodos: Estudio observacional, analítico y retrospectivo, incluyendo 509 pacientes de 75 años y más hospitalizados
con COVID-19.
Resultados: el 40,47% fallecieron durante la estancia hospitalaria. Se encontró que a menor tiempo de inicio de los síntomas al ingreso,
frecuencia respiratoria superior a 20 respiraciones por minuto, trombocitopenia, lactato deshidrogenasa elevada
y el dímero D elevado se asociaron con una mayor mortalidad hospitalaria.
Conclusiones: Existe asociación entre la mortalidad y la presencia de disnea, fiebre y delirio.
Resultados paraclínicos con lactato deshidrogenasa > 350 (U/L), presencia de dímero D elevado mayor de 1.000
μg/L, así como un cociente PaO2/FiO2 con una mediana menor de 90, se asociaron con mayor mortalidad.
Palabras clave: Infecciones por coronavirus, SARS-CoV-2, adulto mayor, mortalidad
Astratto
Introduction: COVID-19 infection in the elderly posed challenges in health systems and clinical care by health
personnel.
Objective: To describe the factors associated with mortality in persons aged 75 and older with COVID-19 in a high
complexity hospital in Bogotá, Colombia.
Methods: Observational, analytical and retrospective study, including 509 patients aged 75 and older hospitalized
with COVID-19.
Results: 40.47% died during hospital stay. It was found that a shorter time of symptom onset at admission, a
respiratory rate greater than 20 breaths per minute, having thrombocytopenia, elevated lactate dehydrogenase
and elevated D-dimer were associated with higher in-hospital mortality.
Conclusions: There is an association between mortality and the presence of dyspnea, fever and delirium.
Paraclinical results with lactate dehydrogenase >350 (U/L), the presence of elevated D-dimer greater than 1,000
μg/L, as well as a Pa02/Fi02 ratio with a median of less than 90, were associated with higher mortality.
Keywords: Coronavirus infections, SARS-CoV-2, elderly, mortality
Link alla risorsa
https://www.ejgm.co.uk/article/confirmed-sars-cov-2-infection-and-mortality-associated-factors-in-hospitalized-people-75-and-older-13042Editoriale
Electronic Journal of General Medicine; Volumen 1 Número 7 , Páginas 1 - 7 (2023)
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