Occurrence and characteristics of elderly With Covid-19 in southern Brazil

Luana Schayene Wagner, Gabrieli de Fátima Prudêncio dos Santos, Juliana Lemes Dos Santos, Tatiana Mugnol, D. P. Golle, J. W. Bortolotto, Mariana Migliorini Parisi, Janaina Coser
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Abstract

This study aimed to describe the occurrence of COVID-19 in elderly patients treated at public health services in southern Brazil cities and their clinical and sociodemographic characteristics. This is a cross-sectional, observational, and retrospective study. From July 2020 to May 2021, medical records of elderly patients who underwent a test for COVID-19 at the molecular diagnostics laboratory of the University of Cruz Alta were selected. 310 elderly patients, with an average age of 60 to 99 years, were included in the study. Information was collected regarding the result of the RT-qPCR test, gender, symptoms, and comorbidities. We identified that 24.2% of the elderly evaluated in the study had a positive molecular diagnosis for COVID-19. The average age of the sample studied was 69 years (±8.89). Females had a higher proportion of positive cases (69.3%) compared to males (30.7%) (p=0.017). A higher proportion of individuals infected with SARS-Cov2 among those who reported cough, fever >37°C and pre-existing cardiovascular diseases (p = 0.028; 0.015; 0.017 respectively) was also identified. Learning the clinical and sociodemographic profile of the elderly with COVID-19 can contribute to strategies for care and prevention of the disease in this group. The study findings indicate that greater attention should be given to the elderly with heart diseases and those who have fevers and coughs.
巴西南部患有 Covid-19 的老年人的发生率和特征
本研究旨在描述在巴西南部城市公共卫生服务机构接受治疗的老年患者中 COVID-19 的发生率及其临床和社会人口特征。这是一项横断面、观察性和回顾性研究。研究选取了 2020 年 7 月至 2021 年 5 月期间在克鲁斯阿尔塔大学分子诊断实验室接受 COVID-19 检测的老年患者的医疗记录。研究共纳入 310 名老年患者,平均年龄为 60 至 99 岁。我们收集了有关 RT-qPCR 检测结果、性别、症状和合并症的信息。我们发现,在接受评估的老年人中,有 24.2% 的人对 COVID-19 的分子诊断呈阳性。研究样本的平均年龄为 69 岁(±8.89)。与男性(30.7%)相比,女性阳性病例的比例更高(69.3%)(p=0.017)。此外,还发现报告咳嗽、发烧超过摄氏 37 度和原有心血管疾病的 SARS-Cov2 感染者比例较高 (分别为 p = 0.028; 0.015; 0.017)。了解患有 COVID-19 的老年人的临床和社会人口学特征有助于制定该群体的护理和疾病预防策略。研究结果表明,应更加关注患有心脏病和发烧咳嗽的老年人。
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