Carla Paola Sánchez-Ríos, J. O. Barreto-Rodríguez, Gustavo Iván Centeno-Sáenz, Hazel Vázquez-Rojas
{"title":"墨西哥老年COVID-19患者的描述性分析","authors":"Carla Paola Sánchez-Ríos, J. O. Barreto-Rodríguez, Gustavo Iván Centeno-Sáenz, Hazel Vázquez-Rojas","doi":"10.35366/97964","DOIUrl":null,"url":null,"abstract":". Introduction: The elderly may represent a specific group of patients at high risk for developing COVID-19 with rapidly progressive clinical deterioration. In fact, in older individuals, immunosenescence and comorbid disorders are more likely to promote a virus-induced cytokine storm resulting in life-threatening respiratory failure and multi- system compromise. Material and methods: A descriptive study of the geriatric population with COVID-19 disease attended at the National Institute of Respiratory Diseases, Mexico City, Mexico in the period March-May 2020 was carried out. 35 hospitalized adult patients over 60 years were confirmed by RT PCR. for COVID-19 disease in pharyngeal exudate. Descriptive statistics were used and results were expressed using measures of central tendency. Results: A total sample of 35 patients was analyzed. 62.85% were male (n = 22). Systemic arterial hypertension was documented in 51.42% (n = 18), obesity in 48.57% (n = 17) and diabetes mellitus in 34.28% (n = 12). The severity of the COVID-19 disease at the time of hospital admission was: mild in 22.85% (n = 8), moderate in 42.85% (n = 15) and severe or critical in 34.28% (n = 12). 80% (n = 28) consulted after presenting symptoms for more than five days. The tomographic findings were ground glass pattern in 82.85% (n = 29), consolidation in 14.28% (n = 5) and «crazy paving» in only one patient (2.8%). The mortality registered in geriatric patients with COVID-19 was 68.57%. Conclusions: The geriatric population is considered vulnerable for the development of COVID-19 disease and for fatal outcomes. Patients with moderate disease should be closely monitored as they tend to eventually develop critical forms. The fatality of COVID-19 disease in older adult patients is high.","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"53 2","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Análisis descriptivo de adultos mayores mexicanos con enfermedad COVID-19\",\"authors\":\"Carla Paola Sánchez-Ríos, J. O. Barreto-Rodríguez, Gustavo Iván Centeno-Sáenz, Hazel Vázquez-Rojas\",\"doi\":\"10.35366/97964\",\"DOIUrl\":null,\"url\":null,\"abstract\":\". Introduction: The elderly may represent a specific group of patients at high risk for developing COVID-19 with rapidly progressive clinical deterioration. In fact, in older individuals, immunosenescence and comorbid disorders are more likely to promote a virus-induced cytokine storm resulting in life-threatening respiratory failure and multi- system compromise. Material and methods: A descriptive study of the geriatric population with COVID-19 disease attended at the National Institute of Respiratory Diseases, Mexico City, Mexico in the period March-May 2020 was carried out. 35 hospitalized adult patients over 60 years were confirmed by RT PCR. for COVID-19 disease in pharyngeal exudate. Descriptive statistics were used and results were expressed using measures of central tendency. Results: A total sample of 35 patients was analyzed. 62.85% were male (n = 22). Systemic arterial hypertension was documented in 51.42% (n = 18), obesity in 48.57% (n = 17) and diabetes mellitus in 34.28% (n = 12). The severity of the COVID-19 disease at the time of hospital admission was: mild in 22.85% (n = 8), moderate in 42.85% (n = 15) and severe or critical in 34.28% (n = 12). 80% (n = 28) consulted after presenting symptoms for more than five days. The tomographic findings were ground glass pattern in 82.85% (n = 29), consolidation in 14.28% (n = 5) and «crazy paving» in only one patient (2.8%). The mortality registered in geriatric patients with COVID-19 was 68.57%. Conclusions: The geriatric population is considered vulnerable for the development of COVID-19 disease and for fatal outcomes. Patients with moderate disease should be closely monitored as they tend to eventually develop critical forms. The fatality of COVID-19 disease in older adult patients is high.\",\"PeriodicalId\":246416,\"journal\":{\"name\":\"NCT Neumología y Cirugía de Tórax\",\"volume\":\"53 2\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1900-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"NCT Neumología y Cirugía de Tórax\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.35366/97964\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"NCT Neumología y Cirugía de Tórax","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35366/97964","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Análisis descriptivo de adultos mayores mexicanos con enfermedad COVID-19
. Introduction: The elderly may represent a specific group of patients at high risk for developing COVID-19 with rapidly progressive clinical deterioration. In fact, in older individuals, immunosenescence and comorbid disorders are more likely to promote a virus-induced cytokine storm resulting in life-threatening respiratory failure and multi- system compromise. Material and methods: A descriptive study of the geriatric population with COVID-19 disease attended at the National Institute of Respiratory Diseases, Mexico City, Mexico in the period March-May 2020 was carried out. 35 hospitalized adult patients over 60 years were confirmed by RT PCR. for COVID-19 disease in pharyngeal exudate. Descriptive statistics were used and results were expressed using measures of central tendency. Results: A total sample of 35 patients was analyzed. 62.85% were male (n = 22). Systemic arterial hypertension was documented in 51.42% (n = 18), obesity in 48.57% (n = 17) and diabetes mellitus in 34.28% (n = 12). The severity of the COVID-19 disease at the time of hospital admission was: mild in 22.85% (n = 8), moderate in 42.85% (n = 15) and severe or critical in 34.28% (n = 12). 80% (n = 28) consulted after presenting symptoms for more than five days. The tomographic findings were ground glass pattern in 82.85% (n = 29), consolidation in 14.28% (n = 5) and «crazy paving» in only one patient (2.8%). The mortality registered in geriatric patients with COVID-19 was 68.57%. Conclusions: The geriatric population is considered vulnerable for the development of COVID-19 disease and for fatal outcomes. Patients with moderate disease should be closely monitored as they tend to eventually develop critical forms. The fatality of COVID-19 disease in older adult patients is high.