住院老年covid-19患者临床表现及预后分析

IF 0.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Ö. Bozan, Ş. Atiş, B. Çekmen, Mehmet Taylan Koçer, Y. Koca, Edip Burak Karaaslan, Mücahit Şentürk, F. Şimşek, A. Kalkan
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引用次数: 3

摘要

背景:年龄是导致死亡的最重要因素,然而,为什么SARS-CoV-2感染在老年人群中更为严重和致命尚不清楚。我们对所有65岁以上诊断为COVID-19的住院患者的临床病程和死亡率增加的原因进行了调查。本回顾性观察性研究对诊断为COVID-19的住院老年患者进行检查,记录患者的血检结果、住院时间、合并症、入院症状、临床结果及人口学资料,检查存活患者与非存活患者在合并症和症状方面是否存在显著差异,并单独考察这些参数对30天死亡率的影响。研究共纳入263例患者(125名男性),咳嗽(53.2%)和呼吸困难(35.7%)是两种最常见的症状,幸存者和非幸存者患者的年龄和性别分布无统计学差异。与首发时无呼吸困难的患者相比,呼吸困难患者的生存率明显较低,患有慢性阻塞性肺疾病和脑血管疾病的患者与A相关结论:已有研究表明COVID-19合并慢性阻塞性肺疾病和脑血管疾病患者的死亡风险显著增加,并且我们的研究发现呼吸困难作为入院症状对死亡率和临床结局有影响
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical findings and prognosis of hospitalized elderly covid-19 patients
Background: SARS-CoV-2 has caused an outbreak all over the World Age is the most important factor for mortality However, it is not known exactly why SARS-CoV-2 infections are more severe and fatal in the elderly population We examined the clinical course and the causes of increasing mortality in all hospitalized patients diagnosed with COVID-19 over 65 years of age Methods: Hospitalized elderly patients diagnosed with COVID-19 were examined in this retrospective observational study The blood results, length of stay, comorbid diseases, admission symptoms, clinical results and demographic data of the patients were recorded It was examined whether there was a significant difference between surviving and non-surviving patients in terms of comorbid diseases and symptoms The effects of these parameters on the 30-day mortality alone were investigated Results: A total of 263 patients (125 males) were included in the study Cough (53 2%) followed by dyspnea (35 7%) were the two most common symptoms There was no statistically significant difference age or sex distribution between survivor and nonsurvivor patients Patients with dyspnea had a significantly lower survival rate compared to patients who did not have dyspnea at presentation and patients who have chronic obstructive pulmonary disease and cerebrovascular disease were associated with a significantly increased risk of mortality Conclusions: It has been shown that there is a significant increase in the risk of mortality in COVID-19 patients with chronic obstructive pulmonary disease and cerebrovascular diseases Additionally, Dyspnea, as an admission symptom, were found to have an effect on mortality and clinical outcomes in our study
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
46
审稿时长
6-12 weeks
期刊介绍: Turkish Journal of Geriatrics is a peer-reviewed journal. Official language of the journal is English. Turkish Journal of Geriatrics invites submission of Original Articles based on clinical and laboratory studies. Review Articles are published only after the invitation from the Editorial Board.
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