| Journal: | Revista médica de Chile |
| Database: | PERIÓDICA |
| System number: | 000457863 |
| ISSN: | 0034-9887 |
| Authors: | Carvacho, Cecilia Vargas Donoso, Nadia1 Medina, René2 Gallegos, César2 Carvacho, Raffaela3 Uauy, Olga2 Ward, M. Ignacia2 Márquez Espinoza, Constanza2 Sanhueza Quiñeman, Juan Pablo2 Gac, Homero1 |
| Institutions: | 1Pontificia Universidad Católica de Chile, División de Medicina, Santiago de Chile. Chile 2Red de Salud UC-Christus, Clínica San Carlos, Santiago de Chile. Chile 3Instituto Milenio para la Investigación de Depresión y Personalidad, Santiago de Chile. Chile |
| Year: | 2022 |
| Season: | Sep |
| Volumen: | 150 |
| Number: | 9 |
| Pages: | 1145-1151 |
| Country: | Chile |
| Language: | Español |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| English abstract | Background: SARS-CoV-2 affects all age groups, but higher mortality rates are recorded in older people, men and with comorbidities, mainly hypertension, diabetes and obesity. Aim: To describe the main clinical characteristics, evolution and prognostic factors for death in older patients hospitalized for COVID-19. Materials and Methods: Retrospective analysis of 128 patients aged 73 years, 66% men, hospitalized at a clinical hospital, with a diagnosis of COVID-19, admitted from May 1 to August 1, 2020. Data were collected from the clinical records, a description of the study population was made, and a univariate analysis and logistic regression were performed. Results: Seventy-two percent of patients had two or more comorbidities, mainly arterial hypertension in 66%, diabetes mellitus in 34% and cardiovascular disease in 19%. Forty-one percent were admitted to intensive care and 31% were connected to mechanical ventilation. In-hospital mortality was 26.6%. A multivariate analysis was performed in two blocks, finding in the first that arterial hypertension and older age significantly predict mortality. However, when previous institutionalization and immuno-suppression were included as variables in the second block, age ceased to be a significant predictor. Conclusions: Prognostic factors associated with death in this age group are arterial hypertension and previous institutionalization |
| Disciplines: | Medicina |
| Keyword: | Geriatría, Neumología, Hospitales, Ancianos, COVID-19, Mortalidad, Prognosis |
| Keyword: | Geriatrics, Pneumology, Hospitals, Aged, COVID-19, Mortality, Prognosis |
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