COVID-19 in Geriatric Patients

Authors : Orkun SARIÇAM, Gülhan SARIÇAM

Pages : 323-329

Doi:10.31067/acusaglik.1019135

View : 38 | Download : 26

Publication Date : 2022-07-01

Article Type : Research Paper

Abstract :Objective: Considering the ongoing pneumonia epidemic associated with severe acute respiratory syndrome coronavirus-2 insert ignore into journalissuearticles values(SARS-CoV-2);, aging is a major risk factor alone for serious illness and death. In this study, we aimed to investigate the length of stay, hospital discharge status, and prognostic factors in geriatric patients with COVID-19. Methods: Medical files of 199 patients over the age of 65 years, who were treated as inpatients due to the diagnosis of COVID-19, were reviewed retrospectively. Demographic characteristics, comorbid diseases, laboratory values, the length of stay, and hospital discharge status of eligible patients were evaluated. Results: Of inpatients with COVID-19, the mean age was 75.01±7.86 years and 50.8% were men. In patients, who were transferred to ICU, C-reactive protein insert ignore into journalissuearticles values(CRP); and ferritin levels were higher compared to patients discharged to home and the monocyte/HDL ratio insert ignore into journalissuearticles values(MHR); was higher compared to nonsurvivors insert ignore into journalissuearticles values(p=0.037, p=0.003, p=0.023);. Nonsurvivors had significantly higher white blood cell insert ignore into journalissuearticles values(WBC); counts and erythrocyte sedimentation rates insert ignore into journalissuearticles values(ESR); compared to patients discharged to home. Nonsurvivors had a significantly shorter length of hospital stay compared to patients, who were transferred to ICU. Conclusion: Geriatric patients are susceptible to adverse clinical outcomes of COVID-19. We think that WBC, ESR, CRP, ferritin, and MHR levels may inform about poor prognosis and the potential discharge status in elderly patients with COVID-19 pneumonia. Gaining insight into poor prognostic factors in elderly patients is essential to control COVID-19 and develop rapid treatment strategies in this age group.
Keywords : Geriatrics, COVID 19, İnflammation