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Aruachan-Torres SA, Chavarro-Carvajal DA, Ariza-Galindo CJ, Gómez Arteaga RC, Caicedo-Correa SM, Cano Gutierrez CA. Confirmed SARS-CoV-2 infection and mortality: Associated factors in hospitalized people 75 and older. ELECTRONIC JOURNAL OF GENERAL MEDICINE 2023. [DOI: 10.29333/ejgm/13042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2023]
Abstract
<b>Introduction:</b> COVID-19 infection in the elderly posed challenges in health systems and clinical care by health personnel.<br />
<b>Objective</b>:<b> </b>To<b> </b>describe the factors associated with mortality in persons aged 75 and older with COVID-19 in a high complexity hospital in Bogotá, Colombia.<br />
<b>Methods</b>:<b> </b>Observational, analytical and retrospective study, including 509 patients aged 75 and older hospitalized with COVID-19.<br />
<b>Results</b>:<b> </b>40.47% died during hospital stay. It was found that a shorter time of symptom onset at admission, a respiratory rate greater than 20 breaths per minute, having thrombocytopenia, elevated lactate dehydrogenase and elevated D-dimer were associated with higher in-hospital mortality.<br />
<b>Conclusions</b>:<b> </b>There is an association between mortality and the presence of dyspnea, fever and delirium. Paraclinical results with lactate dehydrogenase >350 (U/L), the presence of elevated D-dimer greater than 1,000 μg/L, as well as a Pa02/Fi02 ratio with a median of less than 90, were associated with higher mortality.
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Affiliation(s)
- Samir Alejandro Aruachan-Torres
- Geriatrics Unit, Hospital Universitario San Ignacio, Bogotá D.C., COLOMBIA
- Institute of Aging, School of Medicine, Pontificia Universidad Javeriana, Bogotá D.C., COLOMBIA
| | - Diego Andrés Chavarro-Carvajal
- Geriatrics Unit, Hospital Universitario San Ignacio, Bogotá D.C., COLOMBIA
- Institute of Aging, School of Medicine, Pontificia Universidad Javeriana, Bogotá D.C., COLOMBIA
| | - Carlos José Ariza-Galindo
- Geriatrics Unit, Hospital Universitario San Ignacio, Bogotá D.C., COLOMBIA
- Institute of Aging, School of Medicine, Pontificia Universidad Javeriana, Bogotá D.C., COLOMBIA
- Geriatrics Service, Clínica del Country, Bogotá D.C., COLOMBIA
| | - Ronald Camilo Gómez Arteaga
- Geriatrics Unit, Hospital Universitario San Ignacio, Bogotá D.C., COLOMBIA
- Institute of Aging, School of Medicine, Pontificia Universidad Javeriana, Bogotá D.C., COLOMBIA
- Department of Internal Medicine and Geriatrics, Hospital Cardiovascular de Cundinamarca, San Mateo, Soacha, COLOMBIA
| | - Sandra Milena Caicedo-Correa
- Geriatrics Unit, Hospital Universitario San Ignacio, Bogotá D.C., COLOMBIA
- Institute of Aging, School of Medicine, Pontificia Universidad Javeriana, Bogotá D.C., COLOMBIA
| | - Carlos Alberto Cano Gutierrez
- Geriatrics Unit, Hospital Universitario San Ignacio, Bogotá D.C., COLOMBIA
- Institute of Aging, School of Medicine, Pontificia Universidad Javeriana, Bogotá D.C., COLOMBIA
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Keating NC, Rodríguez Mañas L, De Francisco A. Hacia el envejecimiento saludable en América Latina y el Caribe: ¿no dejar a nadie atrás? *. Rev Panam Salud Publica 2021; 45:e120. [PMID: 34531904 PMCID: PMC8437205 DOI: 10.26633/rpsp.2021.120] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2021] [Accepted: 07/26/2021] [Indexed: 12/13/2022] Open
Affiliation(s)
- Norah C. Keating
- International Association of Gerontology and GeriatricsNueva YorkEstados Unidos de AméricaInternational Association of Gerontology and Geriatrics, Nueva York, Estados Unidos de América
| | | | - Andrés De Francisco
- Organización Panamericana de la Salud,Washington, DCEstados Unidos de AméricaOrganización Panamericana de la Salud, Washington, DC, Estados Unidos de América
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