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A investigation led by internists of the Spanish Society of Internal Medicine (SEMI) and recently published in a scientific article by Journal of gerontology series A: medical sciences, bajo el título ‘Clinical characteristics and risk factors for mortality in very elderly patients hospitalized with COVID-19 in Spain’, to describe the clinical features of patients older than 80 years hospitalized for Covid-19 in Spain, as well as the risk factors of mortality upon admission. Age, being male, and poor performance status are associated with hospital mortality from Covid-19, not comorbidities.
The study was conducted with clinical data from 2,772 patients hospitalized for Covid-19, aged over 80 years (49.4% men and with an average age of 86.3 years) in 150 hospitals, between March 1 and May 29, 2020. The aim of the study was to describe clinical features of these patients and identify the file factors risk of hospital mortality upon admission.
Research proves this age, being male and underperforming in hospitalization, not comorbid, partner regardless of hospital mortality, as well as whether severe SARS-CoV-2 infection on admission correlates with a poor prognosis.
It should be noted that 30.8% of the patients in the study had Atherosclerotic cardiovascular disease, diabetes mellitus by 25.6%, dementia by 30% and 21.0% had a Barthel index (assesses the patient’s functional status) of less than 60 (severe dependence).
Similarly, the overall rate of lethality stood in 46.9 percent, although this increases with age (80-84 years: 41.6%; 85-90 years: 47.3%; 90-94 years: 52.7%; ≥95 years: 54.2%).
In the study, univariate and multivariate logistic regression was performed to evaluate predictors of mortality on admission. Specifically, a hospitalization, independent risk factors for death were: oxygen saturation (SatO2) less than 90 percent, temperature greater than 37.8ºC, qSOFA score ≥2 (scale for organ failure), or unilateral-bilateral infiltrates in chest radiographs, as well as several parameters and analytical results specified and detailed in the article.
This research is part of Semi-Covid Registry-19, which contains data from more than 17,000 patients with confirmed SARS-CoV-2 infection and that they took care of them Internists First-line medical specialists who took care of 80% of non-critical patients admitted to Spain during the pandemic ─. Nearly 900 internists from 214 hospitals across the country participate in this registry.
Although it may contain statements, data or notes from healthcare institutions or professionals, the information contained in Medical Writing is edited and prepared by journalists. It is recommended that the reader be consulted with any health-related questions with a healthcare professional.
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