Coronavirus Related Mortality in the Geriatrics Ambulatory Practice.
Coronavirus Related Mortality in the Geriatrics Ambulatory Practice.
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DOI：
10.1177/21501327211025385
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发表时间：
2021-01
影响因子：
3.6
通讯作者：
Guo A
中科院分区：
文献类型：
--
作者：
George CJ;Guo A
老年人通常有常见疾病的非典型表现，COVID-19也不例外。表现从无症状到导致住院、插管或死亡的压倒性症状。于疫情高峰期，门诊老年人与COVID-19相关的死亡人数尚不清楚。目的是描述在2019冠状病毒病大流行高峰期死亡的老年病门诊患者的2019冠状病毒病状况和临床特征。设计：回顾性病历审查参与者：54名65岁及以上的成年人。方法：COVID-19状态定义为阳性检测结果和基于临床表现的推定COVID-19状态。在老年病门诊实践的1200名活跃患者中，有54名（4.5%）在2020年1月1日至2020年6月30日期间死亡。研究样本为63%女性、33%西班牙裔/拉丁裔、27%黑人/非裔美国人和22%白色人。平均（SD）年龄为86（8.6）岁，范围（72-107岁）。最常见的合并症为高血压（88.9%）、糖尿病（51.9%）和认知功能障碍（51.9%）。19人（35%）为COVID-19阳性，8人被推定为COVID-19。COVID-19或推定COVID-19组与非COVID-19组之间的年龄、性别、种族/民族和医学合并症无统计学显著差异。于二零二零年首六个月死亡的老年患者中，约35%已确认COVID-19，另有15%为推定COVID-19。在疫情高峰期，老年人因2019冠状病毒病而在门诊死亡的实际人数难以估计，且可能被低估。
Older adults often have atypical presentations of common diseases and COVID-19 is no exception. Presentations range from asymptomatic to overwhelming symptoms that result in hospitalization, intubation, or death. The number of COVID-19 related deaths among older adults in the outpatient practice during the peak of the pandemic is unclear. The objective is to describe the COVID-19 status and clinical characteristics of patients in a Geriatrics Ambulatory Practice who died during the peak of the COVID-19 pandemic. Design: Retrospective chart review Participants: 54 adults age 65 years and older. Methods: COVID-19 status defined by positive test result and presumed COVID-19 status based upon clinical presentation. Out of 1200 active patients in the Geriatrics Ambulatory Practice, 54 (4.5%) died between January 1st, 2020 and June 30th, 2020. The study sample was 63% female, 33% Hispanic/Latino, 27% Black/African American, and 22% white. The mean (SD) age was 86(8.6) years, range (72-107 years). The most prevalent medical comorbidities in decreasing order of frequency were hypertension (88.9%), diabetes (51.9%), and cognitive impairment (51.9%). Nineteen (35%) were COVID-19 positive and 8 had presumed COVID-19. There were no statistically significant differences in age, gender, race/ethnicity, and medical comorbidities between the COVID-19 or presumed COVID-19 group compared to those with No COVID-19. Approximately 35% of Geriatric patients who died during the first 6 months of 2020 had confirmed COVID-19 and an additional 15% had presumed COVID-19. The actual number of COVID-19 related deaths among older adults in the ambulatory practice during the peak of the pandemic is difficult to estimate and likely underestimated.