Objective: Considering the ongoing pneumonia epidemic associated with severe acute respiratory syndrome coronavirus-2 (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 (CRP) and ferritin levels were higher compared to patients discharged to home and the monocyte/HDL ratio (MHR) was higher compared to nonsurvivors (p=0.037, p=0.003, p=0.023). Nonsurvivors had significantly higher white blood cell (WBC) counts and erythrocyte sedimentation rates (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.
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Primary Language | English |
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Subjects | Clinical Sciences |
Journal Section | Research Article |
Authors | |
Publication Date | July 1, 2022 |
Submission Date | November 4, 2021 |
Published in Issue | Year 2022Volume: 13 Issue: 3 |