dc.contributor.author | Maniero, C | |
dc.contributor.author | Patel, D | |
dc.contributor.author | Pavithran, A | |
dc.contributor.author | Naran, P | |
dc.contributor.author | Ng, FL | |
dc.contributor.author | Prowle, J | |
dc.contributor.author | Sivapathasuntharam, D | |
dc.date.accessioned | 2021-07-12T11:54:05Z | |
dc.date.available | 2021-06-09 | |
dc.date.available | 2021-07-12T11:54:05Z | |
dc.date.issued | 2021-07-06 | |
dc.identifier.citation | Maniero, C., Patel, D., Pavithran, A. et al. A retrospective cohort study of risk factors and outcomes in older patients admitted to an inner-city geriatric unit in London during first peak of COVID-19 pandemic. Ir J Med Sci (2021). https://doi.org/10.1007/s11845-021-02679-z | en_US |
dc.identifier.uri | https://qmro.qmul.ac.uk/xmlui/handle/123456789/73003 | |
dc.description.abstract | PURPOSE: Compared to younger patients, coronavirus disease 2019 (COVID-19) clinical presentation in older people can be more heterogeneous and fatal. We aim to describe a cohort of older adults admitted in an inner-city London hospital during the first peak of the pandemic. METHODS: A retrospective observational study that enrolled older adults consecutively admitted into two geriatric wards with suspected or confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. We collected socio-demographic data, comorbidities, symptoms at presentation and/or during admission, biochemical and radiological data and outcomes at 28 days. RESULTS: One hundred twenty-four patients were included, and 75% were > 80 years old. 19.5% of COVID-19 cases were judged to be hospital-acquired. More than half presented or developed typical symptoms, respiratory failure or fatigue. 46.8% were diagnosed with delirium, 24.2% with falls and dysphagia was present in 13.7%. The mortality rate was 29.8% and was higher among males, those > 80 years, patients with a higher grade of frailty, a history of dementia or chronic kidney disease, as well as those diagnosed with respiratory failure, acute kidney injury or hypernatremia. Independent predictors of mortality were male sex, age > 80 years, respiratory failure and hypernatremia. CONCLUSION: We have described a cohort of patients with SARS-CoV-2 infection in the first UK peak of the global pandemic. We found that these patients had significant frailty with multiple comorbidities. There was a high mortality and increased dependency and greater social care need in survivors. | en_US |
dc.language | eng | |
dc.relation.ispartof | Irish Journal of Medical Science | |
dc.subject | COVID-19 | en_US |
dc.subject | Coronavirus pandemic | en_US |
dc.subject | Frailty | en_US |
dc.subject | SARS-CoV-2 | en_US |
dc.title | A retrospective cohort study of risk factors and outcomes in older patients admitted to an inner-city geriatric unit in London during first peak of COVID-19 pandemic. | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1007/s11845-021-02679-z | |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/34228265 | en_US |
pubs.notes | Not known | en_US |
pubs.publication-status | Published online | en_US |
dcterms.dateAccepted | 2021-06-09 | |
rioxxterms.funder | Default funder | en_US |
rioxxterms.identifier.project | Default project | en_US |