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老年 COVID-19 感染患者的临床特征:一项描述性研究。

Clinical characteristics of older patients infected with COVID-19: A descriptive study.

机构信息

Beijing Emergency Medical Center, Beijing, China.

Beijing Emergency Medical Center, Beijing, China.

出版信息

Arch Gerontol Geriatr. 2020 Jul-Aug;89:104058. doi: 10.1016/j.archger.2020.104058. Epub 2020 Apr 10.

Abstract

OBJECTIVES

Since the outbreak of 2019 novel coronavirus (COVID-19), which has spread in the world rapidly. Population have a susceptibility to COVID-19, older people were more susceptible to have a variety diseases than younger, including COVID-19 infection with no doubt. This study focused on older patients with COVID-19 infection and analyzed the epidemiological and clinical characteristics of them.

METHODS

We collected information on confirmed older patient transferred by Beijing Emergency Medical Service (EMS) to the designated hospitals from Jan 20 to Feb 29, 2020. The information including demographic, epidemiological, clinical, classification of severity and outcomes. All cases were categorized into three groups and compared the difference between aged 50-64 years, 65-79 years and older than 80 years.

RESULTS

56.7 % of elderly confirmed patients were male, fever (78.3 %), cough (56.7 %), dyspnea (30.0 %), and fatigue (23.3 %) were common symptoms of COVID-19 infection. Classification of severity has statistically significant differences between the three groups, compared with middle-aged patients and aged 65-79 years group, older than 80 years group had significant statistical differences in contacted to symptomatic case in 14 days. As of Feb 29, 38.3 % patients had discharged and 53.3 % patients remained in hospital in our study, the fatality of COVID-19 infection in elderly was 8.3 %.

CONCLUSIONS

The COVID-19 infection is generally susceptible with a relatively high fatality rate in older patients, we should pay more attention to the elderly patients with COVID-19 infection.

摘要

目的

自 2019 年新型冠状病毒(COVID-19)爆发以来,该病毒在世界范围内迅速传播。人们对 COVID-19 具有易感性,老年人比年轻人更容易患上各种疾病,COVID-19 感染也不例外。本研究关注感染 COVID-19 的老年患者,并分析他们的流行病学和临床特征。

方法

我们收集了 2020 年 1 月 20 日至 2 月 29 日期间北京急救医疗服务(EMS)转至指定医院的确诊老年患者的信息。信息包括人口统计学、流行病学、临床、严重程度分类和结局。所有病例分为三组,比较年龄在 50-64 岁、65-79 岁和 80 岁以上的患者之间的差异。

结果

56.7%的老年确诊患者为男性,发热(78.3%)、咳嗽(56.7%)、呼吸困难(30.0%)和乏力(23.3%)是 COVID-19 感染的常见症状。严重程度分类在三组之间存在统计学差异,与中年患者和 65-79 岁组相比,80 岁以上组在 14 天内与有症状病例接触有显著统计学差异。截至 2 月 29 日,38.3%的患者已出院,53.3%的患者仍在住院,本研究中 COVID-19 感染的病死率为 8.3%。

结论

COVID-19 感染在老年人中普遍易感,病死率相对较高,应更加关注感染 COVID-19 的老年患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da18/7194515/efd4cb94c9a1/gr1_lrg.jpg

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