COVID-19 对老年幸存者的健康影响：六个月随访。
Health impact on the elderly survivors of COVID-19: Six months follow up.
机构信息
Geriatric Department, Hospital Central de la Cruz Roja, San José y Santa Adela, Madrid, Spain; School of Medicine, Alfonso X El Sabio University, Villanueva de la Cañada, Madrid, Spain.
Geriatric Department, Hospital Central de la Cruz Roja, San José y Santa Adela, Madrid, Spain; School of Medicine, Alfonso X El Sabio University, Villanueva de la Cañada, Madrid, Spain.
出版信息
Rev Esp Geriatr Gerontol. 2022 May-Jun;57(3):146-149. doi: 10.1016/j.regg.2022.03.004. Epub 2022 Apr 20.
PURPOSE
To analyse factors associated with mortality at 6 months in survivors older than 70 years after hospital admission for SARS-CoV-2.
METHODS
Descriptive observational study with follow-up at 6 months. All patients over 70 years of age, discharged from the Hospital Central de la Cruz Roja, after hospitalization for COVID-19 consecutively during the months March to May 2020 were included. The outcome at 6 months (mortality, readmissions) were collected.
RESULTS
A total of 165 patients were included. Mean age 88.5±6.73, women 69.1%. High comorbidity 33.9%. Mean previous Barthel Index was 65.39±33.64 and at discharge 58.12±34.04. 24.2% had severe polypharmacy and 47.9% severe frailty. Six months after hospital discharge, 13% died and 23.8% required at least one readmission. More than half of the sample had some of the following sequelae: dyspnea 20%(33), functional impairment 41.7%(69), cognitive impairment 31.3%(52) or depressive symptoms 42.4%(70). Functional impairment at discharge was associated with an increased risk of mortality (OR 5.33; 95% CI 1.11-25.73).
CONCLUSIONS
The functional status was a factor associated with risk of mortality at 6 months.
目的
分析与 COVID-19 后因 SARS-CoV-2 住院的 70 岁以上幸存者 6 个月时死亡率相关的因素。
方法
描述性观察研究，随访 6 个月。纳入 2020 年 3 月至 5 月期间连续因 COVID-19 住院的所有 70 岁以上且从红十字中央医院出院的患者。收集 6 个月时的结局（死亡率、再入院）。
结果
共纳入 165 例患者。平均年龄 88.5±6.73 岁，女性占 69.1%。高合并症 33.9%。平均既往巴氏量表评分为 65.39±33.64，出院时为 58.12±34.04。24.2%存在严重药物滥用，47.9%存在严重虚弱。出院后 6 个月时，13%的患者死亡，23.8%的患者至少需要再次入院。超过一半的样本存在以下后遗症中的一种或多种：呼吸困难 20%（33 例）、功能障碍 41.7%（69 例）、认知障碍 31.3%（52 例）或抑郁症状 42.4%（70 例）。出院时的功能障碍与死亡风险增加相关（OR 5.33；95% CI 1.11-25.73）。
结论
功能状态是与 6 个月时死亡风险相关的因素。
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