Gómez-Moreno Carolina, Chacón-Corral Alan Alexis, Pérez-Méndez Ayari, Kammar-García Ashuin, Ortega-Ortiz Corina, Torres-Pérez Ana Cristina, Zepeda-Gutierrez Luis Asdruval, Soto-Perez-de-Celis Enrique, Hernández-Gilsoul Thierry
Emergency Department, National Institute of Medical Sciences and Nutrition Salvador Zubiran, Avenida Vasco de Quiróga No. 15, Colonia Belisario Domínguez Sección XVI, Alcaldía Tlalpan, CP 14080, Mexico City, Mexico.
Dirección de Investigación, Instituto Nacional de Geriatría, Anillo Periferico, 2767, San Jerónimo Lídice, Alcaldía La Magdalena Contreras, 10200, Mexico City, Mexico.
Intern Emerg Med. 2025 Jan 5. doi: 10.1007/s11739-024-03843-w.
The COVID-19 pandemic provided an ideal scenario for studying the care of the elderly population, we implemented a tool named the Geriatric Measure (GM) tool to determine the severity and need for hospitalization. The objective of the study is to evaluate if the results of a brief Geriatric Measure tool are associated with mortality and other outcomes among older adults with COVID-19 treated in the emergency department. Retrospective observational cohort study. Participants were older adults (65 years and over) who required hospitalization for SARS CoV2 pneumonia. Patients were evaluated with the GM tool and were followed-up until death or discharge and associations between GM tool scores and mortality and other outcomes were assessed. A total of 275 patients were included. The proportion of patients who died increased with every category of the GM tool. Patients in category 1 (fit with good functional status) had a mortality of 24.7% versus those in category 4 (frail with poor functional status) who had a mortality of 51%. Our results show an association between our GM tool and mortality among older adults with pneumonia caused by SARS CoV2 and treated in the emergency department, and highlight the need of individualizing care for older patients.
新冠疫情为研究老年人群的护理提供了理想的场景，我们实施了一种名为老年测量（GM）工具来确定严重程度和住院需求。本研究的目的是评估在急诊科接受治疗的新冠老年患者中，简短老年测量工具的结果是否与死亡率及其他结局相关。回顾性观察队列研究。参与者为因新冠病毒肺炎需要住院治疗的老年人（65岁及以上）。使用GM工具对患者进行评估，并随访至死亡或出院，评估GM工具评分与死亡率及其他结局之间的关联。共纳入275例患者。GM工具的每一类中，死亡患者的比例都有所增加。第1类（功能状态良好的健康者）患者的死亡率为24.7%，而第4类（功能状态差的虚弱者）患者的死亡率为51%。我们的结果表明，我们的GM工具与在急诊科接受治疗的由新冠病毒引起肺炎的老年患者的死亡率之间存在关联，并强调了对老年患者进行个体化护理的必要性。
