Clinical Characteristics and Outcomes of 821 Older Patients With SARS-Cov-2 Infection Admitted to Acute Care Geriatric Wards
- Type de publi. : Article dans une revue
- Date de publi. : 26/08/2020
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Auteurs :
Lorène ZerahÉdouard BaudouinMarion PépinMorgane MarySébastien KrypciakCéline BiancoSwasti RouxAriane GrossCharlotte ToméoNadège LemariéAntoine DureauSophie BastianiFlora KetzClémence BoullyCédric de VillelongueMouna RomdhaniMarie-Astrid DesoutterEmmanuelle DuronJean-Philippe DavidCaroline ThomasEléna PaillaudPauline de MalglaiveEric BouvardMathilde LacrampeElise MercadierAlexandra MontiOlivier HanonVirginie Fossey-DiazLauriane BourdonnecBruno RiouH. ValletJacques Boddaert
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Organismes :
CHU Pitié-Salpêtrière [AP-HP]
Institut Pierre Louis d'Epidémiologie et de Santé Publique
CHU Pitié-Salpêtrière [AP-HP]
Hôpital Ambroise Paré [AP-HP]
Centre de recherche en épidémiologie et santé des populations
Hôpital Paul Brousse
CHU Henri Mondor [Créteil]
Institut Mondor de Recherche Biomédicale
CHU Saint-Antoine [AP-HP]
Centre d'Immunologie et des Maladies Infectieuses
Hôpital Corentin Celton [Issy-les-Moulineaux]
CIC - CHU Bichat
CHU Pitié-Salpêtrière [AP-HP]
CHU Tenon [AP-HP]
Sorbonne Université - Faculté de Médecine
CHU Rothschild [AP-HP]
Sorbonne Université - Faculté de Médecine
AP-HP - Hôpital Antoine Béclère [Clamart]
CHU Charles Foix [AP-HP]
Sorbonne Université - Faculté de Médecine
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre Hospitalier Régional Universitaire de Tours
Centre Hospitalier Régional Universitaire de Tours
Centre de recherche en épidémiologie et santé des populations
Hôpital Ambroise Paré [AP-HP]
Hôpital Paul Brousse
Institut Mondor de Recherche Biomédicale
CHU Henri Mondor [Créteil]
CHU Saint-Antoine [AP-HP]
Institut Mondor de Recherche Biomédicale
Hôpital Européen Georges Pompidou [APHP]
IMRB - CEPIA/"Clinical Epidemiology And Ageing : Geriatrics, Primary Care and Public Health" [Créteil]
CIC - CHU Bichat
CHU Tenon [AP-HP]
Sorbonne Université - Faculté de Médecine
CHU Rothschild [AP-HP]
Sorbonne Université - Faculté de Médecine
AP-HP - Hôpital Antoine Béclère [Clamart]
CHU Charles Foix [AP-HP]
Sorbonne Université - Faculté de Médecine
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre Hospitalier Régional Universitaire de Tours
Centre Hospitalier Régional Universitaire de Tours
CHU Pitié-Salpêtrière [AP-HP]
Sorbonne Université - Faculté de Médecine
Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases
Centre d'Immunologie et des Maladies Infectieuses
CHU Saint-Antoine [AP-HP]
Centre d'Immunologie et des Maladies Infectieuses
CHU Pitié-Salpêtrière [AP-HP]
- Publié dans Journals of Gerontology Series A: Biological Sciences and Medical Sciences le 01/01/2003
Résumé : Background: There is limited information describing the characteristics and outcomes of hospitalized older patients with confirmed coronavirus disease 2019 (COVID-19). Methods: We conducted a multicentric retrospective cohort study in 13 acute COVID-19 geriatric wards, from March 13 to April 15, 2020, in Paris area. All consecutive patients aged ≥ 70 years, with confirmed COVID-19, were enrolled. Results: Of the 821 patients included in the study, the mean (SD) age was 86 (7) years; 58% were female; 85% had ≥ 2 comorbidities; 29% lived in an institution; and the median (interquartile range) Activities of Daily Living Scale (ADL) score was 4 [2-6]. The most common symptoms at COVID-19 onset were asthenia (63%), fever (55%), dyspnea (45%), dry cough (45%) and delirium (25%). The in-hospital mortality was 31% (95% confidence interval [CI], 27 to 33). On multivariate analysis, at COVID-19 onset, the probability of in-hospital mortality was increased with male gender (odds ratio [OR], 1.85; 95% CI, 1.30 to 2.63), ADL score < 4 (OR, 1.84; 95% CI, 1.25 to 2.70), asthenia (OR, 1.59; 95% CI, 1.08 to 2.32), quick Sequential Organ Failure Assessment score ≥ 2 (OR, 2.63; 95% CI, 1.64 to 4.22) and specific COVID-19 anomalies on chest computerized tomography (OR, 2.60; 95% CI, 1.07 to 6.46). Conclusions: This study provides new information about older patients with COVID-19 who are hospitalized. A quick bedside evaluation at admission of sex, functional status, systolic arterial pressure, consciousness, respiratory rate and asthenia can identify older patients at risk of unfavorable outcomes.
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