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Health status in survivors older than 70 years after hospitalization with COVID-19: observational follow-up study at 3 months

PURPOSE: To analyze factors associated with mortality at 3 months and readmissions, functional and cognitive decline, anorexia and affective disorders in patients aged > 70 years surviving after hospital admission for SARS-CoV-2. METHODS: Patients aged > 70 years, discharged after hospitalizat...

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Autores principales: Carrillo-Garcia, Pamela, Garmendia-Prieto, Blanca, Cristofori, Giovanna, Montoya, Isabel Lozano, Hidalgo, Javier Jaramillo, Feijoo, Maribel Quezada, Cortés, Juan José Baztán, Gómez-Pavón, Javier
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8165338/
https://www.ncbi.nlm.nih.gov/pubmed/34057701
http://dx.doi.org/10.1007/s41999-021-00516-1
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author Carrillo-Garcia, Pamela
Garmendia-Prieto, Blanca
Cristofori, Giovanna
Montoya, Isabel Lozano
Hidalgo, Javier Jaramillo
Feijoo, Maribel Quezada
Cortés, Juan José Baztán
Gómez-Pavón, Javier
author_facet Carrillo-Garcia, Pamela
Garmendia-Prieto, Blanca
Cristofori, Giovanna
Montoya, Isabel Lozano
Hidalgo, Javier Jaramillo
Feijoo, Maribel Quezada
Cortés, Juan José Baztán
Gómez-Pavón, Javier
author_sort Carrillo-Garcia, Pamela
collection PubMed
description PURPOSE: To analyze factors associated with mortality at 3 months and readmissions, functional and cognitive decline, anorexia and affective disorders in patients aged > 70 years surviving after hospital admission for SARS-CoV-2. METHODS: Patients aged > 70 years, discharged after hospitalization with COVID-19. Outcome variables:mortality, readmissions, functional and cognitive impairment, anorexia and mood disorder. RESULTS: 165 cases at 3 months after hospital discharge, 8.5% died and 20% required at least one hospital readmission. The presence of severe dependence at discharge (BI < 40) was associated at 3 months with a higher risk of mortality (OR 5.08; 95% CI 1.53–16.91) and readmissions (OR 4.53; 95% CI 1.96–10.49). The post-hospitalization functional deterioration was associated with persistence of deterioration at 3 months (OR 24.57; 95% CI 9.24–65.39), cognitive deterioration (OR 2.32; 95% CI 1.03–5.25) and affective (OR 4.40; 95% CI 1.84–10.55) CONCLUSIONS: Loss function in older people after hospitalization by COVID-19 may contribute to identify patients with a higher risk of sequelae in the short term that require closer follow-up.
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spelling pubmed-81653382021-06-01 Health status in survivors older than 70 years after hospitalization with COVID-19: observational follow-up study at 3 months Carrillo-Garcia, Pamela Garmendia-Prieto, Blanca Cristofori, Giovanna Montoya, Isabel Lozano Hidalgo, Javier Jaramillo Feijoo, Maribel Quezada Cortés, Juan José Baztán Gómez-Pavón, Javier Eur Geriatr Med Brief Report PURPOSE: To analyze factors associated with mortality at 3 months and readmissions, functional and cognitive decline, anorexia and affective disorders in patients aged > 70 years surviving after hospital admission for SARS-CoV-2. METHODS: Patients aged > 70 years, discharged after hospitalization with COVID-19. Outcome variables:mortality, readmissions, functional and cognitive impairment, anorexia and mood disorder. RESULTS: 165 cases at 3 months after hospital discharge, 8.5% died and 20% required at least one hospital readmission. The presence of severe dependence at discharge (BI < 40) was associated at 3 months with a higher risk of mortality (OR 5.08; 95% CI 1.53–16.91) and readmissions (OR 4.53; 95% CI 1.96–10.49). The post-hospitalization functional deterioration was associated with persistence of deterioration at 3 months (OR 24.57; 95% CI 9.24–65.39), cognitive deterioration (OR 2.32; 95% CI 1.03–5.25) and affective (OR 4.40; 95% CI 1.84–10.55) CONCLUSIONS: Loss function in older people after hospitalization by COVID-19 may contribute to identify patients with a higher risk of sequelae in the short term that require closer follow-up. Springer International Publishing 2021-05-31 2021 /pmc/articles/PMC8165338/ /pubmed/34057701 http://dx.doi.org/10.1007/s41999-021-00516-1 Text en © European Geriatric Medicine Society 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Brief Report
Carrillo-Garcia, Pamela
Garmendia-Prieto, Blanca
Cristofori, Giovanna
Montoya, Isabel Lozano
Hidalgo, Javier Jaramillo
Feijoo, Maribel Quezada
Cortés, Juan José Baztán
Gómez-Pavón, Javier
Health status in survivors older than 70 years after hospitalization with COVID-19: observational follow-up study at 3 months
title Health status in survivors older than 70 years after hospitalization with COVID-19: observational follow-up study at 3 months
title_full Health status in survivors older than 70 years after hospitalization with COVID-19: observational follow-up study at 3 months
title_fullStr Health status in survivors older than 70 years after hospitalization with COVID-19: observational follow-up study at 3 months
title_full_unstemmed Health status in survivors older than 70 years after hospitalization with COVID-19: observational follow-up study at 3 months
title_short Health status in survivors older than 70 years after hospitalization with COVID-19: observational follow-up study at 3 months
title_sort health status in survivors older than 70 years after hospitalization with covid-19: observational follow-up study at 3 months
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8165338/
https://www.ncbi.nlm.nih.gov/pubmed/34057701
http://dx.doi.org/10.1007/s41999-021-00516-1
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