We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Factors Affecting Mortality in Geriatric Patients with COVID-19.
- Authors
Şanlı, Deniz; Küçük, Murat
- Abstract
Objective: Intensive care unit mortality is high in geriatric patients with coronavirus disease-19 (COVID-19) infection. Identification of risk factors associated with mortality in this age group is important as it can help predict the prognosis of patients.It is the determination of risk factors associated with mortality in geriatric COVID-19 patients. Materials and Methods: Critical patients with COVID-19 disease, over 65 years of age, with polymerase chain reaction positivity and/ or radiologically compatible with COVID-19 pneumonia findings were included in the study. Patients were examined in two separate groups as “survive” and “non-survive” according to intensive care mortality and the data of the patients were compared. Results: A total of 132 patients (median age 76 years, 68.2% male) were divided into two groups as follow: Survive (n=33) and non-survive (n=99) were assessed. Median age (71 vs 77, p<0.01), APACHE II score (19 vs 22, p<0.01), D-dimer levels (1.20 vs 2.20 ug/mL, p<0.01), and the incidence of septic shock (24.20% vs 89.90%, p<0.01) and the need for invasive mechanical ventilation at 24th hour on admission (18.20% vs 45.50%, p<0.01) were higher in the non-survive group than the survive group. In logistic regression analysis, septic shock (odds ratio, 25.53, 95% confidence interval, 8.37-77.87, p<0.01) was the independent risk factor for mortality. Conclusion: Since the beginning of the COVID-19 pandemic, mortality in critically ill patients is higher in geriatric patients. There are studies reporting predictors of mortality in this patient group. Age, high APACHE score, need for mechanical ventilation are also significant in our study, consistent with the literature. In addition, given immunosuppressive treatments are risk factors for the development of sepsis. Early diagnosis of sepsis and management of septic shock are important in geriatric critical COVID-19 patients.
- Publication
Turkish Journal of Intensive Care, 2022, Vol 20, p37
- ISSN
2146-6416
- Publication type
Academic Journal