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Prevalence of multiple risk factors for poor outcomes associated with COVID-19 among an elderly Australian population
N L Pratt1, L M Kalisch Ellett2, A Q Andrade3
1PhD, Associate Professor, Quality Use of Medicines and Pharmacy Research Centre, Clinical and Health Sciences, University of South Australia, SA.
Insights
Most older Australians in the Department of Veterans
Area of Science:
- Gerontology
- Epidemiology
- Public Health
Background:
- COVID-19 (Coronavirus Disease 2019) poses significant risks for older adults.
- Key risk factors for severe COVID-19 outcomes include advanced age, male sex, and chronic health conditions.
Purpose of the Study:
- To determine the prevalence of COVID-19 risk factors in older Australian veterans.
- To assess the burden of individual and multiple risk factors within this demographic.
Main Methods:
- Analysis of Department of Veterans' Affairs (DVA) clients aged 70 years and older.
- Calculation of the proportion of individuals with one or more risk factors.
- Identification of the most common individual and multiple risk factors.
Main Results:
- A high prevalence of COVID-19 risk factors was observed: 79% in the community and 82% in residential aged care.
- Hypertension was the most common risk factor, followed by chronic heart and respiratory diseases.
- Over 50% of individuals had two or more risk factors, and 20% had three or more across multiple body systems.
Conclusions:
- A significant portion of older Australian veterans possess a multimorbid risk profile, increasing their vulnerability to severe COVID-19.
- Prioritizing these individuals for proactive monitoring is crucial to prevent care omissions and mitigate harm during the pandemic.
Background And Objectives:
Increasing age, male sex and various chronic conditions have been identified as important risk factors for poor outcomes from COVID-19. The aim of this study was to examine the prevalence of risk factors for poor outcomes due to COVID-19 infection in an older population.
Method:
The proportion of the population with one or more risk factors and the prevalence of individual risk factors and multiple risk factors were calculated among Department of Veterans' Affairs (DVA) clients aged ≥70 years.
Results:
There were 103,422 DVA clients included. Of these, 79% in the community and 82% in residential aged care had at least one risk factor for poor outcomes from COVID-19. Hypertension was most prevalent, followed by chronic heart and airways disease. Over half had ≥2 risk factors, and one in five had ≥3 risk factors across multiple body systems.
Discussion:
A substantial proportion of older Australians are at risk of poor outcomes from COVID-19 because of their multimorbid risk profile. These patients should be prioritised for proactive monitoring to avoid unintentional harm due to potential omission of care during the pandemic.
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