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Evolution of Mortality by Age Group in Patients With COVID-19 Above 60 Years of Age
Maria Regina Pereira de Godoy1, Maria Lucia Machaso Salomão2, Flavia Queiroz3
1Clinica Medica, Faculdade de Medicina de Sao Jose do Rio Preto (FAMERP), Sao Jose do Rio Preto, BRA.
Insights
Older adults experienced higher COVID-19 mortality, though vaccination reduced hospitalizations. Further research is needed to understand vaccine protection against mortality in this vulnerable group.
Area of Science:
- Medicine
- Epidemiology
- Public Health
Background:
- Coronavirus disease 2019 (COVID-19) poses a significant threat, particularly to older populations.
- Disease severity and mortality rates are heightened in elderly COVID-19 patients.
Purpose of the Study:
- To analyze COVID-19 hospitalizations and mortality trends in patients over 60 years old.
- To assess age-specific mortality patterns in older adults during the pandemic.
Main Methods:
- Retrospective clinical trial analysis of 2,359 patients over 60 admitted to a Brazilian reference center.
- Data collected from March 2020 to April 2021, with mortality analyzed across 10-year age groups.
- Fisher's exact test used to evaluate increases in age-specific mortality.
Main Results:
- An increasing trend in mortality was observed across decades within the study period.
- A notable reduction in hospitalizations was documented following patient vaccination.
- Vaccination demonstrated a positive impact on reducing hospital admissions for older adults.
Conclusions:
- Mortality rates for COVID-19 are significantly higher in patients over 60 compared to younger individuals.
- While vaccines have decreased hospitalization rates in this demographic, their impact on mortality requires additional investigation.
- Further evaluation is necessary to fully ascertain the protective effect of vaccines against COVID-19 mortality in the elderly.
Abstract:
Introduction The severity of the diseases associated with the coronavirus worsen the results, increasing the mortality of these patients. Objective The aim of the present study is to report coronavirus disease 2019 (COVID-19) hospitalizations and mortality in 2,359 patients aged over 60 years in a reference center in Brazil. Method The evolution of hospitalizations and overall mortality of patients admitted to Hospital de Base were evaluated in a clinical trial, then selecting patients aged over 60 years, by age group every 10 years, from March 2020 to April 2021, and analyzing whether there was an increase in mortality in age groups, assessed by Fisher's exact test. Results There was an increase in mortality over the decades in this period, but a reduction in hospitalizations after patient vaccination. Conclusion Mortality in patients over 60 years of age is higher than in younger patients, where the vaccine has reduced their hospitalization, but individual patient protection regarding mortality needs further evaluation.
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