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Polymorbidity in seniors hospitalized for COVID-19

Martin Dubrava, Jarmila Janosiova, Jakub Borucky

    Bratislavske Lekarske Listy
    |April 14, 2022
    PubMed

    Insights

    Seniors hospitalized with COVID-19 have a high burden of multiple chronic conditions, especially those in social care facilities. This highlights significant health risks and the need for targeted interventions for elderly patients with severe coronavirus disease.

    Area of Science:

    • Gerontology
    • Infectious Diseases
    • Epidemiology

    Background:

    • Senior health is often marked by polymorbidity, increasing COVID-19 risks.
    • Data on polymorbidity in elderly COVID-19 patients are limited.
    • COVID-19 poses a significant mortality risk for seniors.

    Purpose of the Study:

    • To investigate the prevalence and types of comorbidities in hospitalized seniors with COVID-19.
    • To identify risk factors associated with higher comorbidity burden in this population.

    Main Methods:

    • Retrospective observational study of 155 seniors (mean age 82) hospitalized for COVID-19.
    • Analysis of 48 accompanying diseases.
    • Comparison between residents of social care facilities and home-living seniors.

    Main Results:

    • Seniors had a mean of 13.1 comorbidities; 72.3% had excessive comorbidity (>10 diseases).
    • Common comorbidities included arterial hypertension (86%), chronic kidney disease (86%), and hepatopathy (82%).
    • Social care facility residents exhibited significantly higher polymorbidity and risk of excessive comorbidity.

    Conclusions:

    • Hospitalized seniors with severe COVID-19 experience a substantial burden of comorbidities.
    • Seniors residing in social care facilities are at particularly high risk.
    • Age is associated with increased comorbidity, with those 80+ having 11+ conditions.
    Abstract

    Keywords:
    COVID-19geriatrics polymorbidity.

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