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Clinical Characteristics and Outcomes in Elderly Patients With COVID-19: A Single-Centre Retrospective Study
Kartik Mittal1, Minakshi Dhar1, Monika Pathania1
1Internal Medicine, All India Institute of Medical Sciences, Rishikesh, IND.
Insights
Elderly patients hospitalized with COVID-19 experienced significantly different outcomes, including higher mortality and rehospitalization rates. This highlights a need for increased hospital resources for older adults during pandemics.
Area of Science:
- Geriatric Medicine
- Infectious Diseases
- Public Health
Background:
- Limited research exists on outcome disparities for elderly patients hospitalized with coronavirus disease 2019 (COVID-19).
- Understanding these differences is crucial for improving care and resource allocation for older adults.
Purpose of the Study:
- To investigate clinical characteristics and outcomes in elderly patients hospitalized with COVID-19.
- To compare outcomes between elderly and younger adult COVID-19 patients.
Main Methods:
- A single-center retrospective study was conducted in North India.
- Data from elderly patients (≥ 60 years) hospitalized with COVID-19 between May 2020 and May 2021 were analyzed.
- A six-month follow-up assessed rehospitalizations and post-discharge mortality.
Main Results:
- Elderly COVID-19 patients showed statistically significant differences in in-hospital mortality.
- Complications, length of stay, rehospitalizations, and post-discharge mortality were significantly higher in the elderly group.
- The elderly cohort required greater hospital resource utilization.
Conclusions:
- Clinical characteristics and outcomes for hospitalized elderly COVID-19 patients significantly differ from younger adults.
- There is a clear need for enhanced hospital resource allocation for elderly patients during COVID-19.
- Findings can inform pandemic preparedness strategies for vulnerable age groups.
Background:
Even with the wide base of knowledge that has been accumulated regarding coronavirus disease 2019 (COVID-19), only limited studies have tried to establish differences in outcomes of elderly patients hospitalized with COVID-19. We, thus, conducted a retrospective study on a large cohort of hospitalized patients with COVID-19 to improve the understanding of such differences and add to the evidence available regarding this age group. Methods: This is a single-centre retrospective study conducted at a tertiary level hospital in the state of Uttarakhand in North India to determine clinical characteristics and outcomes in elderly patients (≥ 60 years) hospitalized with COVID-19 between May 1, 2020, and May 31, 2021. Our study included a retrospective follow-up at six months to also determine rehospitalizations and post-discharge mortality.
Results:
There was a statistically significant difference (p<0.05) in in-hospital mortality, various in-hospital complications, duration of stay, number of rehospitalizations at six months, and post-discharge mortality up to six months in the elderly age group hospitalized with COVID-19.
Conclusions:
This retrospective study demonstrates that the clinical characteristics and outcomes in hospitalized elderly with COVID-19 differ significantly from the younger adult population and demonstrates a need for greater hospital resource utilization in this age group. These results will help policymakers be better prepared for future pandemics.
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