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  1. Home
  3. Leveraging Independence And Mental Fitness - Keys To Reducing In-hospital Mortality Among Geriatric Covid-19 Patients In The Intensive Care Unit: A Cross-sectional Study In Poland.
  1. Home
  3. Leveraging Independence And Mental Fitness - Keys To Reducing In-hospital Mortality Among Geriatric Covid-19 Patients In The Intensive Care Unit: A Cross-sectional Study In Poland.

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Leveraging independence and mental fitness - keys to reducing in-hospital mortality among geriatric COVID-19 patients

Anna Woźniak1, Weronika Misiąg2, Patrycja Leśnik3

  • 1Division of Internal Medicine Nursing, Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, Poland.

Dental and Medical Problems
|August 2, 2024

View abstract on PubMed

Summary
This summary is machine-generated.
Keywords:
COVID-19depressionintensive care unitquality of life

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Geriatric COVID-19 patients

Area of Science:

  • Geriatric Medicine
  • Infectious Diseases
  • Public Health

Background:

  • COVID-19 pandemic impacted global health, affecting geriatric populations significantly.
  • Geriatric patients in intensive care units (ICUs) face risks to cognitive function and daily living independence.
  • Prognosis and in-hospital mortality in elderly COVID-19 patients are linked to cognitive performance and daily activities.

Purpose of the Study:

  • To evaluate independence in activities of daily living (ADL), mental fitness, COVID-19 fear, and cognitive function in geriatric COVID-19 patients.
  • To determine the impact of these factors on in-hospital mortality.
  • To identify key indicators for prognosis in elderly COVID-19 patients.

Main Methods:

  • Cross-sectional study of 300 ICU patients with COVID-19.
  • Utilized Lawton Instrumental Activities of Daily Living (IADL) scale, Katz ADL index, Fear of COVID-19 Scale (FCV-19S), Abbreviated Mental Test Score (AMTS), and Geriatric Depression Scale (GDS15).

    • Main Results:

    • Younger patients (≤64 years) showed greater independence in basic and instrumental ADL and higher mental fitness (p=0.001).
    • Independence in basic and complex ADL significantly influenced patient survival and in-hospital mortality.
    • Older patients (≥65 years) exhibited lower independence and cognitive function.

    Conclusions:

    • Independence level is a crucial prognostic indicator for in-hospital mortality in geriatric COVID-19 patients.
    • Higher mental fitness correlates with greater independence in basic and instrumental ADL.
    • Elderly COVID-19 patients (≥65 years) demonstrate reduced independence and cognitive function, impacting their outcomes.