老年患者的COVID-19:疾病严重程度的危险因素
Pınar Korkmaz1, Duru Mıstanoğlu-Özatağ1, Halil Aslan2
1Department of Infectious Diseases and Clinical Microbiology, Kütahya Health Sciences University School of Medicine, Kütahya, Turkey.
Infectious diseases & clinical microbiology
|April 18, 2024
概括
在老年患者中识别严重的COVID-19的早期临床症状,如咳和呼吸短促,以及特定的CT发现,如膜溢出和透,可以改善结果.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 老年患者非常容易受到SARS-COV-2 (COVID-19) 感染的严重结果的影响.
- 与年龄相关的因素增加了COVID-19老年人的并发症和死亡风险.
研究的目的:
- 在65岁以上的患者中,确定与严重的COVID-19相关的临床和放射性因素.
- 评估老年COVID-19患者严重疾病进展的预测因素.
主要方法:
- 对134名被诊断患有COVID-19的老年患者 (≥65岁) 的回顾性分析.
- 评估临床症状,并发症,胸部计算机断层扫描 (CT) 发现和治疗结果.
主要成果:
- 在39.6%的患者中观察到严重的COVID-19. 关键症状包括疲劳,咳和呼吸短促.
- 胸部CT显示地面玻璃不透明 (94.8%),透 (42.5%) 和整合 (32.8%). 双边参与是很常见的 (93.3%).
- 多变量分析确定了咳,入院时呼吸短促,以及CT发现的骨质疏通和多流液作为严重疾病的显著预测因素 (p<0.05).
结论:
- 早期识别特定症状 (咳,呼吸短促) 和CT发现 (多发性溢出,脱氧) 对于管理老年人严重的COVID-19至关重要.
- 基于这些指标的及时医疗干预可能有助于减轻这种脆弱人群的不良临床结果.
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