在大流行期间,COVID-19对老年患者的后果
Ludwig Wemhöner1,2, Charlotte Brandts1,2, Hannah Dinse3,4
1Department of Geriatric Medicine, University Duisburg-Essen, Essen, Germany.
Scientific reports
|January 24, 2025
概括
老年COVID-19患者面临高死亡率 (52%),但综合老年治疗改善了长期生存率. 专业护理改善了老年COVID-19幸存者的生存率,尽管老年COVID-19幸存者的功能下降.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19的流行,不成比例地影响了脆弱的老年人群.
- 了解SARS-CoV-2感染的老年患者的结果对于公共卫生战略至关重要.
研究的目的:
- 调查COVID-19的老年患者 (≥70岁) 的临床结果和生存率.
- 为了比较接受标准护理与综合老年治疗的患者之间的结果.
主要方法:
- 一项针对468名老年患者的前性研究,对SARS-CoV-2的检测结果呈阳性.
- 临床评估包括抑郁,冷漠,认知,移动性,健康状况和日常生活活动.
- 对51名患者进行了12个月的随访,对老年治疗影响进行了比较分析.
主要成果:
- 在老年COVID-19队列中,死亡率为52%.
- 在接受综合老年治疗的患者中,长期存活率显著更高 (74.3%与51.8%相比).
- 接受老年治疗的患者在12个月后的功能结果 (移动性,日常生活) 更差,但存活率更高.
结论:
- 专门的老年医疗护理可以改善老年COVID-19患者的生存率.
- 虽然生存率有所提高,但功能长期结果可能会受到损害,需要进一步调查.
- 需要国际合作和研究,以优化对这一高风险群体的护理.
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