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10.1136/bmjopen-2020-040569

http://scihub22266oqcxt.onion/10.1136/bmjopen-2020-040569
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suck abstract from ncbi


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pmid32994260      BMJ+Open 2020 ; 10 (9): e040569
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  • Study protocol for the COPE study: COVID-19 in Older PEople: the influence of frailty and multimorbidity on survival A multicentre, European observational study #MMPMID32994260
  • Price A; Barlow-Pay F; Duffy S; Pearce L; Vilches-Moraga A; Moug S; Quinn T; Stechman M; Braude P; Mitchell E; Myint PK; Verduri A; McCarthy K; Carter B; Hewitt J
  • BMJ Open 2020[Sep]; 10 (9): e040569 PMID32994260show ga
  • INTRODUCTION: This protocol describes an observational study which set out to assess whether frailty and/or multimorbidity correlates with short-term and medium-term outcomes in patients diagnosed with COVID-19 in a European, multicentre setting. METHODS AND ANALYSIS: Over a 3-month period we aim to recruit a minimum of 500 patients across 10 hospital sites, collecting baseline data including: patient demographics; presence of comorbidities; relevant blood tests on admission; prescription of ACE inhibitors/angiotensin receptor blockers/non-steroidal anti-inflammatory drugs/immunosuppressants; smoking status; Clinical Frailty Score (CFS); length of hospital stay; mortality and readmission. All patients receiving inpatient hospital care >18 years who receive a diagnosis of COVID-19 are eligible for inclusion. Long-term follow-up at 6 and 12 months is planned. This will assess frailty, quality of life and medical complications.Our primary analysis will be short-term and long-term mortality by CFS, adjusted for age (18-64, 65-80 and >80) and gender. We will carry out a secondary analysis of the primary outcome by including additional clinical mediators which are determined statistically important using a likelihood ratio test. All analyses will be presented as crude and adjusted HR and OR with associated 95% CIs and p values. ETHICS AND DISSEMINATION: This study has been registered, reviewed and approved by the following: Health Research Authority (20/HRA1898); Ethics Committee of Hospital Policlinico Modena, Italy (369/2020/OSS/AOUMO); Health and Care Research Permissions Service, Wales; and NHS Research Scotland Permissions Co-ordinating Centre, Scotland. All participating units obtained approval from their local Research and Development department consistent with the guidance from their relevant national organisation.Data will be reported as a whole cohort. This project will be submitted for presentation at a national or international surgical and geriatric conference. Manuscript(s) will be prepared following the close of the project.
  • |*Coronavirus Infections/diagnosis/mortality/therapy[MESH]
  • |*Frail Elderly/psychology/statistics & numerical data[MESH]
  • |*Frailty/diagnosis/epidemiology[MESH]
  • |*Multimorbidity[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral/diagnosis/mortality/therapy[MESH]
  • |*Quality of Life[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Betacoronavirus/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Correlation of Data[MESH]
  • |Europe/epidemiology[MESH]
  • |Female[MESH]
  • |Geriatric Assessment/methods[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Multicenter Studies as Topic[MESH]
  • |Observational Studies as Topic[MESH]
  • |Public Health/*methods[MESH]
  • |SARS-CoV-2[MESH]


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