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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Eur+Geriatr+Med
2020 ; 11
(5
): 829-841
Nephropedia Template TP
gab.com Text
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English Wikipedia
Clinical presentation and outcome across age categories among patients with
COVID-19 admitted to a Spanish Emergency Department
#MMPMID32671732
Martín-Sánchez FJ
; Del Toro E
; Cardassay E
; Valls Carbó A
; Cuesta F
; Vigara M
; Gil P
; López Picado AL
; Martínez Valero C
; Miranda JD
; Lopez-Ayala P
; Chaparro D
; Cozar López G
; Del Mar Suárez-Cadenas M
; Jerez Fernández P
; Angós B
; Díaz Del Arco C
; Rodríguez Adrada E
; Montalvo Moraleda MT
; Espejo Paeres C
; Fernández Alonso C
; Elvira C
; Chacón A
; García Briñón MÁ
; Fernández Rueda JL
; Ortega L
; Fernández Pérez C
; González Armengol JJ
; González Del Castillo J
Eur Geriatr Med
2020[Oct]; 11
(5
): 829-841
PMID32671732
show ga
PURPOSE: To determine the differences by age-dependent categories in the clinical
profile, presentation, management, and short-term outcomes of patients with
laboratory-confirmed COVID-19 admitted to a Spanish Emergency Department (ED).
METHODS: Secondary analysis of COVID-19_URG-HCSC registry. We included all
consecutive patients with laboratory-confirmed COVID-19 admitted to the ED of the
University Hospital Clinico San Carlos (Madrid, Spain). The population was
divided into six age groups. Demographic, baseline and acute clinical data, and
in-hospital and 30-day outcomes were collected. RESULTS: 1379 confirmed COVID-19
cases (mean age 62 (SD 18) years old; 53.5% male) were included (18.1%?45
years; 17.8% 45-54 years; 17.9% 55-64 years; 17.2% 65-74 years; 17.0% 75-84
years; and 11.9% ??85 years). A statistically significant association was found
between demographic, comorbidity, clinical, radiographic, analytical, and
therapeutic variables and short-term results according to age-dependent
categories. There were less COVID-specific symptoms and more atypical symptoms
among older people. Age was a prognostic factor for hospital admission
(aOR?=?1.04; 95% CI 1.02-1.05) and in-hospital (aOR?=?1.08; 95% CI 1.05-1.10) and
30-day mortality (aOR?=?1.07; 95% CI 1.04-1.09), and was associated with not
being admitted to intensive care (aOR?=?0.95; 95% CI 0.93-0.98). CONCLUSIONS:
Older age is associated with less COVID-specific symptoms and more atypical
symptoms, and poor short-term outcomes. Age has independent prognostic value and
may help in shared decision-making in patients with confirmed COVID-19 infection.