Evaluation of Comorbidities, Laboratory Findings and Clinical Outcomes in Elderly Patients with COVID-19

Authors : Gökhan ÇAKIRCA, Tuba DAMAR ÇAKIRCA

Pages : 19-24

Doi:10.35440/hutfd.1186111

View : 11 | Download : 4

Publication Date : 2023-04-27

Article Type : Research Paper

Abstract :Background: In this study, we aimed to analyze the underlying diseases, laboratory findings and clinical outcomes of elderly patients infected with COVID-19. We also investigated the value of laboratory parameters in the estimation of critical cases and mortality in elderly patients. Materials and Methods: The study included 314 elderly patients aged 60 years and older who were diagnosed with COVID-19.The patients were divided into two groups according to age, as young old patients insert ignore into journalissuearticles values(60-74 years); and old old patients insert ignore into journalissuearticles values(≥75 years);. Participants\` age, gender, underlying diseases, laboratory findings, disease severity and survival data were obtained from hospital records. Results: The most common comorbidities in elderly patients were hypertension insert ignore into journalissuearticles values(57.6%);, diabetes mellitus insert ignore into journalissuearticles values(33.8%); and cardiovascular disease insert ignore into journalissuearticles values(28%);. Old old patients had higher rates of critical type insert ignore into journalissuearticles values(63.4% vs 30.8%, P<0.001); and death insert ignore into journalissuearticles values(41.9% vs 21.3%, P<0.001); compared to young old patients. The leukocyte count, neutrophil count, urea, creatinine, C-reactive protein insert ignore into journalissuearticles values(CRP);, procalcitonin, ferritin, troponin T, creatine kinase-MB, prothrombin time and D-dimer values were higher in the old old group compared to the young old group. In contrast, hemoglobin and albumin values were lower in the old old group. The areas under the curve insert ignore into journalissuearticles values(AUC); of albumin, CRP, procalcitonin, ferritin, troponin T and prothrombin time were greater than 0.80 to predict critically elderly COVID-19 patients. Ferritin had the highest AUC for predicting death insert ignore into journalissuearticles values(AUC: 0.819); followed by CRP insert ignore into journalissuearticles values(AUC: 0.805); and procalcitonin insert ignore into journalissuearticles values(AUC: 0.796);. Conclusions: We found higher rates of critical type and death in old old patients compared to young old patients. In addition, ferritin, CRP, and procalcitonin were strong predictors of both disease severity and mortality in COVID-19-infected elderly subjects.
Keywords : COVID 19, Yaşlı Hastalar, Klinik sonuçlar, Hastalık şiddeti, Laboratuvar parametreleri