Características epidemiológicas de 85 pacientes con infección por COVID-19 en una residencia de ancianos en Medina del Campo
- Hilda Fernández Ovalle
- María Cristina Gutiérrez Lora
- Ismael Calcerrada Alises
- María San Millán González
- Patricia Rodríguez Fernández
- María Isabel Blanco de la Fuente
- María Fe Muñoz Moreno
ISSN: 0214-8986
Année de publication: 2022
Volumen: 11
Número: 2
Pages: 58-64
Type: Article
D'autres publications dans: Medicina general
Résumé
Introduction. The coronavirus disease 2019 (COVID-19) has been affecting our country in a dramatic way, causing death in thousands of people. This problem was even more serious in elderly and institutionalized people. Material and methods. We performed a cross-sectional study from March to November 2020 in patients diagnosed with COVID-19, in a nursing. Sociodemographic variables, clinic history, clinical index (Barthel and Charlson), therapeutic healthcare and pattern ecografic variables were analyzed with the SPSS version 24 program. Results. A total of 85 patients infected with COVID-19 were included in the study. The mean age was 85.52 ± 11.21 SD, with a gender distribution of 24.7% men and 75.3% women. 52.9% of the patients were asymptomatic, and 47.1% presented some of the symptoms of the disease. Following Barthel index, 11.9% were independent, 40.5% were mildly dependent, 28.6% moderately dependent and 19% were highly dependent. According to Charlson index: no comorbidity in 67.1%; mild comorbidity 24.7% and high comorbidity 8.2%. Mortality rate was 10.6%. In a bivariate study, we have found statistically significant differences when analyzing mortality in the different age groups, being higher in patients ≥ 90 y. o. (p =0.007). Ultrasound pattern of the patients six months after the onset of the disease, showed a higher proportion of Pulmonary Aeration (87.1%) compared to interstitial ultrasound pattern (12.9%). Conclusions. This study shows that older age increases the risk of mortality. It supports the need for a comprehensive model for the management of these patients in nursing homes.