TABLE 6.
Characteristics, complications, and outcomes of older patients ≥70 hospitalized with COVID-19 according to living situation
| Independent Living (Home or Autonomous Residence) | Long-Term Care | |
|---|---|---|
| N | 106 | 154 |
|
| ||
| Characteristics | ||
|
| ||
| Female – no. (%) | 41 (39) | 86 (56) |
|
| ||
| Mean age (yr) | 82 | 83 |
|
| ||
| Geriatric Syndrome at Presentation: no. (%) | ||
| Fall(s) | 14 (13) | 25 (16) |
| Delirium | 16 (15) | 60 (39) |
| Functional decline | 8 (8) | 29 (19) |
|
| ||
| Complications: no. (%) | ||
| Any | 85 (80) | 135 (88) |
| Cardiovascular | ||
| NSTEMIa or unstable angina | 16 (16) | 18 (12) |
| STEMIb | 16 (15) | 18 (12) |
| Hematological | ||
| Disseminated intravascular coagulation | 0 (0) | 2 (1) |
| Thrombocytopenia (<100 x 109/L) | 17(16) | 22(14) |
| Venous thromboembolismc,d | 4 (4) | 1 (1) |
| Infectious | ||
| Clostridiodes difficile infection | 1 (1) | 2 (1) |
| Septic shock | 4 (4) | 2 (1) |
| Bacterial pneumonia superinfection | 19 (18) | 25 (16) |
| New geriatric syndrome | ||
| New fall(s) | 1 (1) | 6 (4) |
| New delirium | 25 (24) | 52 (34) |
| Pressure injury | 5 (5) | 5 (3) |
| Malnutrition or denutrition | 8 (8) | 16 (10) |
| Deconditioning | 10 (9) | 11 (7) |
| Renal and metabolic | ||
| Acute kidney injury | 40 (38) | 52 (34) |
| Hyponatremia (≤128 mmol/L) | 11 (10) | 11 (7) |
| Hypernatremia (≥148 mmol/L) | 27 (26) | 50 (32) |
| Rhabdomyolysis | 3 (3) | 2 (1) |
| Transaminitis (ALTe x 3 upper normal limit) | 12 (11) | 5 (3) |
| ICU and ventilatory support | ||
| Admission to ICU if within goals of care (N = 68 for independent, N = 51 for long-term care) | 30 (44) | 9 (18) |
| Intubation and mechanical ventilation (N = 68 for independent, N = 51 for long-term care) | 17 (25) | 3 (6) |
|
| ||
| Outcomes | ||
| Discharge from hospital: no. (%) | 73 (70) | 105 (68) |
| Mean length of stay: days | 21 | 21 |
| Death: no. (%) | 32 (30) | 50 (32) |
| Mean length of stay: days | 22 | 11 |
a
Non-ST Elevation Myocardial Infarction.
b
ST Elevation Myocardial Infarction.
c
Definitive diagnose of pulmonary embolism via CT-angio or V/Q scan at any point in time during admission and of deep vein thrombosis via duplex.
d
Includes massive, hilar, segmental, and subsegmental pulmonary embolisms.
e
Alanine Aminotransferase.