Consequences of COVID-19 for geriatric patients during a pandemic
Abstract To investigate the outcomes of geriatric COVID-19 patients in a German academic setting during the pandemic. This study included 468 consecutive geriatric patients (≥ 70 years) who tested positive for SARS-CoV-2 and were treated at the University of Duisburg-Essen from 2/2020 to 3/2021. 74...
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Nature Portfolio
2025-01-01
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| Online Access: | https://doi.org/10.1038/s41598-024-84379-z |
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| author | Ludwig Wemhöner Charlotte Brandts Hannah Dinse Eva-Maria Skoda Sarah Jansen Martin Teufel Hana Rohn Richard Dodel |
| author_facet | Ludwig Wemhöner Charlotte Brandts Hannah Dinse Eva-Maria Skoda Sarah Jansen Martin Teufel Hana Rohn Richard Dodel |
| author_sort | Ludwig Wemhöner |
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| description | Abstract To investigate the outcomes of geriatric COVID-19 patients in a German academic setting during the pandemic. This study included 468 consecutive geriatric patients (≥ 70 years) who tested positive for SARS-CoV-2 and were treated at the University of Duisburg-Essen from 2/2020 to 3/2021. 74 patients were transferred to a geriatric hospital and a 12-month follow-up (prospective study) was performed in 51 patients. Clinical assessments evaluated depression (GDS), apathy (AES), cognitive status (MMST), mobility (TUG), health status (EQ-5D-5 L), and daily living activities (Barthel Index). Demographic and clinical data were also analyzed. Results showed that the mortality in this vulnerable group was 52% (n = 209). Long-term survival was higher in patients who received comprehensive geriatric treatment (74.3% vs. 51.8%). The duration of inpatient stay at the primary hospital was 13.3 ± 3.6 days, with 28.8% (n = 135) requiring intensive care. At the 12-month mark more patients with geriatric treatment lived in nursing homes. Barthel-Index/Timed-Up-and-Go-Test/MMST/AES/GDS, and EQ-5D-5 L indicated worse outcomes in the group who received geriatric treatment. Specialized geriatric care may improve survival in geriatric COVID-19 patients despite decreased long-term outcomes. Further research, including international studies like NAPKON, are encouraged to confirm these findings and explore potential interventions for improved outcomes in this vulnerable population. |
| format | Article |
| id | doaj-art-1d96e1a35dd84f5c882380f64e8eb05b |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj-art-1d96e1a35dd84f5c882380f64e8eb05b2025-01-26T12:29:01ZengNature PortfolioScientific Reports2045-23222025-01-0115111010.1038/s41598-024-84379-zConsequences of COVID-19 for geriatric patients during a pandemicLudwig Wemhöner0Charlotte Brandts1Hannah Dinse2Eva-Maria Skoda3Sarah Jansen4Martin Teufel5Hana Rohn6Richard Dodel7Department of Geriatric Medicine, University Duisburg-EssenDepartment of Geriatric Medicine, University Duisburg-EssenClinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, University of Duisburg-EssenClinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, University of Duisburg-EssenDepartment of Infectious Diseases, West German Centre of Infectious Diseases, University Medicine Essen University Hospital Essen, University Duisburg-EssenClinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, University of Duisburg-EssenDepartment of Infectious Diseases, West German Centre of Infectious Diseases, University Medicine Essen University Hospital Essen, University Duisburg-EssenDepartment of Geriatric Medicine, University Duisburg-EssenAbstract To investigate the outcomes of geriatric COVID-19 patients in a German academic setting during the pandemic. This study included 468 consecutive geriatric patients (≥ 70 years) who tested positive for SARS-CoV-2 and were treated at the University of Duisburg-Essen from 2/2020 to 3/2021. 74 patients were transferred to a geriatric hospital and a 12-month follow-up (prospective study) was performed in 51 patients. Clinical assessments evaluated depression (GDS), apathy (AES), cognitive status (MMST), mobility (TUG), health status (EQ-5D-5 L), and daily living activities (Barthel Index). Demographic and clinical data were also analyzed. Results showed that the mortality in this vulnerable group was 52% (n = 209). Long-term survival was higher in patients who received comprehensive geriatric treatment (74.3% vs. 51.8%). The duration of inpatient stay at the primary hospital was 13.3 ± 3.6 days, with 28.8% (n = 135) requiring intensive care. At the 12-month mark more patients with geriatric treatment lived in nursing homes. Barthel-Index/Timed-Up-and-Go-Test/MMST/AES/GDS, and EQ-5D-5 L indicated worse outcomes in the group who received geriatric treatment. Specialized geriatric care may improve survival in geriatric COVID-19 patients despite decreased long-term outcomes. Further research, including international studies like NAPKON, are encouraged to confirm these findings and explore potential interventions for improved outcomes in this vulnerable population.https://doi.org/10.1038/s41598-024-84379-zCovid-19PandemicInfectionMortalityComprehensive geriatric treatment |
| spellingShingle | Ludwig Wemhöner Charlotte Brandts Hannah Dinse Eva-Maria Skoda Sarah Jansen Martin Teufel Hana Rohn Richard Dodel Consequences of COVID-19 for geriatric patients during a pandemic Scientific Reports Covid-19 Pandemic Infection Mortality Comprehensive geriatric treatment |
| title | Consequences of COVID-19 for geriatric patients during a pandemic |
| title_full | Consequences of COVID-19 for geriatric patients during a pandemic |
| title_fullStr | Consequences of COVID-19 for geriatric patients during a pandemic |
| title_full_unstemmed | Consequences of COVID-19 for geriatric patients during a pandemic |
| title_short | Consequences of COVID-19 for geriatric patients during a pandemic |
| title_sort | consequences of covid 19 for geriatric patients during a pandemic |
| topic | Covid-19 Pandemic Infection Mortality Comprehensive geriatric treatment |
| url | https://doi.org/10.1038/s41598-024-84379-z |
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