We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Atypical presentations in the hospitalised older adult testing positive for SARS-CoV-2: a retrospective observational study in Glasgow, Scotland.
- Authors
Davis, Peter; Gibson, Rory; Wright, Emily; Bryan, Amy; Ingram, Jamie; Lee, Ren Ping; Godwin, Jon; Evans, Tom; Burleigh, Elizabeth; Wishart, Steven; Capek, Eileen; Mitchell, Lara
- Abstract
Introduction: Understanding of how SARS-CoV-2 manifests itself in older adults was unknown at the outset of the pandemic. We undertook a retrospective observational analysis of all patients admitted to older people's services with confirmed COVID-19 in one of the largest hospitals in Europe. We detail presenting symptoms, prognostic features and vulnerability to nosocomial spread. Methods: We retrospectively collected data for each patient with a positive SARSCoV-2 RT PCR between 18th March and the 20th April 2020 in a department of medicine for the elderly in Glasgow. Results: 222 patients were included in our analysis. Age ranged from 56 to 99 years (mean = 82) and 148 were female (67%). 119 patients had a positive swab for SARS-CoV-2 within the first 14 days of admission, only 32% of these patients presented with primarily a respiratory type illness. 103 patients (46%) tested positive after 14 days of admission – this was felt to represent likely nosocomial infection. 95 patients (43%) died by day 30 after diagnosis. Discussion: This data indicates that older people were more likely to present with non-respiratory symptoms. High clinical frailty scores, severe lymphopenia and cumulative comorbidities were associated with higher mortality rates. Several contributing factors will have led to nosocomial transmission.
- Publication
Scottish Medical Journal, 2021, Vol 66, Issue 2, p89
- ISSN
0036-9330
- Publication type
Article
- DOI
10.1177/0036933020962891