Article ; Online: Atypical presentations of COVID-19 in care home residents presenting to secondary care: A UK single centre study.
Aging medicine (Milton (N.S.W))
2020 Volume 3, Issue 4, Page(s) 237–244
Abstract: ... mortality of COVID-19 in older adults, focusing on care home residents admitted to secondary care ... Background: Atypical presentations of COVID-19 pose difficulties for early isolation and treatment ... Differences between community dwelling and care home residents, and associations with mortality, were assessed ...
| Abstract | Background: Atypical presentations of COVID-19 pose difficulties for early isolation and treatment, particularly in institutional care settings. We aimed to characterize the presenting symptoms and associated mortality of COVID-19 in older adults, focusing on care home residents admitted to secondary care. Methods: A retrospective cohort study of 134 consecutive inpatients over 80 years old hospitalized with PCR confirmed COVID-19 in the United Kingdom. Symptoms at presentation and frailty were analysed. Differences between community dwelling and care home residents, and associations with mortality, were assessed using between-group comparisons and logistic regression. Results: Care home residents were less likely to experience cough (46.9% vs 72.9%, Conclusion: COVID-19 in older adults often presents with atypical symptoms, particularly in those admitted from institutional care. These individuals have a reduced incidence of cough and increased hypoactive delirium. Individuals presenting atypically, especially with anorexia, have higher mortality. |
|---|---|
| Language | English |
| Publishing date | 2020-09-17 |
| Publishing country | Australia |
| Document type | Journal Article |
| ISSN | 2475-0360 |
| ISSN (online) | 2475-0360 |
| DOI | 10.1002/agm2.12126 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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