Dynamics of Clinical, Radiological, and Biological Expression in Hospitalised COVID-19 Patients and Post-Infectious Mortality: Comparison Between 2024 and 2020

Clinical manifestations and mortality caused by SARS-CoV-2 change, consistent with circulating viral variants and population immunity. Our retrospective study analyses the hospitalised COVID-19 cases from Romania in 2024 comparative with 2020. The circulation of SARS-CoV-2 in the fourth year of the...

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Main Authors: Constantin-Marinel Vlase, Alina Plesea-Condratovici, Anca-Adriana Arbune, Roxana-Elena Goroftei-Bogdan, Cristian Gutu, Manuela Arbune
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Viruses
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Online Access:https://www.mdpi.com/1999-4915/17/5/630
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author Constantin-Marinel Vlase
Alina Plesea-Condratovici
Anca-Adriana Arbune
Roxana-Elena Goroftei-Bogdan
Cristian Gutu
Manuela Arbune
author_facet Constantin-Marinel Vlase
Alina Plesea-Condratovici
Anca-Adriana Arbune
Roxana-Elena Goroftei-Bogdan
Cristian Gutu
Manuela Arbune
author_sort Constantin-Marinel Vlase
collection DOAJ
description Clinical manifestations and mortality caused by SARS-CoV-2 change, consistent with circulating viral variants and population immunity. Our retrospective study analyses the hospitalised COVID-19 cases from Romania in 2024 comparative with 2020. The circulation of SARS-CoV-2 in the fourth year of the pandemic led to changes in the characteristics of the hospitalised population, including clinical, biological, and radiological profiles, as well as an increase in 90-day mortality after hospitalisation. The hospitalised population became predominantly older with multiple comorbidities. Notable changes in symptomatology included an increase in the frequency of rhinorrhoea and syncope, while disturbances in taste and smell were less frequent. The mortality rate within the first 90 days increased in 2024 to 9%. Older age and a higher index of chronic comorbidities were associated with a higher frequency of severe forms and deaths within 90 days post-COVID-19. Hospitalisation for COVID-19 may be an unfavourable prognostic factor for the elderly population.
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spelling doaj-art-4aeb647061ac44d6a3b8d26e6bdd689e2025-08-20T01:56:39ZengMDPI AGViruses1999-49152025-04-0117563010.3390/v17050630Dynamics of Clinical, Radiological, and Biological Expression in Hospitalised COVID-19 Patients and Post-Infectious Mortality: Comparison Between 2024 and 2020Constantin-Marinel Vlase0Alina Plesea-Condratovici1Anca-Adriana Arbune2Roxana-Elena Goroftei-Bogdan3Cristian Gutu4Manuela Arbune5Medical Clinic Department, Dunarea de Jos University, 800008 Galati, RomaniaMedical Department, Dunarea de Jos University, 800008 Galati, RomaniaNeurology Department, Fundeni Clinical Institute, 077086 Bucharest, RomaniaMedical Clinic Department, Dunarea de Jos University, 800008 Galati, RomaniaMedical Clinic Department, Dunarea de Jos University, 800008 Galati, RomaniaMedical Clinic Department, Dunarea de Jos University, 800008 Galati, RomaniaClinical manifestations and mortality caused by SARS-CoV-2 change, consistent with circulating viral variants and population immunity. Our retrospective study analyses the hospitalised COVID-19 cases from Romania in 2024 comparative with 2020. The circulation of SARS-CoV-2 in the fourth year of the pandemic led to changes in the characteristics of the hospitalised population, including clinical, biological, and radiological profiles, as well as an increase in 90-day mortality after hospitalisation. The hospitalised population became predominantly older with multiple comorbidities. Notable changes in symptomatology included an increase in the frequency of rhinorrhoea and syncope, while disturbances in taste and smell were less frequent. The mortality rate within the first 90 days increased in 2024 to 9%. Older age and a higher index of chronic comorbidities were associated with a higher frequency of severe forms and deaths within 90 days post-COVID-19. Hospitalisation for COVID-19 may be an unfavourable prognostic factor for the elderly population.https://www.mdpi.com/1999-4915/17/5/630COVID-19pneumoniaprognosisclinical variations90-day mortality
spellingShingle Constantin-Marinel Vlase
Alina Plesea-Condratovici
Anca-Adriana Arbune
Roxana-Elena Goroftei-Bogdan
Cristian Gutu
Manuela Arbune
Dynamics of Clinical, Radiological, and Biological Expression in Hospitalised COVID-19 Patients and Post-Infectious Mortality: Comparison Between 2024 and 2020
Viruses
COVID-19
pneumonia
prognosis
clinical variations
90-day mortality
title Dynamics of Clinical, Radiological, and Biological Expression in Hospitalised COVID-19 Patients and Post-Infectious Mortality: Comparison Between 2024 and 2020
title_full Dynamics of Clinical, Radiological, and Biological Expression in Hospitalised COVID-19 Patients and Post-Infectious Mortality: Comparison Between 2024 and 2020
title_fullStr Dynamics of Clinical, Radiological, and Biological Expression in Hospitalised COVID-19 Patients and Post-Infectious Mortality: Comparison Between 2024 and 2020
title_full_unstemmed Dynamics of Clinical, Radiological, and Biological Expression in Hospitalised COVID-19 Patients and Post-Infectious Mortality: Comparison Between 2024 and 2020
title_short Dynamics of Clinical, Radiological, and Biological Expression in Hospitalised COVID-19 Patients and Post-Infectious Mortality: Comparison Between 2024 and 2020
title_sort dynamics of clinical radiological and biological expression in hospitalised covid 19 patients and post infectious mortality comparison between 2024 and 2020
topic COVID-19
pneumonia
prognosis
clinical variations
90-day mortality
url https://www.mdpi.com/1999-4915/17/5/630
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