Clinical Profile of COVID-19 Older Patients Hospitalized in Immanuel Teaching Hospital Bandung
Introduction. It was reported that 11.2% out of the 78,572 confirmed cases of COVID-19 in Indonesia was found in older people with a high mortality rate. There is no available data regarding functional and frailty status of these COVID-19 older patients. This study aimed to describe clinical profile...
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| Format: | Article |
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Department of Internal Medicine, Faculty of Medicine Universitas Indonesia
2022-06-01
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| Series: | Jurnal Penyakit Dalam Indonesia |
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| Online Access: | http://www.jurnalpenyakitdalam.ui.ac.id/index.php/jpdi/article/view/743/312 |
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| author | Vera Yossie Guventri Eka Suprana |
| author_facet | Vera Yossie Guventri Eka Suprana |
| author_sort | Vera |
| collection | DOAJ |
| description | Introduction. It was reported that 11.2% out of the 78,572 confirmed cases of COVID-19 in Indonesia was found in older people with a high mortality rate. There is no available data regarding functional and frailty status of these COVID-19 older patients. This study aimed to describe clinical profile of older COVID-19 patients in terms of geriatric aspect, in order to design better hospital policy for older patients in the COVID-19 isolation ward.
Methods. This was a retrospective cohort study of confirmed COVID-19 patients aged >60 years which were admitted to Immanuel Teaching Hospital Bandung during the period of October 2020 - January 2021. Clinical characteristic data, frailty status, mode of oxygen therapy, functional status (activity of daily living – ADL) during and after hospitalization, as well as patient hospitalization outcomes were recorded from the medical record.
Results. There were 100 COVID-19 older patients, more than half were aged 60-70 years, most with not frail status. This study found that 74% of older patients had decreased ADL scores, once they got infected with COVID-19. We also found that 43% of COVID-19 older patients died during hospitalization, dominated by frail patients. Among COVID-19 older survivor, 55% had increased ADL score when discharged. A month later, only 25% patients had better ADL scores.
Conclusion. Typical symptoms of COVID-19 are not always found in older patients. Apart from its deadly consequence and prolonged hospitalization, the impact of COVID-19 on older patients is decreased functional status, so special management policy for older COVID-19 patients should be considered. |
| format | Article |
| id | doaj-art-680f8beaafe24fef98f91dd5ced3c3db |
| institution | OA Journals |
| issn | 2406-8969 2549-0621 |
| language | Indonesian |
| publishDate | 2022-06-01 |
| publisher | Department of Internal Medicine, Faculty of Medicine Universitas Indonesia |
| record_format | Article |
| series | Jurnal Penyakit Dalam Indonesia |
| spelling | doaj-art-680f8beaafe24fef98f91dd5ced3c3db2025-08-20T02:01:09ZindDepartment of Internal Medicine, Faculty of Medicine Universitas IndonesiaJurnal Penyakit Dalam Indonesia2406-89692549-06212022-06-01928993http://dx.doi.org/10.7454/jpdi.v9i2.743Clinical Profile of COVID-19 Older Patients Hospitalized in Immanuel Teaching Hospital BandungVera0Yossie Guventri Eka Suprana1Maranatha Christian University Immanuel Hospital Bandung IndonesiaMaranatha Christian University IndonesiaIntroduction. It was reported that 11.2% out of the 78,572 confirmed cases of COVID-19 in Indonesia was found in older people with a high mortality rate. There is no available data regarding functional and frailty status of these COVID-19 older patients. This study aimed to describe clinical profile of older COVID-19 patients in terms of geriatric aspect, in order to design better hospital policy for older patients in the COVID-19 isolation ward. Methods. This was a retrospective cohort study of confirmed COVID-19 patients aged >60 years which were admitted to Immanuel Teaching Hospital Bandung during the period of October 2020 - January 2021. Clinical characteristic data, frailty status, mode of oxygen therapy, functional status (activity of daily living – ADL) during and after hospitalization, as well as patient hospitalization outcomes were recorded from the medical record. Results. There were 100 COVID-19 older patients, more than half were aged 60-70 years, most with not frail status. This study found that 74% of older patients had decreased ADL scores, once they got infected with COVID-19. We also found that 43% of COVID-19 older patients died during hospitalization, dominated by frail patients. Among COVID-19 older survivor, 55% had increased ADL score when discharged. A month later, only 25% patients had better ADL scores. Conclusion. Typical symptoms of COVID-19 are not always found in older patients. Apart from its deadly consequence and prolonged hospitalization, the impact of COVID-19 on older patients is decreased functional status, so special management policy for older COVID-19 patients should be considered.http://www.jurnalpenyakitdalam.ui.ac.id/index.php/jpdi/article/view/743/312clinical profilecovid-19frailty statusindonesiaolder |
| spellingShingle | Vera Yossie Guventri Eka Suprana Clinical Profile of COVID-19 Older Patients Hospitalized in Immanuel Teaching Hospital Bandung Jurnal Penyakit Dalam Indonesia clinical profile covid-19 frailty status indonesia older |
| title | Clinical Profile of COVID-19 Older Patients Hospitalized in Immanuel Teaching Hospital Bandung |
| title_full | Clinical Profile of COVID-19 Older Patients Hospitalized in Immanuel Teaching Hospital Bandung |
| title_fullStr | Clinical Profile of COVID-19 Older Patients Hospitalized in Immanuel Teaching Hospital Bandung |
| title_full_unstemmed | Clinical Profile of COVID-19 Older Patients Hospitalized in Immanuel Teaching Hospital Bandung |
| title_short | Clinical Profile of COVID-19 Older Patients Hospitalized in Immanuel Teaching Hospital Bandung |
| title_sort | clinical profile of covid 19 older patients hospitalized in immanuel teaching hospital bandung |
| topic | clinical profile covid-19 frailty status indonesia older |
| url | http://www.jurnalpenyakitdalam.ui.ac.id/index.php/jpdi/article/view/743/312 |
| work_keys_str_mv | AT vera clinicalprofileofcovid19olderpatientshospitalizedinimmanuelteachinghospitalbandung AT yossieguventriekasuprana clinicalprofileofcovid19olderpatientshospitalizedinimmanuelteachinghospitalbandung |