Clinical presentation and outcome across age categories among patients with COVID-19 admitted to a Spanish Emergency Dep
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RESEARCH PAPER
Clinical presentation and outcome across age categories among patients with COVID‑19 admitted to a Spanish Emergency Department F. Javier Martín‑Sánchez1,2,3 · Enrique del Toro1 · Eduardo Cardassay1 · Adrián Valls Carbó4 · Federico Cuesta5 · Marta Vigara5 · Pedro Gil5 · Amanda López López Picado3 · Carmen Martínez Valero3 · Juande D. Miranda6 · Pedro Lopez‑Ayala7 · David Chaparro1 · Gabriel Cozar López1 · María del Mar Suárez‑Cadenas1,3 · Pablo Jerez Fernández1 · Beatriz Angós1 · Cristina Díaz del Arco8 · Esther Rodríguez Adrada3 · María Teresa Montalvo Moraleda4 · Carolina Espejo Paeres9 · Cesáreo Fernández Alonso1,3 · Carlos Elvira10 · Ana Chacón10 · Miguel Ángel García Briñón1,3 · José Luis Fernández Rueda11 · Luis Ortega8 · Cristina Fernández Pérez12 · Juan Jorge González Armengol1,2,3 · Juan González del Castillo1,3 Received: 22 May 2020 / Accepted: 8 July 2020 © European Geriatric Medicine Society 2020
Key summary points Aim According to age, there are differences in the clinical profile, presentation, management, and short-term outcomes of patients with COVID-19 admitted to the Emergency Department. Findings A statistically significant association was found between demographic data, comorbidities, clinical, radiographic, analytical, and therapeutic variables and short-term results according to age-dependent categories. Age was a prognostic factor for hospital admission and in-hospital and 30-day mortality, and was associated with not being admitted to intensive care. Message Clinical presentation, management, and short-term outcomes differ according to age among patients with COVID19 admitted to the Emergency Department. Abstract Purpose To determine the differences by age-dependent categories in the clinical profile, presentation, management, and short-term outcomes of patients with laboratory-confirmed COVID-19 admitted to a Spanish Emergency Department (ED). Methods Secondary analysis of COVID-19_URG-HCSC registry. We included all consecutive patients with laboratoryconfirmed COVID-19 admitted to the ED of the University Hospital Clinico San Carlos (Madrid, Spain). The population was divided into six age groups. Demographic, baseline and acute clinical data, and in-hospital and 30-day outcomes were collected. Results 1379 confirmed COVID-19 cases (mean age 62 (SD 18) years old; 53.5% male) were included (18.1%
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