ArticleKansas journal of medicine
A Case Series of Concomitant Falls and COVID-19 Infection Among Older Adults.
Article in Kansas journal of medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Few studies have examined the hospital course and patient outcomes among elderly trauma patients with COVID-19 and traumatic fall-related injuries. This study aimed to describe patient characteristics and hospital outcomes for older adults who sustained fall-related injuries and were concurrently infected with COVID-19. Methods: A retrospective chart review was conducted for patients aged 65 years and older who were admitted to a single Level 1 trauma center with fall-related injuries between March 3, 2020 and March 3, 2021. Results: Of the 807 patients who presented with fall-related injuries during the study period, 16% (n = 128) were tested for COVID-19, and 17% (n = 22) of those tested positive. After excluding one patient, 21 patients were included in the analysis. Common comorbidities among these patients included hypertension (86%, n = 18), dyslipidemia (57%, n = 12), and diabetes (43%, n = 9). Upon admission, 62% (n = 13) of patients exhibited respiratory symptoms such as cough, shortness of breath, and hypoxemia, while approximately 24% (n = 5) were asymptomatic for COVID-19 at presentation. Complications included unplanned intensive care unit or operating room visits (29%, n = 6). COVID-19-related complications included acute hypoxic respiratory failure (67%, n = 14) and pneumonia (43%, n = 9). In-hospital mortality was 19% (n = 4). Conclusions: During the height of the COVID-19 pandemic, 17% of elderly patients admitted to a single Level 1 trauma center for fall-related injuries were concurrently infected with COVID-19. These patients experienced a high frequency of complications and in-hospital mortality. Therefore, COVID-19 should be recognized as a severe and potentially lethal comorbidity among older adults who sustain fall-related injuries.
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