Evidence map›Paper›PMID 40332445›Full record

Observational studyRevista medica del Instituto Mexicano del Seguro Social2025

[Atypical clinical and mortality in older adults hospitalized with COVID-19 pneumonia].

Tlalnelli Valencia-Blancas, Lucía Herlinda Pérez-Orozco, Verónica Durán-Gómez, Evelín García-Barboza, Roberto Rivelino López-Anguiano

Abstract readObservational StudyComparative StudyEnglish Abstract
In one paragraph

Observational study in Revista medica del Instituto Mexicano del Seguro Social, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. [The common presence of the atypical clinic].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tlalnelli Valencia-BlancasInstituto Mexicano del Seguro Social, Hospital General Regional No. 2, Servicio de Geriatría. Ciudad de México, México.ORCID 0009-0006-4263-5604
Lucía Herlinda Pérez-OrozcoInstituto Mexicano del Seguro Social, Hospital General de Zona No. 27, Servicio de Geriatría. Ciudad de México, México.ORCID 0000-0002-5561-7046
Verónica Durán-GómezInstituto Mexicano del Seguro Social, Hospital General de Zona No. 27, Servicio de Geriatría. Ciudad de México, México.ORCID 0000-0003-2646-8421
Evelín García-BarbozaInstituto Mexicano del Seguro Social, Hospital General de Zona No. 27, Servicio de Medicina Interna. Ciudad de México, México.ORCID 0000-0002-4110-1356
Roberto Rivelino López-AnguianoInstituto Mexicano del Seguro Social, Órgano de Operación Administrativa Desconcentrada Ciudad de México Norte, Coordinación Auxiliar Médica de Investigación en Salud. Ciudad de México, México.ORCID 0000-0002-2108-8721

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pneumonia caused by SARS-CoV-2 is a public health problem. Older adults are vulnerable and the atypical presentation delays diagnosis and increases mortality. In this group the atypical clinical manifestations are more frequent. Objective: To identify the clinical manifestations and mortality of COVID-19 pneumonia in hospitalized older adults. Material and methods: A comparative cross-sectional observational study was carried out, from July 1, 2020, to December 31, 2021, in a general hospital of Mexico City. Patients aged 60 years or more who were hospitalized with a diagnosis of COVID-19 were included. Results: 267 older adults participated; 53.9% were men, with a median age of 74 years. The most frequent comorbidities in this population were type 2 diabetes mellitus (T2DM), hypertension and chronic obstructive pulmonary disease (COPD). 41.2% showed atypical presentation of the disease; mortality in the studied population was 53.5%. Conclusions: The atypical presentation of COVID-19 pneumonia is common in adults over 60 years of age and it increases significantly as they become older. The absence of typical symptoms of pneumonia and the ignorance of the most common signs could delay diagnosis and timely care in this age group, which may increase complications and mortality.

Indexed as

COVID-19AgedAged, 80 and overComorbidityCross-Sectional StudiesFemaleHospitalizationHumansMaleMexicoMiddle AgedCOVID-19ElderlyMortalityPneumoniaSigns and Symptoms

Identifiers

PMID40332445
PMCPMC12122060

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.