Details

Autor(en) / Beteiligte

• Wong, Cw
• Lam, St
• Sze, Yms
• Chao, Fw
• Lee, Lyl
• Wan, Ckp
• Cheng, Vcc
• Wong, Sc
• Miu, Kyd
• Ho, Sks
• Tarn, Yy
• Auyeung, Tw

Titel

Geriatric care model for older patients with COVID-19 at a community treatment facility in Hong Kong

Ist Teil von

• Asian journal of gerontology and geriatrics, 2023-06, Vol.18 (1), p.5-14

Ort / Verlag

Hong Kong: Hong Kong Academy of Medicine

Erscheinungsjahr

2023

Link zum Volltext

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• Background. During the fifth wave of the COVID-19 pandemic in Hong Kong, a geriatric team was established to provide interdisciplinary intervention and discharge planning for older patients in a community treatment facility (CTF) at the AsiaWorld-Expo. This study examined clinical outcomes among these older patients and identified key determinants of these outcomes. Methods. Medical records of patients aged >60 years who were admitted to the CTF for management of COVID-19 by a geriatric team between 24 March 2022 and 4 May 2022 were retrospectively reviewed. Baseline characteristics, geriatric syndrome statuses, laboratory results, treatments, and clinical outcomes were collected. Risk factors for transfer to an acute care hospital, 28-day mortality and 28-day readmission were examined. Results. Among 257 patients admitted to the CTF, 29.6% had geriatric syndromes; poor oral feeding was most common. The proportion of patients with frailty increased by 14.4% upon discharge. The 28-day mortality rate was 12.5%; risk factors were dexamethasone use and transfer to an acute care hospital. The 28-day readmission rate was 33.9%; risk factors were higher Charlson Comorbidity Index, dementia, and moderate to severe hyponatraemia. Conclusions. Geriatric syndromes (particularly poor oral feeding) were common in older patients with COVID-19 who were associated with significant post-hospitalisation mortality readmission, and worsened frailty with functional decline. These findings highlight the importance of a geriatric care model in the management of older patients with COVID-19.