Clinical Characteristic Analysis Of Elderly Patients In Geriatric Department During The Breakout Of Corona Virus Disease 2019

Objectives The aim of our study was to analyze the clinical characteristics of elderly patients in geriatric department,and to provide reference for scientific management of elderly patients during the breakout of corona virus disease 2019(COVID-19).Methods The elderly patients(≥65 years old)hospitalized in geriatric department of Hebei Provincial People’s Hospital from January 23 to April 8,2020,were defined as the observation group.The elderly patients(≥65 years old)hospitalized in geriatric department of Hebei Provincial People’s Hospital from January 23 to April 8,2019,were defined as the control group.Retrospectively collected the clinical data which included gender,age,marital status,hospital stay,smoking,drinking,body mass index(BMI),systolic blood pressure,diastolic blood pressure,the first discharge diagnosis and the major comorbidity.And compared the data differences between the two groups.Then compared the differences of the first discharge diagnosis and major comorbidity for patients aged 65-79 and aged ≥80 respectively within and between the two groups.Results 1 Comparison of the general data between the two groups: A total of 279 elderly patients were collected in this study,included 97 in the observation group with average age of 83.7±8.5 years,and 182 in the control group with average age of 83.3±7.7 years;The hospital stay of the observation group [15(11,20)d] was longer than that of the control group[14(10,17)d](P<0.05);systolic blood pressure of the observation group(155.6±21.4mm Hg)was higher than that of the control group(149.9±18.3mm Hg)(P<0.05).2 Comparison of the first discharge diagnosis between the two groups: The proportion of patients first diagnosed with pulmonary infection in the observation group was significantly higher than that in the control group(37.1% vs 22.5%,P<0.05);Among the observation group,the proportion of patients aged 65-79 who were first diagnosed with pulmonary infection were higher than those aged ≥80(58.1% vs 27.3%,P<0.05);The proportion of patients aged 65-79 who were first diagnosed with pulmonary infection in the observation group were higher than those aged 65-79 in the control group(58.1% vs20.0%,P<0.05).3 Comparison of the major comorbidity between the two groups: The proportion of anxiety and depression,sleep disorders,and lower extremity deep venous thrombosis(DVT)in the observation group were higher than those in the control group(21.6% vs 10.4%,12.4% vs 3.8%,23.7% vs 7.7%,P<0.05);The proportion of patients diagnosed with anxiety and depression in 65-79 yeas old in the observation group was higher than that in the control group(25.8% vs 7.3%,P<0.05);The proportion of patients aged ≥80 diagnosed with sleep disorders and lower extremity DVT in the observation group was higher than that in the control group(10.6% vs 3.1%,25.8% vs 6.3%,P<0.05).Conclusions 1 The number of elderly patients hospitalized during the COVID-19 outbreak are significantly lower than the same period in 2019,with longer hospital stay and higher average systolic blood pressure levels.2 The proportion of elderly patients first diagnosed with pulmonary infection during the COVID-19 outbreak are higher than the same period in 2019,with a more significant increase in patients aged 65-79.3 The proportion of elderly patients with comorbidity of anxiety and depression,sleep disorders and lower extremity DVT during the COVID-19 outbreak are higher than the same period in 2019;The increase of anxiety and depression is more significant in patients aged 65-79;The increase of sleep disorders and lower extremity DVT is more significant in patients aged ≥80.Figure 2;Table 3;Reference 183...