Long-Term Mortality in Very Old Survivors of COVID-19

Article Article scientifique Article Long-Term Mortality in Very Old Survivors of COVID-19 eng 2024-05-31 2024-08 author De Roux Serratrice Christine 0000-0001-9940-4686 Division of Internal Medicine for the Aged, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland. 942516 dept de réadaptation et gériatrie (MIGRG) author Jean Michèle Division of Geriatrics, Hospital of Valais, Martigny, Switzerland. author Herrmann François Division of Geriatrics and Rehabilitation, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland. 70980 dept de réadaptation et gériatrie (MIGRG) author Di Silvestro Katharine Division of Internal Medicine for the Aged, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland. 88943 author Trombert Véronique Florence Division of Internal Medicine for the Aged, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland. 34823 dept de réadaptation et gériatrie (MIGRG) author Moro Davide Division of Internal Medicine for the Aged, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland. author Lacroix Oceana Division of Geriatrics and Rehabilitation, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland. 948803 author Coutaz Martial Division of Geriatrics, Hospital of Valais, Martigny, Switzerland. author Graf Christophe 0000-0002-0235-5046 Division of Geriatrics and Rehabilitation, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland. 105946 dept de réadaptation et gériatrie (MIGRG) author Zekry Berger Dina Selma Division of Internal Medicine for the Aged, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland. 134897 dept de réadaptation et gériatrie (MIGRG) author Mendes Aguiar Santos Aline Division of Geriatrics and Rehabilitation, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland. Electronic address: aline.mendes@hug.ch. 847282 dept de réadaptation et gériatrie (MIGRG) 105047 10.1016/j.jamda.2024.105047 38825322 1525-8610 https://www.sciencedirect.com/science/article/pii/S1525861024004699 Objectives: This report aimed to describe mortality at 18 months in older survivors of the first wave of COVID-19. Design: Observational cohort study. Setting and participants: Patients aged ≥65 years hospitalized for COVID-19 in the acute geriatric wards of 2 centers. Methods: Characteristics of deceased and survivors were compared by Fisher exact, Mann-Whitney U, or 2-tailed t tests. Survival rates were analysed by Cox proportional hazards regression models. Results: Of a total of 323 patients admitted during the first wave, 196 survived the acute phase, with 34 patients who died in the 18 months after hospital discharge (17.3%). Higher mortality was observed in patients living in nursing homes (P = .033) and in those who were hospitalized after discharge during the follow-up period (97.1% vs 72.8%, P = .001). There was no difference in survival curves according to age, sex, presence of dyspnea, and dementia. Living in a nursing home significantly increased the mortality rates in the multivariate model adjusted for age and sex (hazard ratio 3.07, 95% CI 1.47-6.40; P = .007). Conclusions and implications: No excess mortality was observed during 18 months in older survivors of COVID-19. Living in a nursing home was associated with decreased survival rates. COVID-19 Geriatrics Long-term mortality Nursing homes Older people Dewey 618.97 65 Département de réadaptation et gériatrie 22B false Journal of the American Medical Directors Association 25 8 cbd2c416-ea50-490e-bd26-706526e576a5 Article (Published version) Public PIIS1525861024004699.pdf 430738 application/pdf CC BY-4.0 9f8d896e02a281f0c525f5a941cf43d9bfec0babbc62bc940709b9e4496da412 openAccess Faculté de médecine / Section de médecine clinique / Département de réadaptation et gériatrie

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Long-Term Mortality in Very Old Survivors of COVID-19	Journal of the American Medical Directors Association			2024	41	289

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Lacroix, Oceana