Factors Affecting the Outcome in Moderate and Severe COVID-19 in Geriatric Quarantine Hospital at Ain Shams University

Abstract

he coronavirus disease 2019 (COVID-19) is a pandemic caused by the novel severe acute respiratory syndrome coronavirus 2 (SARSCoV-2). The increased number of COVID-19 cases and fatalities is a global threat. With early recognition of the cases along with vaccination, the spread of the pandemic can be restrained. Infections often present with non-classical complaints in elderly leading to delayed diagnosis and clinical decision. COVID-19 infection causes a variety of symptoms that range from asymptomatic or mild cases up to severe cases presented with severe pneumonia with or without multi-organ failure. Studying the different presenting patterns of COVID 19 stratified by age will allow for early identification and hence proper triage of cases. The aim of the work was to describe the factors affecting the outcome in moderate to severe COVID-19 cases, and to study the side effects of different drugs used in treatment of COVID-19 in geriatric quarantine hospital in Ain Shams University during the period from 6/6/2020 to 5/8/2020. The study enrolled all patients with moderate to critical COVID 19 pneumonia quarantined at Geriatric hospital in Ain Shams University (n=314) stratified according to age into three groups: those >18 to 39, 40-59, >60 years. Epidemiological, demographic, clinical presentations were obtained from medical records by retrospective reviews after, confidentiality and anonymity of participants was ensured. Missing data in medical records were reported to allow for future improvement in data collection.