Profil Klinis Pasien COVID-19 Lansia yang Dirawat Inap di RS Immanuel Bandung

Abstract

Introduction. It was reported that 11.2% out o f the 78,572 confirmed cases of COVID-19 in Indonesia was found in older people with a high mortality rate. There is no available data regarding functional and frailty status of these COVID-19 older patients. This study aimed to describe clinical profile of older COVID-19 patients in terms of geriatric aspect, in order to design better hospital policy for older patients in the COVID-19 isolation ward. Methods . This was a retrospective cohort study of confirmed COVID-19 patients aged >60 years which were admitted to Immanuel Teaching Hospital Bandung during the period of October 2020 - January 2021. C linical characteristic data, frailty status, mode of oxygen therapy , functional status (activity of daily living – ADL) during and after hospitalization, as well as patient hospitalization outcomes were recorded from the medical record. Results . There were 100 COVID-19 older patients, more than hal f were aged 60-70 years, most with not frail status. This study found that 74% of older patients had decreased ADL scores, once they got infected with COVID-19. We also found that 43% of COVID-19 older patients died during hospitalization, dominated by frail patients. Among COVID-19 older survivor , 55% had increased ADL score when discharged . A month later, only 25% patients had better ADL scores. Conclusion. Typical symptoms of COVID-19 are not always found in older patients. Apart from its deadly consequence and prolonged hospitalization, the impact of COVID-19 on older patients is decreased functional status, so special management policy for older COVID-19 patients should be considered.