Research Article
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Year 2021, , 30 - 35, 19.04.2021
https://doi.org/10.19161/etd.915681

Abstract

References

  • Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet (London, England) 2020; 395 (10223): 497–506.
  • Zhu N, Zhang D, Wang W, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; 382 (8): 727-33.
  • Gorbalenya AE, Baker SC, Baric R, et al. Severe acute respiratory syndrome-related coronavirus: The species and its viruses–a statement of the Coronavirus Study Group (2020). Nature Microbiology doi: 10.1038/s41564-020-0695-z
  • covid19.saglik.gov.tr (homepage on the Internet) General coronavirus picture (güncellenme tarihi: 26.01.2021, alıntılama tarihi: 27.01.2021) Available from: https://covid19.saglik.gov.tr/
  • Novel CPERE. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. Zhonghua liu xing bing xue za zhi 2020; 41 (2): 145-51.
  • Demirbilek Y, Pehlivantürk G, Özgüler ZÖ, Meşe E.A. COVID-19 outbreak control, example of ministry of health of Turkey. Turkish journal of medical sciences 2020; 50: 489-94.
  • Steinman MA, Perry L, Perissinotto CM. Meeting the care needs of older adults isolated at home during the COVID-19 pandemic. JAMA internal medicine 2020; 180 (6): 819-20.
  • tr.wikipedia.org (homepage on the Internet) Covid19 pandemic timeline in Turkey (updated 17.11.2020; cited 27.01.2020). Available from: https://tr.wikipedia.org/wiki/
  • Çavdar S, Şahin S. SARS-CoV-2 pandemisinin sağlıklı yaşlanma sürecine etkileri. Şahin S, Akçiçek SF, editörler. SARS-CoV-2 Pandemisi ve Yaşlılık. 1. Baskı. Ankara: Türkiye Klinikleri; 2020: 77-82.
  • Palmer K, Monaco A, Kivipelto M, et al. The potential longterm impact of the CoVID-19 outbreak on patients with non-communicable diseases in Europe: consequences for healthy ageing. Aging Clin Exp Res 2020; 32 (7): 1189-94.
  • Lim MA, Huang I, Yonas E, Vania R, Pranata R. A wave of non-communicable diseases following the CoVID19 pandemic. Diabetes Metab Syndr 2020; 14 (5): 979-80.
  • Kretchy IA, Asiedu-Danso M, Kretchy JP. Medication management and adherence during the CoVıD-19 pandemic: Perspectives and experiences from low-and middle-income. Research in Social and Administrative Pharmacy 2020; 17 (1): 2023-6.
  • Hug E, Ünalan H, Karamehmetoğlu S, Tüzün S, Gürgöze M, Tüzün F. Bir eğitim hastanesinde bası yarası prevelansı ve bası yarası gelişiminde etkili risk faktörleri. Turkish Journal of Physical Medicine and Rehabilitation 2001; 47 (6): 3-11.
  • Inan DG, Öztunç G. Pressure ulcer prevalence in Turkey: a sample from a university hospital. Journal of Wound Ostomy & Continence Nursing 2012; 39 (4): 409-13.
  • Uzun O, Tan M. A prospective, descriptive pressure ulcer risk factor and prevalence study at a university hospital in Turkey. Ostomy/Wound Manage 2007; 53 (2): 44-56.
  • Siddiqi N, House AO, Holmes JD. Occurrence and outcome of delirium in medical in-patients: a systematic literature review. Age Ageing 2006; 35 (4): 350-64.
  • Freeman WJ, Weiss AJ, Heslin KC. Overview of US hospital stays in 2016: Variation by geographic region. Healthcare Cost and Utilization Project 2018 (cited 6 Feb 2021). Available from: https://www.hcupus.ahrq.gov/reports/statbriefs/sb246-Geographic-Variation-Hospital-Stays.jsp
  • Launay CP, Kabeshova A, Lanoé A, Chabot J, Levinoff, EJ, Beauchet O. Age effect on the prediction of risk of prolonged length hospital stay in older patients visiting the emergency department: results from a large prospective geriatric cohort study. BMC geriatrics 2018; 18 (1): 1-6.
  • Launay CP, de Decker L, Kabeshova A, Annweiler C, Beauchet O. Screening for older emergency department inpatients at risk of prolonged hospital stay: the brief geriatric assessment tool. PLoS One 2019; 9 (10). e110135 doi: 10.1371/journal.pone.0110135
  • Michel JP, Ecarnot F. Integrating functional ageing into daily clinical practice. Journal of frailty, sarcopenia and falls 2019; 4 (2): 305.
  • Ekici E. Care Management of Elderly People During Covid 19 Pandemic. Haliç University. Journal of health sciences 2020; 3 (3): 145-52.
  • Chang HJ, Huang N, Lee CH, Hsu YJ, Hsieh CJ, Chou YJ. The impact of the SARS epidemic on the utilization of medical services: SARS and the fear of SARS. American journal of public health 2004; 94 (4): 562-4.
  • Chen T, Lai K, Chang H. Impact of a severe acute respiratory syndrome outbreak in the emergency department: an experience in Taiwan. Emergency medicine journal 2004; 21 (6): 660-2.
  • Brolin Ribacke KJ, van Duinen AJ, Nordenstedt H, et al. The Impact of the West Africa Ebola Outbreak on Obstetric Health Care in Sierra Leone. PLoS One 2016; 11 (2). e0150080 doi: 10.1371/journal.pone.0150080
  • Dasgupta A, Kalhan A, Kalra S. Long term complications and rehabilitation of CoVıD-19 patients. J Pak Med Assoc 2020; 70 (Suppl 3) (5): 131-5.
  • Li J. Rehabilitation management of patients with COVID-19: lessons learned from the first experience in China. European journal of physical and rehabilitation medicine 2020; 56 (3): 335-8

Evaluation of patients hospitalized in a geriatrics clinic during normalization process of SARS CoV-2

Year 2021, , 30 - 35, 19.04.2021
https://doi.org/10.19161/etd.915681

Abstract

Aim: The pandemic of Severe Acute Respiratory Syndrome-Coronavirus-2 was more severe and
more fatal for elders and individuals who have chronic diseases. The treatment may be delayed due to
the elders’ “fear of infection” in hospitals. This study aimed to evaluate the data of older patients who
were admitted to the Geriatrics clinic in the normalization period.
Materials and Methods: The data was retrieved between June-August 2020, retrospectively from the
file database for older patients who were hospitalized in a geriatrics clinic of a university hospital.
Results: 23 patients were included in the study and their mean age was 81.4±7.4 years. The most
common symptoms at admission were changes in consciousness, weight loss, and malnutrition,
respectively. The duration of symptoms was less than a month in 56.5% of patients, 1-3 months in
17.4% of patients, and more than 3 months in 26.1% of patients. The most common indications were
delirium, urinary tract infection, and acute renal failure, respectively 73.9% of patients applied from the
outpatient clinics and 26.1% from the emergency clinic. The mean hospitalization duration was 24.2 ±
17,2 days. 43.5% of patients had delirium and 21.7% had pressure ulcers during their hospitalization.
Conclusion: The hospitalization indications had variations, outpatient hospitalizations were higher,
and the duration of hospitalization was longer during normalization process of SARS CoV-2.
Approximately, half of the patients had symptoms for more than a month and it is an important point to
be investigated. In addition, geriatric syndromes such as delirium and pressure ulcer increased in this
process

References

  • Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet (London, England) 2020; 395 (10223): 497–506.
  • Zhu N, Zhang D, Wang W, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; 382 (8): 727-33.
  • Gorbalenya AE, Baker SC, Baric R, et al. Severe acute respiratory syndrome-related coronavirus: The species and its viruses–a statement of the Coronavirus Study Group (2020). Nature Microbiology doi: 10.1038/s41564-020-0695-z
  • covid19.saglik.gov.tr (homepage on the Internet) General coronavirus picture (güncellenme tarihi: 26.01.2021, alıntılama tarihi: 27.01.2021) Available from: https://covid19.saglik.gov.tr/
  • Novel CPERE. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. Zhonghua liu xing bing xue za zhi 2020; 41 (2): 145-51.
  • Demirbilek Y, Pehlivantürk G, Özgüler ZÖ, Meşe E.A. COVID-19 outbreak control, example of ministry of health of Turkey. Turkish journal of medical sciences 2020; 50: 489-94.
  • Steinman MA, Perry L, Perissinotto CM. Meeting the care needs of older adults isolated at home during the COVID-19 pandemic. JAMA internal medicine 2020; 180 (6): 819-20.
  • tr.wikipedia.org (homepage on the Internet) Covid19 pandemic timeline in Turkey (updated 17.11.2020; cited 27.01.2020). Available from: https://tr.wikipedia.org/wiki/
  • Çavdar S, Şahin S. SARS-CoV-2 pandemisinin sağlıklı yaşlanma sürecine etkileri. Şahin S, Akçiçek SF, editörler. SARS-CoV-2 Pandemisi ve Yaşlılık. 1. Baskı. Ankara: Türkiye Klinikleri; 2020: 77-82.
  • Palmer K, Monaco A, Kivipelto M, et al. The potential longterm impact of the CoVID-19 outbreak on patients with non-communicable diseases in Europe: consequences for healthy ageing. Aging Clin Exp Res 2020; 32 (7): 1189-94.
  • Lim MA, Huang I, Yonas E, Vania R, Pranata R. A wave of non-communicable diseases following the CoVID19 pandemic. Diabetes Metab Syndr 2020; 14 (5): 979-80.
  • Kretchy IA, Asiedu-Danso M, Kretchy JP. Medication management and adherence during the CoVıD-19 pandemic: Perspectives and experiences from low-and middle-income. Research in Social and Administrative Pharmacy 2020; 17 (1): 2023-6.
  • Hug E, Ünalan H, Karamehmetoğlu S, Tüzün S, Gürgöze M, Tüzün F. Bir eğitim hastanesinde bası yarası prevelansı ve bası yarası gelişiminde etkili risk faktörleri. Turkish Journal of Physical Medicine and Rehabilitation 2001; 47 (6): 3-11.
  • Inan DG, Öztunç G. Pressure ulcer prevalence in Turkey: a sample from a university hospital. Journal of Wound Ostomy & Continence Nursing 2012; 39 (4): 409-13.
  • Uzun O, Tan M. A prospective, descriptive pressure ulcer risk factor and prevalence study at a university hospital in Turkey. Ostomy/Wound Manage 2007; 53 (2): 44-56.
  • Siddiqi N, House AO, Holmes JD. Occurrence and outcome of delirium in medical in-patients: a systematic literature review. Age Ageing 2006; 35 (4): 350-64.
  • Freeman WJ, Weiss AJ, Heslin KC. Overview of US hospital stays in 2016: Variation by geographic region. Healthcare Cost and Utilization Project 2018 (cited 6 Feb 2021). Available from: https://www.hcupus.ahrq.gov/reports/statbriefs/sb246-Geographic-Variation-Hospital-Stays.jsp
  • Launay CP, Kabeshova A, Lanoé A, Chabot J, Levinoff, EJ, Beauchet O. Age effect on the prediction of risk of prolonged length hospital stay in older patients visiting the emergency department: results from a large prospective geriatric cohort study. BMC geriatrics 2018; 18 (1): 1-6.
  • Launay CP, de Decker L, Kabeshova A, Annweiler C, Beauchet O. Screening for older emergency department inpatients at risk of prolonged hospital stay: the brief geriatric assessment tool. PLoS One 2019; 9 (10). e110135 doi: 10.1371/journal.pone.0110135
  • Michel JP, Ecarnot F. Integrating functional ageing into daily clinical practice. Journal of frailty, sarcopenia and falls 2019; 4 (2): 305.
  • Ekici E. Care Management of Elderly People During Covid 19 Pandemic. Haliç University. Journal of health sciences 2020; 3 (3): 145-52.
  • Chang HJ, Huang N, Lee CH, Hsu YJ, Hsieh CJ, Chou YJ. The impact of the SARS epidemic on the utilization of medical services: SARS and the fear of SARS. American journal of public health 2004; 94 (4): 562-4.
  • Chen T, Lai K, Chang H. Impact of a severe acute respiratory syndrome outbreak in the emergency department: an experience in Taiwan. Emergency medicine journal 2004; 21 (6): 660-2.
  • Brolin Ribacke KJ, van Duinen AJ, Nordenstedt H, et al. The Impact of the West Africa Ebola Outbreak on Obstetric Health Care in Sierra Leone. PLoS One 2016; 11 (2). e0150080 doi: 10.1371/journal.pone.0150080
  • Dasgupta A, Kalhan A, Kalra S. Long term complications and rehabilitation of CoVıD-19 patients. J Pak Med Assoc 2020; 70 (Suppl 3) (5): 131-5.
  • Li J. Rehabilitation management of patients with COVID-19: lessons learned from the first experience in China. European journal of physical and rehabilitation medicine 2020; 56 (3): 335-8
There are 26 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Articles
Authors

Zehra Kosuva Öztürk 0000-0002-9991-5862

Sinem Sağlanmak Kabadayı 0000-0003-1989-8626

Sevnaz Şahin 0000-0001-5457-901X

Selahattin Fehmi Akçiçek 0000-0003-2583-4709

Publication Date April 19, 2021
Submission Date January 18, 2021
Published in Issue Year 2021

Cite

Vancouver Kosuva Öztürk Z, Sağlanmak Kabadayı S, Şahin S, Akçiçek SF. Evaluation of patients hospitalized in a geriatrics clinic during normalization process of SARS CoV-2. ETD. 2021:30-5.

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