Introduction. It was reported that 11.2% out of the 78,572 confirmed cases of COVID-19 in Indonesia was foundinolder 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. Clinical 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 half 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.
1. Kementrian Kesehatan. Pedoman pencegahan dan pengendalian Coronavirus disease (COVID-19). Dalam: Aziza L, Aqmarina A, Ihsan M, editors. Pedoman pencegahan dan pengendalian Coronavirus disease (COVID-19) 4th ed. Jakarta: Kementerian Kesehatan; 2020. hal.1–125.2. Satuan Tugas Penanganan COVID-19. Peta sebaran [Internet]. Jakarta: Satgas COVID-19; 2020 [cited 2020 Aug 29]. Available from: https://covid19.go.id/peta-sebaran3. Azwar MK, Setiati S, Rizka A, Fitriana I, Saldi SRF, Safitri ED. Clinical profile of elderly patients with COVID-19 hospitalised in Indonesia’s National General Hospital. Acta Med Indones. 2020;52(3):199-205. 4. Guo T, Shen Q, Guo W, He W, Li J, Zhang Y, et al. Clinical characteristics of elderly patients with COVID-19 in Hunan Province, China: a multicenter, retrospective study. Gerontology. 2020;66:467-75.5. Gan JM, Kho J, Akhunbay-Fudge M, Choo HM, Wright M, Batt F, et al. Atypical presentation of COVID-19 in hospitalised older adults. Ir J Med Sci. 2021;190(2):469-74. 6. Bavaro DF, Diella L, Fabrizio C, Sulpasso R, Bottalico IF, Calamo A, et al. Peculiar clinical presentation of COVID-19 and predictors of mortality in the elderly: A multicentre retrospective cohort study. Int J Infect Dis. 2021;105:709-15. 7. Pizano-Escalante MG, Anaya-Esparza LM, Nuño K, Rodríguez-Romero JJ, GonzalezTorres S, López-de la Mora DA, et al. Direct and INDIRECT EFFECTS OF COVID-19 in frail elderly: interventions and recommendations. J Pers Med. 2021;11:999. 8. Zhang XM, Jiao J, Cao J, Huo XP, Zhu C, Wu XJ, et al. Frailty as a predictor of mortality among patients with COVID-19: a systematic review and meta-analysis. BMC Geriatr. 2021;21(1):186.9. Aryana IGPS, Setiati S, Rini SS. Molecular mechanism of acute sarcopenia in elderly patient with COVID-19. Acta Med Indones. 2021;53(4):481-92. 10. Vera. Survei perawat pasien lansia COVID-19 di RS Immanuel Bandung [Unpublished manuscript]. 2021.11. Ceravolo MG, de Sire A, Andrenelli E, Negrini F, Negrini S. Systematic rapid “living” review on rehabilitation needs due to COVID-19: update to March 31st, 2020. Eur J Phys Rehabil Med. 2020;56:347–53.12. Belli S, Balbi B, Prince I, Cattaneo D, Masocco F, Zaccaria S, et al. Low physical functioning and impaired performance of activities of daily life in COVID-19 patients who survived hospitalisation. Eur Respir J. 2020;56(4):2002096. 13. Bo W, Xi Y, Tian Z. The role of exercise in rehabilitation of discharged COVID-19 patients. Sports Med Health Sci. 2021;3(4):194-201.
Vera, Vera and Suprana, Yossie Guventri Eka
"Clinical Profile of COVID-19 Older Patients Hospitalized in Immanuel Teaching Hospital Bandung,"
Jurnal Penyakit Dalam Indonesia: Vol. 9:
2, Article 3.
Available at: https://scholarhub.ui.ac.id/jpdi/vol9/iss2/3