Elderly Patients and COVID-19 Infection: a Cohort of Fifty Patients Over Ninety Years of Age
1 other identifier
observational
50
1 country
1
Brief Summary
SARS-CoV2 or CoVid19 disease is a newly described pathology linked to a subtype of the coronavirus family identified in China in December 2019. This pathology can present multiple clinical facets, ranging from asymptomatic forms to more commonly critical pulmonary forms called "Acute Respiratory Distress Syndrome". The elderly population is more at risk for this infection due to the senescence of the immune system, co-morbidities and poly medications. They also often present a greater state of fragility. This study aims to report the epidemiology of the first 50 patients over 90 years of age hospitalized within the CHU Brugmann hospital.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jun 2020
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 9, 2020
CompletedFirst Submitted
Initial submission to the registry
August 3, 2020
CompletedFirst Posted
Study publicly available on registry
August 5, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 23, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
November 23, 2020
CompletedMarch 29, 2022
March 1, 2022
6 months
August 3, 2020
March 28, 2022
Conditions
Outcome Measures
Primary Outcomes (36)
Demographic data
Age, sex, ethnicity
5 minutes
Comorbidities
Smoking, Obesity, Diabetes, Arterial hypertension, Coronary pathology, Cerebrovascular disease, chronic renal failure, chronic obstructive pulmonary disease, Neoplasia, Autoimmune disease, Chronic liver disease
5 minutes
Cumulative Illness Rating Scale-Geriatric (CIRS-G)
CIRS-G quantifies burden of disease in elderly patients (comorbidity scale). Higher scores indicate higher severity (maximum score = 56 points).
5 minutes
Treatments
Under Chronic corticosteroid therapy or Immunosuppressive therapy
5 minutes
Signs and symptoms
Presence and date of first apparition: Fever, Cough, Dyspnea, Chest pain, Nausea or vomiting, Diarrhea, Fatigue, Anosmia, ageusia, inappetence, Confusion, Fall, Fracture
5 minutes
Fever
Vital signs at hospital admission: Fever
5 minutes
Hypoxemia
Vital signs at hospital admission: Hypoxemia
5 minutes
Tachycardia
Vital signs at hospital admission:Tachycardia
5 minutes
Hypotension
Vital signs at hospital admission: Hypotension
5 minutes
Gasometry
Vital signs at hospital admission: Gasometry
5 minutes
Infectious data
Contact with confirmed covid person before admission, lives in a retirement home with other cases, Initial bacterial or viral co-infection, Bacterial or viral co-infection during the hospital stay
5 minutes
Blood count
Blood count at hospital admission or first recorded
5 minutes
Ionogram
Ionogram at hospital admission or first recorded
5 minutes
Liver function
Liver function at hospital admission or first recorded
5 minutes
Coagulation
Coagulation at hospital admission or first recorded
5 minutes
Renal function
Renal function at hospital admission or first recorded
5 minutes
Albumin
Albumin at hospital admission or first recorded
5 minutes
CRP
CRP at hospital admission or first recorded
5 minutes
Fibrinogen
Fibrinogen at hospital admission or first recorded
5 minutes
D-dimers at hospital admission or first recorded
D-dimers
5 minutes
NTproBNP
NTproBNP at hospital admission or first recorded
5 minutes
CK
CK at hospital admission or first recorded
5 minutes
Troponin
Troponin at hospital admission or first recorded
5 minutes
Ferritin
Ferritin at hospital admission or first recorded
5 minutes
Procalcitonin
Procalcitonin at hospital admission or first recorded
5 minutes
Biology - highest rate
Highest rate of CRP, D-Dimers, Urea, Creatinin, Fibrinogen, CK, Troponins
5 minutes
Biology - lowest rate
Lowest rate of hemoglobin, platelets, leucocytes, lymphocytes, albumin, Na+, K+
5 minutes
Percentage of pulmonary involvement on chest CT scan
Percentage of pulmonary involvement on chest CT scan
5 minutes
Number of pulmonary lobes affected
Number of pulmonary lobes affected
5 minutes
Type of lesions
Type of lesions as reflected on the CT scan images: 'Ground glass' or 'Crazy paving'
5 minutes
Need for oxygenotherapy
Need for oxygenotherapy (yes/no)
5 minutes
Means of ventilation
Means of ventilation
5 minutes
Treatment received
Hydroxychloroquine or Azithromycin
5 minutes
Length of ICU Stay
Length of ICU Stay
5 minutes
Status at hospital exit
One of the following choices: death, went back home, went back to a retirement home, was placed in a revalidation unit.
5 minutes
Mortality
28-day mortality after PCR / CT scan / diagnosis
5 minutes
Study Arms (3)
Covid positive
Patients over 90 years old hospitalized within the CHU Brugmann between 03/01/2020 and 05/10/2020 with SARS Cov2 infection.
Sub-group: deceased patients
Patients over 90 years old hospitalized within the CHU Brugmann between 03/01/2020 and 05/10/2020 with SARS Cov2 infection, with death as outcome.
Sub-group: patients who survived
Patients over 90 years old hospitalized within the CHU Brugmann between 03/01/2020 and 05/10/2020 with SARS Cov2 infection, who survived the infection.
Interventions
Data collection from medical files
Eligibility Criteria
Same as inclusion criteria
You may qualify if:
- Be over 90 years of age on the date of admission to CHU Brugmann Hospital
- Have a SARS Cov2 infection proven by antigen or RT-PCR on smear and / or typical imaging regardless of the clinical manifestation
- Have been hospitalized at CHU Brugmann between 03/01/2020 and 05/10/2020
You may not qualify if:
- None
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Murielle Surquinlead
Study Sites (1)
CHU Brugmann
Brussels, Belgium
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Head of geriatry department
Study Record Dates
First Submitted
August 3, 2020
First Posted
August 5, 2020
Study Start
June 9, 2020
Primary Completion
November 23, 2020
Study Completion
November 23, 2020
Last Updated
March 29, 2022
Record last verified: 2022-03
Data Sharing
- IPD Sharing
- Will not share