Skip to main content

Abstract

In elderly, pneumonia may be more severe because of impaired immunity and frailty as well as a reduced ability to cough and clear secretions from the lungs. Hence, they have an increased rate of respiratory failure and death. Furthermore, the impact of COVID-19 pneumonia in the elderly may have the characteristics of a multisystem disease with direct consequences on the treatment. Pneumonia in elderly patients with multimorbidity is significantly more complicated. For these reasons, the rate of hospitalisation and the mortality rate is very high in older patients. The presence of comorbidities, as well as a frailty condition, is a risk factor. The most common symptoms on admission were fever and cough, followed by sputum production and fatigue [1]. Elderly may present an atypical presentation of the symptoms. But they are more susceptible to severe complications that may lead to death. In this chapter, the authors analysed the type and the impact of complications in elderly patients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395:P1054–62.

    Article  Google Scholar 

  2. Guan W-j, Ni Z-y, Hu Y, Liang W-h, Ou C-q, He J-x, Liu L, Shan H, Lei C-l, Hui DSC, Du B, Li L-j, Zeng et al. for the China Medical Treatment Expert Group for Covid-19. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020;382:1708–20. https://doi.org/10.1056/NEJMoa2002032.

    Article  CAS  PubMed  Google Scholar 

  3. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497–506.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395:507–13.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323:1061–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Borén HK, Kjøstolfsen GH, Aaløkken TM, Latif N, Brekke H, Lind A, Hesstvedt L. A man in his nineties with fever and dry cough. Tidsskr Nor Laegeforen. 2020;140:6. https://doi.org/10.4045/tidsskr.20.0218.

    Article  Google Scholar 

  7. Available at https://www.epicentro.iss.it/coronavirus/bollettino/Report-COVID-2019_20_marzo_eng.pdf.

  8. Yao W, Peng Z, et al. Emergency tracheal intubation in 202 patients with COVID-19 in Wuhan, China: lessons learnt and international expert recommendations. Br J Anaesth. 2020;125(1):E28–37.

    Article  CAS  PubMed  Google Scholar 

  9. Liu K, Chen Y, Lin R, Han K. Clinical features of COVID-19 in elderly patients: a comparison with young and middle-aged patients. J Inf Secur. 2020;80(6):e14–8. https://doi.org/10.1016/j.jinf.2020.03.005.

    Article  CAS  Google Scholar 

  10. Garg S, Kim L, Whitaker M, et al. Hospitalization rates and characteristics of patients hospitalized with laboratory-confirmed coronavirus disease 2019—COVID-NET, 14 States, March 1–30, 2020. Morb Mortal Wkly Rep. 2020;69:458–64. https://doi.org/10.15585/mmwr.mm6915e3.

    Article  CAS  Google Scholar 

  11. Yang X, Yu Y, Xu J, et al. Clinical course and outcomes of critically ill patients with SARS-CoV2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet. 2020;395:475. https://doi.org/10.1016/S2213-2600(20)30079-5.

    Article  Google Scholar 

  12. http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid19/news/news/2020/4/supporting-older-people-during-the-covid-19-pandemic-is-everyones-business.

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Tibullo, L. et al. (2020). Elderly Pneumonia COVID-19 Cases: Impact on the Outcome. In: Vargas, N., Esquinas, A.M. (eds) Covid-19 Airway Management and Ventilation Strategy for Critically Ill Older Patients. Springer, Cham. https://doi.org/10.1007/978-3-030-55621-1_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-55621-1_2

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-55620-4

  • Online ISBN: 978-3-030-55621-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics