{{htmlmetatags>
  metatag-keywords=(Syndromes Geriatriques, Confusion, COVID19, Présentation, Symptômes, Fragilité)

  metatag-og:title=(Atypical presentations of COVID-19 in care home residents presenting to secondary care: A UK single centre study. Rawle MJ, et al, Aging Med (Milton) 2020.) 2020.) 2020.) 2020.)

  metatag-description=(Atypical presentations of COVID-19 in care home residents presenting to secondary care: A UK single centre study. Rawle MJ, et al, Aging Med (Milton) 2020.) 2020.) 2020.)) 2020.)

  metatag-og:type=article
  metatag-article:published_time=2021-02-10
  metatag-article:modified_time=2021-03-07

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{{pmid>addtt:33392429|Atypical presentations of COVID-19 in care home residents presenting to secondary care: A UK single centre study.}}
{{pmid>addhash_fr:33392429|Syndromes_Geriatriques, COVID19, Présentation, Symptômes, Fragilité}}

====== Atypical presentations of COVID-19 in care home residents presenting to secondary care: A UK single centre study. Rawle MJ, et al, Aging Med (Milton) 2020. ======

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{{tag>Syndromes_Geriatriques Confusion   }}
{{tag>COVID19, Présentation, Symptômes, Fragilité}}
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  * **Proposé le :** 10/02/2021 15:07:03
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===== Résumé et points clés =====



 **Background:** Atypical presentations of COVID-19 pose difficulties for early isolation and treatment, particularly in institutional care settings. We aimed to characterize the presenting symptoms and associated mortality of COVID-19 in older adults, focusing on care home residents admitted to secondary care.

 **Methods:** A retrospective cohort study of 134 consecutive inpatients over 80 years old hospitalized with PCR confirmed COVID-19 in the United Kingdom. Symptoms at presentation and frailty were analysed. Differences between community dwelling and care home residents, and associations with mortality, were assessed using between-group comparisons and logistic regression.

 **Results:** Care home residents were less likely to experience cough (46.9% vs 72.9%, P = .002) but more likely to present with delirium (51.6% vs 31.4%, P = .018), particularly hypoactive delirium (40.6% vs 24.3%, P = .043). Mortality was more likely with increasing frailty (OR 1.25, 95% CI 1.00, 1.58, P = .049) and those presenting with anorexia (OR 3.20, 95% CI 1.21, 10.09, P = .028). There were no differences in mortality or length of stay based on residential status.

 **Conclusion:** COVID-19 in older adults often presents with atypical symptoms, particularly in those admitted from institutional care. These individuals have a reduced incidence of cough and increased hypoactive delirium. Individuals presenting atypically, especially with anorexia, have higher mortality.

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===== Références =====

~~REFNOTES~~

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