(1) Background: Older people with COVID-19 infection report worse clinical outcomes. There is a paucity of local data and this study aimed to describe the clinical progression of older people admitted to a university hospital in Malaysia with COVID-19 infection. (2) Methods: Older people (≥60 years) admitted with COVID-19 infection confirmed with RT-PCR from 27 February 2020–25 May 2020 were included in this study. Data on patient characteristics, hospital treatment, and inpatient outcomes were collected via hospital-held electronic medical records. Analysis was done to describe the cohort and identify factors associated with inpatient mortality. (3) Results: 26 participants were included (mean age 76.2 years, female 57.7%). All had at least one comorbid condition and half were frail. About 19.2% had non-respiratory (atypical) symptoms; 23.1% had a severe disease that required intensive care unit monitoring; 46.2% were given COVID-19 targeted therapy. Inpatient mortality and overall complication rates were 23.1% and 42.3%, respectively. Delirium on presentation and lower Ct-value were associated with mortality. (4) Conclusions: Older people with COVID-19 infection have severe infection and poor hospital outcomes. Vigilant hospital care is necessary to address their multimorbidity and frailty, along with appropriate treatment for their infection.
【저자키워드】 COVID-19, hospital, Malaysia, Aged, 【초록키워드】 Treatment, Severe infection, Mortality, intensive care, Infection, frailty, Local, progression, outcome, RT-PCR, clinical outcomes, outcomes, Cohort, Characteristics, female, Patient, Ct-value, age, electronic medical records, targeted therapy, Care, Multimorbidity, severe disease, Atypical, Inpatient, Older, Factor, university hospital, participant, identify, collected, required, were given, was done, people with COVID-19, with COVID-19,