Prevalencia y factores asociados a infección por SARS-CoV-2 en adultos mayores institucionalizados

• Buitrago-Gómez, Nathalia ^[2] ; Zambrano-Urbano, José ^[2] ; Muñoz-Realpe, Juan ^[2] ; Ocampo-Chaparro, José Mauricio ^[1] ; Hernández-Arango, Claudia ^[3] ; Lesmes-Duque, María Cristina ^[3] ; Osorio-Amaya, Lyda Elena ^[1] ; Reyes-Ortiz, Carlos Alfonso ^[4]
  1. [1] Universidad del Valle (Colombia)

     Universidad del Valle (Colombia)

     Colombia

     
  2. [2] Universidad Libre
  3. [3] Secretaria de salud departamental del Valle del Cauca
  4. [4] Florida A&M University

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• Localización: Duazary: Revista internacional de Ciencias de la Salud, ISSN-e 2389-783X, ISSN 1794-5992, Vol. 19, Nº. 2, 2022 (Ejemplar dedicado a: (April - June)), págs. 116-128
• Idioma: español
• DOI: 10.21676/2389783X.4691
• Títulos paralelos:
  • Prevalence and factors associated with SARS-CoV-2 infection in institutionalized older adults
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• Resumen
  • español

    El objetivo de este estudio fue determinar la prevalencia de infección y los factores asociados con la COVID-19 en una institución geriátrica de Cali, Colombia. Se trata de un estudio observacional de corte transversal en adultos mayores institucionalizados durante un brote de COVID-19. En una población de 252 adultos a los cuales se les realizó tamización mediante pruebas para detección de SARS-CoV-2, se analizó la prevalencia de la infección por la COVID-19 y su relación con las características sociodemográficas, comorbilidades, síntomas y clinimetría geriátrica mediante modelos de regresión bivariados con razones de prevalencias. De esta población, 84 (33,3%) se infectaron. Se encontró mayor prevalencia de la enfermedad en adultos ≥80 años (RP= 1,69 IC 95% 1,16-2,47), con malnutrición (MNA<17) (RP= 1,44 IC 95% 1,01-2,04) y con un índice de Barthel <60 (RP= 1,57 IC 95% 1,09-2,25). Los infectados se presentaron en su mayoría con fiebre (RP= 2,08 IC 95% 1,39-3,09) y tos (RP= 1,61 IC 95% 1,10-2,34). En conclusión, la prevalencia de infección por COVID-19 en el adulto mayor institucionalizado se relaciona con edad avanzada, malnutrición y dependencia funcional.

  • English

    The objective of this study was to determine the prevalence of infection and the factors associated with COVID-19 in a geriatric institution in Cali, Colombia. This is an observational, cross-sectional study in institutionalized older adults after a COVID-19 outbreak. In a population of 252 adults who were screened for SARS-CoV-2. The prevalence of COVID-19 infection and its relationship with sociodemographic characteristics, comorbidities, symptoms, and geriatric clinimetry were analyzed using bivariate and multivariate regression models with prevalence ratios. Of this population, 84 (33.3%) were infected. A higher prevalence was found in adults ≥80 years (PR = 1.69 95% CI 1.16-2.47), with malnutrition (MNA <17) (PR = 1.44 95% CI 1.01-2.04 ) and with a Barthel index <60 (PR = 1.57 95% CI 1.09-2.25). Those infected presented mostly with fever (PR = 2.08 95% CI 1.39-3.09) and cough (PR = 1.61 95% CI 1.10-2.34). In conclusion, the prevalence of COVID-19 infection in institutionalized older adults is related to advanced age, malnutrition, and functional dependence.

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