Abstract
Introduction:
Since the first wave of COVID-19, caused by SARS-CoV-2 virus, we have sought to identify possible short- and long-term complications, the so-called "post-discharge syndrome", especially in patients at higher risk, after prolonged hospitalization and intensive care.
Objective:
The aim of the study was to study the outcomes, possible adverse consequences after severe COVID-19 illness and its predictors in the 90-day post-hospitalization stage in elderly patients with asthma.
Methodology and Results:
We conducted a longitudinal observational study including 131 patients older than 60 years hospitalized for COVID-19, with a history of bronchial asthma who met the GINA 2020 criteria. The main risk factors for death in the post-hospital stage included Charlson comorbidity index values of 4 points or more, CT lung damage ≥30%, absolute number of eosinophils less than or equal to 100 cells/μl and the presence of diabetes mellitus, with the presence of diabetes mellitus being the factor with the shortest mean survival time after discharge.
Discussion:
COVID-19 usually requires hospital treatment and mortality of hospitalized patients is high, the factors for death were old age (82.1 years), a higher frequency of concomitant diseases and the presence of addiction. An increased risk of death was found in patients with asthma and heart failure. A greater number of comorbidities also correlated with worse clinical outcomes.