Abstract
The objective of this meta-analysis was to evaluate the factors associated with the mortality of elderly Italians diagnosed with coronavirus who resided in institutions or who were hospitalized because of the disease. Methods: A systematic review following the recommendations of The Joanna Briggs Institute (JBI) was carried out, utilizing the PEO strategy, i.e., Population, Exposure and Outcome. In this case, the population was the elderly aged over 65 years old, the exposure referred to the SARS-CoV-2 pandemic and the outcome was mortality. The National Center for Biotechnology Information (NCBI/PubMed), Latin American and Caribbean Literature in Health Sciences (LILACS), Excerpta Medica Database (EMBASE) and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were used until 31 July 2020. Results: Five Italian studies were included in this meta-analysis, with the number of elderly people included varying between 18 and 1591 patients. The main morbidities presented by the elderly in the studies were dementia, diabetes, chronic kidney disease and hypertension. Conclusions: The factors associated with the mortality of elderly Italian people diagnosed with SARS-CoV-2 who lived in institutions or who were hospitalized because of the disease were evaluated. It was found that dementia, diabetes, chronic kidney disease and hypertension were the main diagnosed diseases for mortality in elderly people with COVID-19.
Highlights
One of the greatest achievements of humanity has been longevity, which— there are still differences between countries influenced by the socioeconomic context of each—in general, is led by progress in the population’s health markers
The objective of this study was to synthesize the factors associated with the mortality of elderly Italian people diagnosed with coronavirus who lived in institutions or who were hospitalized because of the disease
The main morbidities presented by the elderly in the studies were: dementia [20], diabetes [19,21], chronic kidney disease [19] and hypertension [21], showing that non-communicable chronic diseases (NCCDs) had a key role to play in these cases
Summary
One of the greatest achievements of humanity has been longevity, which— there are still differences between countries influenced by the socioeconomic context of each—in general, is led by progress in the population’s health markers. Achieving old age, which was once the privilege of a few, has become one of the world’s main goals and challenges [1]. In this way, aging has become a global phenomenon and a success story for public health policies and socioeconomic development. Our society needs to adapt to this new scenario, to maximize the functional capacity and health of the elderly and to promote their social inclusion and safe participation [1]. There are social consequences of the aging population and new public health issues arising that affect European countries, such
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