{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T07:40:13Z","timestamp":1772264413458,"version":"3.50.1"},"reference-count":0,"publisher":"Canadian Geriatrics Society","issue":"3","license":[{"start":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T00:00:00Z","timestamp":1662076800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can Geriatr J"],"abstract":"<jats:p>Background\nOlder adults are more vulnerable to severe infection and mortality due to COVID-19. They have atypical presentations of the disease without respiratory symptoms, making early diagnosis clinically challenging. We aimed to compare the baseline characteristics, presentation, and disease course of older (\u226570 yrs &amp; \u226590 yrs) and younger (&lt;70 yrs) patients hospitalized with COVID-19.\nMethods\nRetrospective review of 429 consecutive patients hospitalized at two tertiary care hospitals in Montreal, Canada, with PCR-confirmed COVID-19. Baseline characteristics, presentation, in-hospital complications, and outcomes were recorded. Desegregation by age was performed to compare older versus younger individuals. Additional subgroup analyses were performed amongst patients \u226570 stratifying by sex, living situation, and those presenting with geriatric syndromes compared to those without. \nResults\nPatients \u226570 (n=260) presented less frequently with respiratory symptoms compared to patients &lt;70 (n=169) (52% vs. 32%). 11% of patients \u226570 and 24% of patients \u226590 presented with a geriatric syndrome as their sole symptom compared to 3% of those &lt;70. Older adults were more likely to develop disease complications (including delirium, acute kidney injury, and hypernatremia) and had higher in-hospital mortality (32% vs. 13%). Subgroup analyses revealed heightened vulnerability to complications in older men, those from long-term care, and those with at least one geriatric syndrome upon presentation.\nConclusions \nOlder adults presenting to hospital with COVID-19 often have no respiratory symptoms and can present with only a geriatric syndrome. New geriatric syndromes in older individuals should trigger evaluation for COVID-19 and consideration for early initiation of multidisciplinary care to prevent complications.<\/jats:p>","DOI":"10.5770\/cgj.25.579","type":"journal-article","created":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T23:01:38Z","timestamp":1662159698000},"page":"269-278","source":"Crossref","is-referenced-by-count":4,"title":["Geriatric Syndromes in Older Adults Hospitalized with COVID-19 in Montreal, Canada"],"prefix":"10.5770","volume":"25","author":[{"given":"Sandrine","family":"Couture","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc-Antoine","family":"Lepage","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Godard-Sebillotte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Sourial","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Talbot-Hamon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Kremer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amichai","family":"Grunbaum","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3968","published-online":{"date-parts":[[2022,9,2]]},"container-title":["Canadian Geriatrics Journal"],"original-title":[],"link":[{"URL":"https:\/\/cgjonline.ca\/index.php\/cgj\/article\/download\/579\/826","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cgjonline.ca\/index.php\/cgj\/article\/download\/579\/838","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cgjonline.ca\/index.php\/cgj\/article\/download\/579\/826","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T23:05:34Z","timestamp":1662505534000},"score":1,"resource":{"primary":{"URL":"https:\/\/cgjonline.ca\/index.php\/cgj\/article\/view\/579"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,2]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,9,2]]}},"URL":"https:\/\/doi.org\/10.5770\/cgj.25.579","relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2021.02.27.21252596","asserted-by":"object"}]},"ISSN":["1925-8348"],"issn-type":[{"value":"1925-8348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,2]]}}}