Clinical manifestations of 604 elderly patients with severe acute respiratory tract infection in Pudong New Area
10.3969/j.issn.1006-2483.2026.01.008
- VernacularTitle:上海浦东新区604例60岁以上急性呼吸道感染住院病例临床特征分析
- Author:
Qiwen CUI
1
;
Wenxin YING
1
;
Yuanping WANG
1
;
Chuchu YE
1
;
Zou CHEN
1
Author Information
1. Shanghai Pudong New Area Center for Disease Control and Prevention，Shanghai 200136，China;Fudan University Pudong Institute of Preventive Medicine，Shanghai 200136，China
- Publication Type:Journal Article
- Keywords:
Acute respiratory tract infection;
SARS-CoV-2;
Clinical features
- From:
Journal of Public Health and Preventive Medicine
2026;37(1):40-43
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical manifestations of patients over 60 years old with acute respiratory infection in Pudong New Area of Shanghai and the risk factors of positive detection of novel coronavirus, and to provide reference for improving prevention and control strategies and measures. Methods General conditions, clinical features, basic complications and respiratory samples of inpatients over 60 years old with acute respiratory infection from eight hospitals in Pudong New Area of Shanghai from January to October 2023 were collected, and SARS-CoV-2 detection was carried out. Chi-square test and binary logistics regression were used for data analysis. Results A total of 604 patients over 60 years old were collected, including 356 (58.945) males with a median age of 77 (IQR:70-85) years. Of the 604 cases, 264 were detected positive for SARS-CoV-2, with a positive detection rate of 43.71%. The results of univariate analysis showed that there were significant differences in the detection rates of SARS-CoV-2 among different age groups (χ2=10.60, P=0.01) and different months (χ2=87.15, P=0.00), and among those with cough (χ2=5.28, P=0.02), sputum (χ2=4.19, P=0.04), sore throat (χ2=3.93, P=0.04), and hypertension (χ2=7.63, P=0.01). In the binary logistics regression analysis, month (P=0.00, OR=2.93, 95% CI=1.49-5.78) and age (P=0.00, OR=2.60, 95% CI=1.55-4.37) were independent risk factors for positive detection of SARS-CoV-2. Conclusion The majority of hospitalized cases of acute respiratory infection over 60 years old are male, and the risk factors for positive detection of novel coronavirus are age 80~89 years old and time between May and June.
