Identifying Age-Related Risk Factors in COVID-19 Independent of Disease Severity

2020 ◽  
Author(s):  
Chunmei Xie ◽  
De Chang ◽  
Linhai Li ◽  
Xiaohua Peng ◽  
Zhijian Ling ◽  
...  
Keyword(s):  
Risk Factors ◽  
Disease Severity ◽  
Age Related ◽  
Related Risk

scholarly journals The Age-Related Risk of Severe Outcomes Due to COVID-19 Infection: A Rapid Review, Meta-Analysis, and Meta-Regression

2020 ◽  
Vol 17 (16) ◽  
pp. 5974 ◽  
Author(s):  
Karla Romero Starke ◽  
Gabriela Petereit-Haack ◽  
Melanie Schubert ◽  
Daniel Kämpf ◽  
Alexandra Schliebner ◽  
...  
Keyword(s):  
Risk Factors ◽  
Disease Severity ◽  
Rapid Review ◽  
Risk Of Death ◽  
Risk Increase ◽  
Age Related ◽  
Related Risk ◽  
Age Dependent ◽  
Meta Regression ◽  
Effect Of Age

Increased age appears to be a strong risk factor for COVID-19 severe outcomes. However, studies do not sufficiently consider the age-dependency of other important factors influencing the course of disease. The aim of this review was to quantify the isolated effect of age on severe COVID-19 outcomes. We searched Pubmed to find relevant studies published in 2020. Two independent reviewers evaluated them using predefined inclusion and exclusion criteria. We extracted the results and assessed seven domains of bias for each study. After adjusting for important age-related risk factors, the isolated effect of age was estimated using meta-regression. Twelve studies met our inclusion criteria: four studies for COVID-19 disease severity, seven for mortality, and one for admission to ICU. The crude effect of age (5.2% and 13.4% higher risk of disease severity and death per age year, respectively) substantially decreased when adjusting for important age-dependent risk factors (diabetes, hypertension, coronary heart disease/cerebrovascular disease, compromised immunity, previous respiratory disease, renal disease). Adjusting for all six comorbidities indicates a 2.7% risk increase for disease severity (two studies), and no additional risk of death per year of age (five studies). The indication of a rather weak influence of age on COVID-19 disease severity after adjustment for important age-dependent risk factors should be taken in consideration when implementing age-related preventative measures (e.g., age-dependent work restrictions).

scholarly journals Age-Related Risk Factors and Complications of Patients With COVID-19: A Population-Based Retrospective Study

2022 ◽  
Vol 8 ◽  
Author(s):  
Han Zhang ◽  
Yingying Wu ◽  
Yuqing He ◽  
Xingyuan Liu ◽  
Mingqian Liu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Age Groups ◽  
Clinical Manifestations ◽  
Population Based ◽  
Male Gender ◽  
Poor Correlation ◽  
Age Related ◽  
Related Risk ◽  
Independent Risk Factors

Objective: To study the differences in clinical characteristics, risk factors, and complications across age-groups among the inpatients with the coronavirus disease 2019 (COVID-19).Methods: In this population-based retrospective study, we included all the positive hospitalized patients with COVID-19 at Wuhan City from December 29, 2019 to April 15, 2020, during the first pandemic wave. Multivariate logistic regression analyses were used to explore the risk factors for death from COVID-19. Canonical correlation analysis (CCA) was performed to study the associations between comorbidities and complications.Results: There are 36,358 patients in the final cohort, of whom 2,492 (6.85%) died. Greater age (odds ration [OR] = 1.061 [95% CI 1.057–1.065], p < 0.001), male gender (OR = 1.726 [95% CI 1.582–1.885], p < 0.001), alcohol consumption (OR = 1.558 [95% CI 1.355–1.786], p < 0.001), smoking (OR = 1.326 [95% CI 1.055–1.652], p = 0.014), hypertension (OR = 1.175 [95% CI 1.067–1.293], p = 0.001), diabetes (OR = 1.258 [95% CI 1.118–1.413], p < 0.001), cancer (OR = 1.86 [95% CI 1.507–2.279], p < 0.001), chronic kidney disease (CKD) (OR = 1.745 [95% CI 1.427–2.12], p < 0.001), and intracerebral hemorrhage (ICH) (OR = 1.96 [95% CI 1.323–2.846], p = 0.001) were independent risk factors for death from COVID-19. Patients aged 40–80 years make up the majority of the whole patients, and them had similar risk factors with the whole patients. For patients aged <40 years, only cancer (OR = 17.112 [95% CI 6.264–39.73], p < 0.001) and ICH (OR = 31.538 [95% CI 5.213–158.787], p < 0.001) were significantly associated with higher odds of death. For patients aged >80 years, only age (OR = 1.033 [95% CI 1.008–1.059], p = 0.01) and male gender (OR = 1.585 [95% CI 1.301–1.933], p < 0.001) were associated with higher odds of death. The incidence of most complications increases with age, but arrhythmias, gastrointestinal bleeding, and sepsis were more common in younger deceased patients with COVID-19, with only arrhythmia reaching statistical difference (p = 0.039). We found a relatively poor correlation between preexisting risk factors and complications.Conclusions: Coronavirus disease 2019 are disproportionally affected by age for its clinical manifestations, risk factors, complications, and outcomes. Prior complications have little effect on the incidence of extrapulmonary complications.

scholarly journals The effect of age-related risk factors and comorbidities on white matter injury and repair after ischemic stroke

2019 ◽  
Vol 126 ◽  
pp. 13-22 ◽  
Author(s):  
Mingyue Xu ◽  
Michael M. Wang ◽  
Yanqin Gao ◽  
Richard F. Keep ◽  
Yejie Shi
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
White Matter ◽  
White Matter Injury ◽  
Age Related ◽  
Related Risk ◽  
Injury And Repair ◽  
Effect Of Age

scholarly journals Mammogram history in Nigerian women: Age-related risk factors for breast cancer and educational implications

2018 ◽  
Vol 2 ◽  
Author(s):  
Eric O. Umeh ◽  
Kanayo F. Umeh ◽  
Uzoamaka R. Ebubedike ◽  
Chiamaka F. Ezeugbor ◽  
Chukwuziem N. Anene
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Mammography Screening ◽  
Public Awareness ◽  
Sub Saharan Africa ◽  
Chronological Age ◽  
Nigerian Women ◽  
Awareness Campaigns ◽  
Age Related ◽  
Related Risk

Background: Breast cancer accounts for 25% of diagnosed cancers and 20% of cancer-related mortality in women from sub-Saharan Africa. Given the early onset of breast cancer in African women, there is a need to better understand how age-related risk factors contribute to mammography uptake in this population.Aim: To identify age-related risk factors for breast cancer associated with previous uptake of mammograms in asymptomatic Nigerian women and consider implications for health education campaigns.Method: Participants comprised 544 asymptomatic Nigerian women (aged 28–75 years) responding to breast cancer public awareness campaigns, by presenting for baseline or screening mammography at a local hospital. Information about mammography history and age-related risk factors (menarche, menopausal and chronological age) were obtained by interviewing the participants face-to-face, before proceeding with mammography. Hierarchical logistic regression was used to estimate the odds of previous mammograms based on the age-related risk factors.Results: The likelihood of previous mammography screening increased by a factor of 1.07 (95% confidence interval [CI]: 1.00–1.14) for every year older chronologically and decreased by a factor of 1.12 (95% CI: 1.24–1.01) for every year older at menarche. Age at menarche partly mediated the relationship between chronological age and mammography history (effect = –0.01, 95% CI: –0.01, –0.00). Women with a history of breast cancer were 6.11 times more likely to have previously undertaken mammography screening (95% CI: 2.49–14.97). Age at menopause and age at first confinement were unrelated to mammography history.Conclusions: Nigerian women may recognise the need for mammograms because of adverse age-related risk factors for breast cancer, notably menarche and chronological age. However, awareness of menopausal age as a risk factor and basis for mammography screening may be deficient. It is therefore recommended that public awareness campaigns should emphasise the importance of older menopausal age in breast cancer risk and as a basis for requesting mammograms.

CLORETAZINE™ (VNP40101M) Is Active in Elderly Untreated Poor Risk Patients with Acute Myelogenous Leukemia (AML) or High Risk Myelodysplasia (MDS).

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 2786-2786
Author(s):  
Francis Giles ◽  
Susan O’Brien ◽  
David Rizzieri ◽  
Judith Karp ◽  
Maureen Cooper ◽  
...  
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Organ Dysfunction ◽  
Response Rate ◽  
Myelogenous Leukemia ◽  
Induction Treatment ◽  
Secondary Aml ◽  
Age Related ◽  
Related Risk ◽  
Elderly Aml

Abstract Background: The majority of patients (pts) with AML and high risk MDS are ≥ 60 years of age at diagnosis (median age 70), and have a poor prognosis due to age-related risk factors and disease biology. Commonly accepted risk factors in this population include age ≥ 60 yrs, ECOG PS ≥2, secondary AML, unfavorable cytogenetics, and organ dysfunction. The response rate with induction treatment for these pts is lower than that of their younger counterparts, and additional risk factors worsen prognosis. Hepatic, pulmonary, and/or cardiac compromise is likely to determine both selection and tolerance of the induction regimen, and these pts are often not considered for aggressive chemotherapy such as “3+7”. In the US, up to 70% of elderly AML/MDS pts do not receive induction treatment (Menzin, et al; Arch Int Med; 2002;162:1597). CLORETAZINE, a novel sulfonylhydrazine alkylating agent, has significant activity in AML/MDS with a favorable safety profile. In an ongoing Phase II trial, pts with AML or high risk MDS, age ≥60 years, and no prior cytotoxic treatment, receive CLORETAZINE 600mg/m2 for remission induction, re-induction, and consolidation. Methods: This elderly pt population was analyzed for the presence of risk factors and underlying organ dysfunction. Pts were assessed according to the commonly accepted risk factors described above and categorized by number of factors present. Organ dysfunction was defined as hepatic abnormalities (elevated liver function tests), moderate/severe pulmonary compromise (grade 2–4 dyspnea by NCI-CTC Version 3.0 or dependence on oxygen), and/or a history of significant cardiac disease. Data was obtained from case report forms of baseline demographics, medical history, physical exam, and concomitant medications. Results: 105 pts with age ≥60 were enrolled as of April 21, 2005. Specific risk factors were as follows: 31 pts (30%) were PS 2; 36 pts (34%) had unfavorable cytogenetics; 43 pts (41%) had secondary AML. Forty-eight pts (46%) had cardiac dysfunction; 26 pts (25%) had hepatic disease; and 19 pts (18%) had pulmonary dysfunction. The response rate (CR+CRp) for the group as a whole was 31% (N=33). Non-hematologic toxicity was minimal, and the early death rate of 18% is within the range expected for cytotoxic induction regimens in the elderly AML population. The table below describes the risk categories for all patients, early deaths, and responders: # Risk Factors N [%] # CR/CRp (%) # Early Deaths (%) Age + 0 12 (11) 7 (58) 2 Age + 1 24 (23) 9 (38) 4 Age + 2 39 (37) 8 (21) 7 Age ≥3+ 30 (29) 9 (30) 6 Total 105 33 (31) 19 (18) Conclusions: According to risk assessment on the basis of age-related risk factors, the majority of the study pt population had multiple risk factors and represents a group for whom standard AML induction therapy may not be an option. In this elderly patient population with limited therapeutic options, CLORETAZINE is tolerable and results in a response rate of 31%.

Age-Related Risk Factors in Ventral Hernia Repairs: A Review and Call to Action

2021 ◽  
Vol 266 ◽  
pp. 180-191
Author(s):  
Julia Hamilton ◽  
Bradley Kushner ◽  
Sara Holden ◽  
Timothy Holden
Keyword(s):  
Risk Factors ◽  
Ventral Hernia ◽  
Call To Action ◽  
Age Related ◽  
Related Risk

scholarly journals AGE-RELATED RISK FACTORS FOR PERIPHERAL ARTERIAL DISEASE ARE NOT CREATED EQUAL

2016 ◽  
Vol 67 (13) ◽  
pp. 2274
Author(s):  
Aeshita Dwivedi ◽  
Mark Adelman ◽  
Caron Rockman ◽  
Yu Guo ◽  
Judy Zhong ◽  
...  
Keyword(s):  
Risk Factors ◽  
Peripheral Arterial Disease ◽  
Arterial Disease ◽  
Age Related ◽  
Related Risk ◽  
Peripheral Arterial

scholarly journals Evaluation of Impact of Life-Style-Related Risk Factors in Age-Related Cataract

2021 ◽  
Author(s):  
Gholam Abbas Roustaei ◽  
Fatemeh Shomali ◽  
Hemmat Gholinia ◽  
Maral Farzin ◽  
Seyed Ahmad Rasoulinejad
Keyword(s):  
Risk Factors ◽  
Daily Activity ◽  
Dietary Regimen ◽  
Sleeping Time ◽  
Related Information ◽  
Age Related ◽  
Related Risk ◽  
Residence Location ◽  
The Village ◽  
Preventive Role

Cataract is a multifactorial ocular disease, resulting in turbidity or opacity of the lens of the eyes, which leads to blindness or reduction of visuality. The different environmental, socio-economical, and lifestyle factors indicate as risk factors of age-related cataracts. The aim of this study was the evaluation of daily activity, dietary regimen, residence location and etc., as risk factors of age-related cataracts. In this census, a crosssectional study was performed on 353 patients with age-related cataract underwent surgery, who referred to Rouhani Hospital in Babol, Iran from 2018 to 2019, and 343 healthy individuals. The lifestyle-related information was collected from all individuals via the designed questionnaire. Our results showed that there were significant correlations between the birth/residence in the village (comparing to city, P<0.001), abnormal sleeping time (P<0.001), daily activity (and being outdoor, P<0.001), and use of solid oil (P<0.001) with increasing in age-related cataracts. Furthermore, the use of antioxidant-containing fruits significantly reduces the risk of age-related cataracts. Our results established that lifestyle clearly has a golden impact on age-related cataracts. The reduction in daily activity, normal sleeping time, and more use of antioxidant-containing dietary regimen play a preventive role in age-related cataracts.

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