Introduction

During the COVID-19 pandemic, information was accumulated about the course of the disease and its treatment in comorbid patients in different age categories.

Aims

Identify factors that may contribute to the critical course of COVID-19 and analyze the ambulatory stage of providing medical care to such patients based on data from the medical records.

Methods

We analyzed the medical records of 50 patients over the age of 40 with a laboratory-confirmed diagnosis of COVID-19, who died after less than 3 days of inpatient treatment in the therapy department ?2 of the City Clinical Hospital ?9 in Dnipro (Ukraine) in 2021.

Results

68 % of patients were older than 70 years. 49 patients were not vaccinated. 76% of patients, were treated on an outpatient basis for 7 to 21 days [Fig.1]. None of the patients received specific antiviral treatment. All patients had combined comorbid pathology, which in 70% of cases was not treated properly [Fig.2].

Conclusions

Among patients with a critical course of COVID-19, prevail people over the age of 70 with comorbid pathology, mainly cardiovascular diseases. Risk factors are untimely seeking medical help, long-term stay of patients at the outpatient stage of treatment, uncontrolled prescription of antibacterial agents, lack of antiviral therapy. A very unfavorable prognostic factor was the lack of vaccination of persons over 60 years of age.