[The first COVID-19 hotspot in a retirement home in Hamburg]. / Der erste COVID-19-Hotspot in einer Hamburger Senioreneinrichtung: Präventionskonzept, Letalität und Obduktionsbefunde.
Rechtsmedizin (Berl)
; 30(5): 325-331, 2020.
Article
in German
| MEDLINE | ID: covidwho-1797657
ABSTRACT
Background:
Coronavirus disease 2019 (COVID-19), a disease caused by the new coronavirus (SARS-CoV-2), is a particular threat to old people. At the end of March 2020, the first and so far largest outbreak of the disease occurred in a retirement home in Hamburg.Methods:
Analysis of procedures in dealing with a residential unit affected by SARS-CoV2, accommodating a risk group of 60 seniors with dementia is presented as well as a detailed presentation of post-mortem examination results of all 8 deceased tested positive for SARS-CoV2.Results:
Out of 60 residents, 39 were infected by SARS-CoV2. Due to preventive procedures it was possible to stop further spreading of the infection to other residential areas. In all 8 fatal cases, the autopsy diagnosis was death due to COVID-19. Autopsies revealed all COVID-19 patients to have a fatal (broncho)pneumonia and signs of relevant pre-existing cardiac, renal and pulmonary conditions in all cases. In 75% (nâ¯= 6) of the cases a fresh venous thrombosis was found. In 66.7% (nâ¯= 4) of the cases thrombotic events were combined with peripheral pulmonary artery thromboembolisms.Conclusion:
The cohort of SARS-CoV2 infected residents of a nursing home is characteristic for clinical and epidemiological features of the new coronavirus disease. Due to a centralized evaluation of all fatalities at the Institute of Legal Medicine in Hamburg, a detailed examination of all deceased positive for SARS-CoV2 was possible. Thereby, increased case fatality rates of approximately 20% could in all cases be assigned to a relevant number of pre-existing comorbidities of multiple organ systems, which was consistent with the clinical data available.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
Language:
German
Journal:
Rechtsmedizin (Berl)
Year:
2020
Document Type:
Article
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