Introduction: Rational resource management was key to avoiding overcrowding in Coronavirus Infectious Disease 2019 (COVID-19) dedicated wards. The study aimed to identify specific symptoms for aged patients with COVID-19 and assess the utility of the Modified Early Warning Score (MEWS) as a tool that may support decisions within an emergency department (ED).Material and methods: This was a retrospective analysis of medical records. ED patients with positive antigen tests for COVID-19 infection were identified. Patients' history, length of stay (LOS) and vital signs were collected. MEWS score was calculated. Age groups were divided as follows: non-geriatric (NG)aged under 60; geriatric groups (G): G1 -aged 60-74; G2 -aged 75-89; G3 -aged 90 and over.Results: There were 777 individuals (261 NG and 510 G patients). Symptoms related to pain as well as anosmia and ageusia occurred more often in NG patients. The longest LOS was in G2 -182 [101-295] minutes.A significantly shorter LOS (51 [24-156] minutes) was recorded in NG (NG vs. G1 p < 0.0001; NG vs. G2 p < 0.0001; NG vs. G3 p = 0.0007). Admission rate was as follow: