COVID-19 and Older Adults. Lessons Learned from the Italian Epicenter.
COVID-19 and Older Adults. Lessons Learned from the Italian Epicenter.
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DOI：
10.5770/cgj.23.445
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发表时间：
2020-03-01
期刊：
影响因子：
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通讯作者：
Montero-Odasso, Manuel
中科院分区：
文献类型：
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作者：
Cesari, Matteo;Montero-Odasso, Manuel
于二零二零年三月十三日，世界卫生组织有效地确定欧洲为新的COVID-19大流行世界震中，因为意大利及其他欧洲国家的病例飙升。截至2020年3月25日，意大利的病例数已超过8万例，死亡人数超过8000人，使意大利成为死亡率最高的国家。重要的是，老年人特别容易患上严重疾病，并发症，死亡率高于任何其他年龄组。根据伦巴第大区老年病医生的经验，患有严重疾病的老年人的临床表现被描述为非常突然;患者可能在几小时内出现严重低氧血症，需要通气支持。老年综合征并不是COVID-19重症患者的常见表现形式。建议按脆弱程度分层可能有助于检测最脆弱的人群，并且不应仅根据年龄本身或先前的诊断（如患有痴呆症）来决定医疗资源的优先级。
On March 13th, 2020, The World Health Organization effectively established that Europe is the new the COVID-19 pandemic world epicenter, as cases in Italy and other European nations soared. The numbers in Italy have climbed with over 80,000 cases as of March 25th, 2020 and with over 8000 deaths, placing Italy now as the country with the highest mortality rate. Importantly, older adults are particularly vulnerable to get severe illness, complications, and to have a higher mortality rate than any other age group. The clinical presentation in older adults with severe illness, in the experience from geriatricians in Lombardy, is described as quite sudden; patients can develop severe hypoxemia with the need of ventilation support in few hours. Geriatric syndromes are not a common form of presentation for COVID-19 in severe illness. It is suggested that stratification by frailty level may help to detect the most vulnerable, and decisions about healthcare resource prioritization should not be taken based only on age itself or previous diagnosis, such as having dementia.