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[Experts consensus for the diagnosis, treatment, and prevention of coronavirus disease 2019 in the elderly]
1Department of Geriatrics, Peking University First Hospital, Beijing 100034, China.
Insights
This expert consensus addresses the unique challenges of diagnosing, treating, and preventing coronavirus disease 2019 (COVID-19) in elderly patients, emphasizing atypical presentations and tailored multidisciplinary care strategies for this vulnerable population.
Area of Science:
- Geriatric Medicine
- Infectious Diseases
- Critical Care Medicine
Background:
- Elderly patients with COVID-19 exhibit atypical clinical presentations and higher mortality rates due to physiological aging and comorbidities.
- Standard diagnostic and treatment protocols may be insufficient for older adults, necessitating specialized approaches.
Purpose of the Study:
- To establish expert consensus guidelines for the diagnosis, treatment, and prevention of COVID-19 specifically in the elderly population.
- To highlight key considerations for managing COVID-19 in older adults, improving clinical outcomes.
Main Methods:
- Development of an expert consensus by the Expert Committee of Geriatric Respiratory and Critical Care Medicine, China Society of Geriatrics.
- Focus on clinical characteristics, diagnostic challenges, and therapeutic strategies pertinent to elderly COVID-19 patients.
Main Results:
- Diagnosis requires emphasis on atypical presentations and recognition of underlying disease complications in the elderly.
- Treatment necessitates a multidisciplinary team approach, considering multiple systemic functions.
- Prevention strategies should integrate acute and chronic disease management, both in and out of hospital settings.
Conclusions:
- Tailored diagnostic criteria are crucial for identifying COVID-19 in elderly patients with non-specific symptoms.
- Multidisciplinary and holistic treatment strategies are essential for managing COVID-19 complications in older adults.
- Integrated healthcare models are recommended for effective prevention and management of COVID-19 in the elderly population.
Abstract:
Coronavirus disease 2019 (COVID-19) can cause great damage to the elderly patients and lead to high mortality. The clinical presentations and auxiliary examinations of the elderly patients with COVID-19 are atypical, due to the physiological ageing deterioration and basal pathological state. The treatment strategy for the elderly patients has its own characteristics and treatment protocol should be considered accordingly. To improve the diagnosis, treatment, and prevention of COVID-19 in the elderly, the Expert Committee of Geriatric Respiratory and Critical Care Medicine, China Society of Geriatrics established the "Expert consensus for the diagnosis, treatment, and prevention of coronavirus disease 2019 in the elderly" . We focused on the clinical characteristics and key points for better treatment and prevention of COVID-19 in the elderly. (1) For diagnosis, atypical clinical presentation of COVID-19 in the elderly should be emphasized, which may be complicated by underlying disease. (2) For treatment, strategy of multiple disciplinary team (mainly the respiratory and critical care medicine) should be adopted and multiple systemic functions should be considered. (3) For prevention, health care model about integrated management of acute and chronic diseases, in and out of hospital should be applied.
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