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SARS-CoV-2 associated COVID-19 in geriatric population: A brief narrative review
1College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia.
Insights
Older adults are highly vulnerable to severe COVID-19 outcomes due to age and existing health conditions. This review details risk factors, clinical presentations, and management strategies for coronavirus disease 2019 in the elderly.
Area of Science:
- Gerontology
- Infectious Diseases
- Public Health
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, has led to a global pandemic, overwhelming healthcare systems.
- The geriatric population exhibits increased vulnerability to COVID-19 morbidity and mortality.
- Preexisting chronic comorbidities, including cardiovascular disease, hypertension, diabetes, and chronic pulmonary and kidney diseases, exacerbate risks in older adults.
Purpose of the Study:
- To review the clinical presentations and risk factors associated with COVID-19 in the geriatric population.
- To provide insights into the psychosocial impact, mortality, and potential treatment and prevention strategies for COVID-19 in older adults.
Main Methods:
- This study is a narrative review based on updated scientific literature.
- The review synthesizes information on clinical presentations, risk factors, and management of COVID-19 in the elderly.
Main Results:
- Age, gender, chronic comorbidities, inflammaging, immunosenescence, and the renin-angiotensin system are identified as potential contributing risk factors for COVID-19 severity and mortality in the elderly.
- The review details the clinical manifestations and psychosocial impact of COVID-19 in older adults.
Conclusions:
- Older adults represent a high-risk group for severe COVID-19 outcomes.
- Understanding specific risk factors and clinical presentations is crucial for effective management and prevention strategies in this demographic.
- Further research into corticosteroid treatments and tailored prevention measures is warranted for the geriatric population affected by COVID-19.
Abstract:
Coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has emerged as a fatal pandemic and has crushed even the world's best healthcare systems. Globally, it has affected 40,373,228 individuals and resulted in 1,119,568 deaths as of October 19, 2020. Research studies have demonstrated that geriatric population is vastly vulnerable to COVID-19 morbidity and mortality given their age and preexisting chronic comorbidities such as cardiovascular disease, hypertension, diabetes mellitus, chronic pulmonary and chronic kidney disease The data regarding susceptibility of elderly population to COVID-19 is accruing and suggests that factors like age, gender, chronic comorbidity, inflammaging, immunosenescence and renin angiotensin system may be the contributing risk factors towards COVID-19 and associated mortality in elderly population. Based on updated scientific literature, this narrative review précises the clinical presentations and underlying risk factors that might be associated with COVID-19 morbidity in geriatric population and provides informed insights, and discusses clinical presentation, psychosocial impact, mortality and potential corticosteroid treatment and prevention strategies of COVID-19 in older adults.
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