[COVID-19 in old age-The geriatric perspective]

Area of Science:

• Geriatric Medicine
• Infectious Diseases
• Public Health

Background:

• Older adults experience disproportionately severe COVID-19 outcomes, with mortality rates up to 54% in those over 80.
• While COVID-19 diagnostics and treatment are similar across age groups, atypical symptoms are more common in the elderly.
• The pandemic has paradoxically reduced geriatric rehabilitation capacity despite increased patient needs.

Purpose of the Study:

• To emphasize the critical geriatric perspective in managing COVID-19.
• To highlight the challenges and recommendations for geriatric care during the pandemic.
• To discuss the importance of advanced care planning and vaccination efficacy in older populations.

Main Methods:

• Review of existing international studies and data on COVID-19 outcomes in older adults.
• Analysis of diagnostic and treatment approaches in geriatric COVID-19 patients.
• Evaluation of rehabilitation needs and availability, and the impact of pandemic-related measures.

Main Results:

• Older individuals require more rehabilitation post-COVID-19, but services are reduced.
• Isolation and quarantine measures can have severe health and emotional consequences for the elderly.
• Advanced care directives are vital for older COVID-19 patients due to poor prognosis.
• mRNA vaccines demonstrate comparable effectiveness in older and younger populations.

Conclusions:

• Geriatric-specific considerations are essential for managing COVID-19, including atypical presentations and rehabilitation needs.
• Balancing isolation measures and prioritizing advanced care planning are crucial for improving outcomes in elderly patients.
• mRNA vaccination offers a promising protective strategy for the older population against severe COVID-19.