Clinical Decision Making in Older Adults with COVID-19 in Developing Countries: Looking Beyond Chronological Age



Título del documento: Clinical Decision Making in Older Adults with COVID-19 in Developing Countries: Looking Beyond Chronological Age
Revista: Revista de investigación clínica
Base de datos: PERIÓDICA
Número de sistema: 000453228
ISSN: 0034-8376
Autores: 1
2
1
2
Instituciones: 1Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Departamento de Urgencias, Ciudad de México. México
2Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Departamento de Geriatría, Ciudad de México. México
Año:
Periodo: May-Jun
Volumen: 72
Número: 3
Paginación: 127-134
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Background: The coronavirus disease 2019 (COVID-19) has been declared a global pandemic. Older adults have been found as a vulnerable group for developing severe forms of disease and increased mortality. Objective: The objective of the study was to propose a pathway to assist the decision-making process for hospital resource allocation for older adults with COVID-19 using simple geriatric assessment-based tools. Methods: We reviewed the available literature at this point of the COVID-19 outbreak, focusing in older adult care to extract key recommendations for those health-care professionals who will be treating older adults in the hospital emergency ward (HEW) in developing countries during the COVID-19 pandemic. Results: We listed a series of easy recommendations for non-geriatrician doctors in the HEW and suggested simple tools for hospital resource allocation during critical care evaluation of older adults with COVID-19 in low- and middle-income countries. Conclusions: Age must not be used as the sole criterion for resource allocation among older adults with COVID-19. Simple and efficient tools are available to identify components of the comprehensive geriatric assessment, which could be useful to predict outcomes and provide high-quality care that would fit the particular needs of older adults in resource-limited settings amidst this global pandemic
Disciplinas: Medicina
Palabras clave: Geriatría,
Salud pública,
Ancianos,
COVID-19,
Grupos vulnerables,
Atención a la salud,
Toma de decisiones
Keyword: Public health,
Aged,
COVID-19,
Vulnerable populations,
Health care,
Decision making
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