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Rev. invest. clín ; 72(3): 127-134, May.-Jun. 2020. tab, graf
Article Dans Anglais | LILACS | ID: biblio-1251845

Résumé

ABSTRACT 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.


Sujets)
Humains , Mâle , Femelle , Sujet âgé , Sujet âgé de 80 ans ou plus , Infections à coronavirus/économie , Infections à coronavirus/épidémiologie , Pays en voie de développement/économie , Service hospitalier d'urgences/économie , Prise de décision clinique , Betacoronavirus , Pneumopathie virale/économie , Pneumopathie virale/épidémiologie , Activités de la vie quotidienne , Évaluation gériatrique/méthodes , Triage , Personne âgée fragile , Allocation des ressources/normes , Allocation des ressources/éthique , Populations vulnérables , Préférence des patients , Pandémies/économie , SARS-CoV-2 , COVID-19
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