Clinical decision making in older adults with COVID-19 in developing countries: looking beyond chronological age
Rev. invest. clín
; 72(3): 127-134, May.-Jun. 2020. tab, graf
Article
in En
| LILACS
| ID: biblio-1251845
Responsible library:
BR1.1
ABSTRACT
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.Key words
Full text:
1
Index:
LILACS
Main subject:
Coronavirus Infections
/
Developing Countries
/
Emergency Service, Hospital
/
Clinical Decision-Making
/
Betacoronavirus
Type of study:
Prognostic_studies
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
En
Journal:
Rev. invest. clín
Journal subject:
MEDICINA
Year:
2020
Type:
Article