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1.
Aging Clin Exp Res ; 32(9): 1909, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-773976

ABSTRACT

In the published article, the title was published incorrectly as COVID-19.

2.
Aging Clin Exp Res ; 32(8): 1599-1608, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-601656

ABSTRACT

The elderly may represent a specific cluster of high-risk patients for developing COVID-19 with rapidly progressive clinical deterioration. Indeed, in older individuals, immunosenescence and comorbid disorders are more likely to promote viral-induced cytokine storm resulting in life-threatening respiratory failure and multisystemic involvement. Early diagnosis and individualized therapeutic management should be developed for elderly subjects based on personal medical history and polypharmacotherapy. Our review examines the pathogenesis and clinical implications of ageing in COVID-19 patients; finally, we discuss the evidence and controversies in the management in the long-stay residential care homes and aspects of end-of-life care for elderly patients with COVID-19.


Subject(s)
Betacoronavirus , Clinical Decision-Making , Coronavirus Infections , Pandemics , Pneumonia, Viral , Aged , Aged, 80 and over , Aging , COVID-19 , Cytokines/immunology , Humans , SARS-CoV-2
3.
Non-conventional | WHO COVID | ID: covidwho-306290

ABSTRACT

Latest evidences from literature suggest that SARS-CoV-2 disease 2019 (COVID-19) is commonly complicated with coagulopathy and that disseminated intravascular coagulation is present in the majority of deceased patients. Particularly, conventional coagulation parameters appear to be significantly altered in patients with poor prognosis. A wide-ranging cross- talk between coagulative haemostasis and inflammation, as well as the activation of coagulation cascade during viral infections, are well established. Another important evidence which may explain coagulation disorders in COVID-19 is the increase of thrombus formation under conditions of hypoxia. Despite the exact pathophysiological mechanism of coronavirus-induced thromboembolism needs to be further investigated, this finding suggests that it is good practice to assess the risk of thrombosis in COVID-19 patients to improvethe clinical management in terms of anticoagulation therapy. Anticoagulants, mainly low-molecular-weight heparin (LMWH), should be tailored in patients meeting sepsis induced coagulopathy (SIC) criteria or with markedly elevated D-dimer. In this context, further studies are needed to optimise the decision making in therapeutic approach.

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