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Frail patients in long term care institutions


Authors: prof. MUDr. Topinková Eva;  CSc. 1;  MUDr. Renata Petrová 2
Authors place of work: Geriatrická klinika 1. LF UK a VFN v Praze 1;  Soukromá geriatrická ambulance, Praha 4 2
Published in the journal: Geriatrie a Gerontologie 2020, 9, č. 2: 73-80
Category: Original Article

Summary

People in higher age groups represent highly vulnerable population during SARS-CoV-2 pandemic and are at higher risk of developing COVID-19 infection, more severe course, complications and higher case fatality rates. Seniors living in long term care institutions confer the highest risk. In the paper we focus on clinical aspects of COVID-19 infection in older population, epidemiology, risk factors and clinical characteristics in the elderly and in the frail residents. Attention is given to atypical presentation and clinical course in long term care facilities. We interpret data on the viral spread during the facility outbreaks and high fatality rates in Czech Republic and in international context. Lastly, we present strategies for COVID-19 prevention and care management during the pandemics in nursing and care homes.

Keywords:

SARS-CoV-2 pandemic – frail geriatric patient – long term care institutions


Zdroje

1. Phelan AL, Katz R, Gostin LO. The Novel Coronavirus Originating in Wuhan, China: Challenges for Global Health Governance. JAMA 2020 Jan 30. doi: 10.1001/ jama.2020.1097.

2. https://coronavirus.jhu.edu/map.html

3. Vyjádření České gerontologické a geriatrické společnosti ČLS JEP k situaci COVID-19 v pobytových zařízeních (domovech pro seniory, domovy se zvláštním režimem, domovy pro osoby se zdravotním postižením) ze dne 27. 3. 2020 a jeho aktualizace. www.cggs.cz

4. Prevence a kontrola infekce covid-19 v pobytových zařízeních pro seniory Doporučený postup k 30.3.2020, http://szu.cz/tema/prevence/prevence-a-kontrola-infekce-Covid-19-v-pobytovych-zarizenich

5. Lusková D, Solichová L. Doporučený postup pro COVIDzóny a ochranu zaměstnanců a klientů v sociálních službách v souvislosti s onemocněním COVID-19 APSS ČR, MPSV. 16. 4. 2020    http://www.apsscr.cz/files/files/Doporu%C4%8Den%C3%BD%20postup_COVID%20z%C3%B3ny.pdf

6. Landi F, Barillaro C, Bellieni A, et al. The new challenge of geriatrics: saving frail older people from the SARS-COV-2 pandemic infection. J Nutr Health Aging 2020 Apr 3 : 1–5. doi: 10.1007/s12603-020-1356-x.

7. D’Adamo H, Yoshikawa T, Ouslander JG. Coronavirus Disease 2019 in Geriatrics and Long-term Care: The ABCDs of COVID-19. J Am Geriatr Soc 2020 Mar 25. doi: 10.1111/jgs.16445.

8. Zhang L, Ma L, Sun F, Tang Z, Chan P. A Multicenter Study of Multimorbidity in Older Adult Inpatients in China. J Nutr Health Aging 2020;24(3):269-276

9. Onder G, Rezza G, Brusaferro S. Case fatality rate and characteristics of patients dying in relation to COVID-19 in Italy. JAMA 2020,    Mar 23. doi: 10.1001/jama.2020.4683.

10. Veronese N, Siri G, Cella A, et al. on behalf of MPI_AGE Investigators. Older women are frailer, but less often die than men: a prospective study of older hospitalized people. Maturitas 2019;128:81-6

11. Polidori MC, Maggi S, Mattace-Raso F, Pilotto A. The unavoidable costs of frailty: a geriatric perspective in the time of COVID-19. Geriatric Care 2020; 6:8989 doi:10.4081/gc.2020.8989

12. Skloot GS. The effects of aging on lung structure and function. Clin Geriatr Med 2017;33:447-57.

13. Oh SJ, Lee JK, Shin OS. Aging and the immune system: the impact of immunosenescence on viral infection, immunity and vaccine immunogenicity. Immune Netw 2019;19:e37

14. McIntosh K. Coronavirus disease 2019 (COVID-19): Epidemiology, virology, clinical features, diagnosis, and prevention, upraveno 8.5.2020. https://www.uptodate.com/contents/coronavirus-disease-2019-Covid-19-epidemiology-virology-clinical-features-diagnosis-and-prevention

15. Tay HS, Harwood R.Atypical presentation of COVID-19 in a frail older person H Age Ageing 2020; 1–2 doi: 10.1093/ageing/afaa068

16. van Loon A, Rutten J, van Buul K, Joling K, Smalbrugge M,    Hertogh C. COVID-19 bij verpleeghuisbewoners. Mei 2020. Universitair Netwerk Ouderenzorg, Amsterdam UMC, locatie VUmc (UNO-VUmc). file:///H:/%C4%8Dasopis%20GG/%C4%8Dlanky%20GG-2-2020/Factsheet-1-COVID-19-in-verpleeghuizen-dd-03-05-2020.pdf

17. Kimball A, Hatfield KM, Arons M, et al. Asymptomatic and Presymptomatic SARS-CoV-2 Infections in Residents of a Long-Term Care Skilled Nursing Facility — King County, Washington, March 2020. MMWR Morb Mortal Wkly Rep. ePub: 27 March 2020. DOI: http://dx.doi.org/10.15585/mmwr.mm6913e1external icon.

18. Covid-19 – bulletin epidemiologique hebdomadaire du 16 avril 2020.    https://Covid-19.sciensano.be/sites/default/files/Covid19/COVID-19_Weekly%20report_20200416%20-%20FR.pdf

19. Comas-Herrera A. The problem of asymptomatic positive infections among care home staff and residents: emerging evidence and implications. https://ltcCovid.org/2020/04/18/the-problem-of-asymptomatic-positive-infections-among-care-home-staff-and-residents-emerging-evidence-and-implications/

20. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020; Feb 24. doi: 10.1001/jama.2020.2648.

21. Infectious Diseases Society of America Guidelines on the Diagnosis of COVID-19, May 5, 2020. https://www.idsociety.org/practice-guideline/Covid-19-guideline-diagnostics

22. Hsu AT, Lane NE, Sinha SK, Dunning J, Dhuper M, Kahiel Z, Sveistrup H. Report: Understanding the impact of COVID-19 on residents of Canada’s long-term care homes — ongoing challenges and policy responses. Article in LTCCovid.org, International Long-Term Care Policy Network, CPEC-LSE, 10 May 2020.

23. Comas-Herrera A, Zalakaín J, Litwin C, Hsu AT, Lane N and Fernández J-L. Mortality associated with COVID19 outbreaks in care homes: early international evidence. Article in LTCCovid.org, International Long-Term Care Policy Network, CPEC-LSE, 3 May 2020.

24. Comas-Herrera A, Ashcroft E and Lorenz-Dant K. (2020) International examples of measures to prevent and manage COVID-19 outbreaks in residential care and nursing home settings. Report in LTCCovid.org, International Long-Term Care Policy Network, CPEC-LSE, 11 May 2020.

Štítky
Geriatrics General practitioner for adults Orthopaedic prosthetics

Článok vyšiel v časopise

Geriatrics and Gerontology

Číslo 2

2020 Číslo 2
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