Novel coronavirus infection SARS-CoV-2 in elderly and senile patients: prevention, diagnosis and treatment. Expert Position Paper of the Russian Association of Gerontology and Geriatrics
Open Access
- 3 July 2020
- journal article
- Published by Silicea - Poligraf, LLC in Cardiovascular Therapy and Prevention
- Vol. 19 (3), 2601
- https://doi.org/10.15829/1728-8800-2020-2601
Abstract
A novel coronavirus infection SARS-CoV-2 (COVID19) is especially dangerous for elderly and senile patients. Preventive measures for elderly people should cover three areas: 1) direct prevention of the viral infection, 2) preservation of the functional status and prevention of geriatric syndromes, including the use of social support measures, 3) control of comorbidities. The clinical pattern of COVID-19 in older patients may be atypical, while the mildness of symptoms (no fever, cough, shortness of breath) may not correspond to the severity of the prognosis. Delirium may be the first manifestation of COVID-19, which requires special care in its screening. Management of elderly and senile patients with COVID19 should include measures for delirium prevention, the detection and improvement of nutrition. The risk of malnutrition with sarcopenia increases with hospitalization of a patient, especially when using artificial ventilation, is associated with an unfavorable prognosis during hospitalization, accelerates the progression of senile asthenia and reduces the quality of life. Geriatric assessment is the cornerstone of determining the management of an elderly patient.Keywords
This publication has 47 references indexed in Scilit:
- Clinical guidelines frailty. Part 2Russian Journal of Geriatric Medicine, 2020
- Evidence that Vitamin D Supplementation Could Reduce Risk of Influenza and COVID-19 Infections and DeathsNutrients, 2020
- ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infectionClinical Nutrition, 2020
- COVID-19 and Italy: what next?The Lancet, 2020
- Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patientsJournal of Infection, 2020
- Similarity in Case Fatality Rates (CFR) of COVID-19/SARS-COV-2 in Italy and ChinaJournal of Infection in Developing Countries, 2020
- ESPEN guideline on clinical nutrition and hydration in geriatricsClinical Nutrition, 2018
- What can apply for the role of basic therapy for chronic pain in comorbid patients?Medical Council, 2018
- ESPEN guidelines on nutritional support for polymorbid internal medicine patientsClinical Nutrition, 2017
- Serum 25-Hydroxyvitamin D Levels and C-Reactive Protein in Persons with Human Immunodeficiency Virus InfectionAIDS Research and Human Retroviruses, 2013