Coronavirus: la emergencia geriátrica de 2020. Documento conjunto de la Sección de Cardiología Geriátrica de la Sociedad Española de Cardiología y la Sociedad Española de Geriatría y Gerontología

Bonanad, Clara; García‐Blas, Sergio; Tarazona-Santabalbina, Francisco José; Díez‐Villanueva, Pablo; Ayesta, Ana; Forés, Juan Sanchı́s; Vidán-Austiz, María Teresa; Formiga, Francesç; Arizá-Solé, Albert; Martínez‐Sellés, Manuel

doi:10.1016/j.recesp.2020.03.027

Cited by 80 publications

(38 citation statements)

References 31 publications

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“…84 According to recent reports, the elderly population with a higher prevalence of frailty and co-morbidities is at utmost risk from 85 due to a decrease in intrinsic capacity and resilience, which undermines their resistance to any disease/infection. 86 Eight out of 10 deaths among confirmed COVID cases in the USA are reported in elderly persons above 65 years. 85 Pneumonia is the most severe complication of the influenza virus or ; any infectious disease like , especially in the elderly patient with multiple co-morbidities and polypharmacy, has the potential to turn into pneumonia.…”

mentioning

confidence: 99%

<p>The Double Burden of the COVID-19 Pandemic and Polypharmacy on Geriatric Population – Public Health Implications</p>

Rahman¹,

Singh²,

Dhingra³

et al. 2020

TCRM

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COVID-19 pandemic is inducing acute respiratory distress syndrome, multiorgan failure, and eventual death. Respiratory failure is the leading cause of mortality in the elderly population with pre-existing medical conditions. This group is particularly vulnerable to infections due to a declined immune system, comorbidities, geriatric syndrome, and potentially inappropriate polypharmacy. These conditions make the elderly population more susceptible to the harmful effects of medications and the deleterious consequences of infections, including MERS-CoV, SARS-CoV, and SARS-CoV-2. Chronic diseases among elderlies, including respiratory diseases, hypertension, diabetes, and coronary heart diseases, present a significant challenge for healthcare professionals. To comply with the clinical guidelines, the practitioner may prescribe a complex medication regimen that adds up to the burden of pre-existing treatment, potentially inducing adverse drug reactions and leading to harmful side-effects. Consequently, the geriatric population is at increased risk of falls, frailty, and dependence that enhances their susceptibility to morbidity and mortality due to SARS-CoV-2 respiratory syndrome, particularly interstitial pneumonia. The major challenge resides in the detection of infection that may present as atypical manifestations in this age group. Healthy aging can be possible with adequate preventive measures and appropriate medication regimen and follow-up. Adherence to the guidelines and recommendations of WHO, CDC, and other national/regional/international agencies can reduce the risks of SARS-CoV-2 infection. Better training programs are needed to enhance the skill of health care professionals and patient's caregivers. This review explains the public health implications associated with polypharmacy on the geriatric population with pre-existing comorbidities during the COVID-19 pandemic.

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mentioning

confidence: 99%

<p>The Double Burden of the COVID-19 Pandemic and Polypharmacy on Geriatric Population – Public Health Implications</p>

Rahman¹,

Singh²,

Dhingra³

et al. 2020

TCRM

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show abstract

“…The risk posed by COVID-19 is higher for elderly people than for younger people. 2 For this reason, medical and political authorities should offer older adults strict preventive measures to minimise the risk of exposure and infection. In the event that an effective vaccine for SARS-CoV-2 is developed, priority should be given to vaccination of the elderly, with the aim of maximising the number of lives saved.…”

Section: Covid-19 and The Elderlymentioning

confidence: 99%

“…This last point is essential, as palliative care is frequently suboptimal in elderly patients with other conditions, such as heart failure, and this is probably the case in COVID-19. 2,9,10…”

Section: Covid-19 and The Elderlymentioning

confidence: 99%

Ethical Issues in Decision-making Regarding the Elderly Affected by Coronavirus Disease 2019: An Expert Opinion

Martínez-Sellés

Martínez‐Sellés

2020

Eur Cardiol

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The coronavirus disease 2019 (COVID-19) pandemic is resulting in ethical decisions regarding resource allocation. Prioritisation reflects established practices that regulate the distribution of finite resources when demand exceeds supply. However, discrimination based on sex, race or age has no role in prioritisation unless clearly justified. The risk posed by COVID-19 is higher for elderly people than for younger people, so older adults should be prioritised in preventive measures. In the case of people who already have COVID-19, healthcare professionals might prioritise those most likely to survive. Making decisions based on chronological age alone is not justified; in addition to age, other aspects that determine theoretical life expectancy must be taken into account. Individualised correct prioritisation in the allocation of scarce resources is essential to good clinical practice.

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“…We read with interest the joint document of the Section on Geriatric Cardiology of the Spanish Society of Cardiology related to the geriatric emergency and coronavirus infectious disease-19 (COVID-19). 1 Based on data published by the Spanish Ministry of Health, up to May 24, 2020, 235 772 confirmed cases of COVID-19 had been diagnosed in Spain, of which 86% of the deceased were older than 70 years. 2 We would like to make some important points about melatonin, elderly patients, and COVID-19.…”

Section: To the Editormentioning

confidence: 99%

Melatonin, coronavirus, cardiovascular disease, and the geriatric emergency: let's use everything we have!

Reíter

Abreu-González

Marik

2020

Revista Española de Cardiología (English Edition)

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Coronavirus: la emergencia geriátrica de 2020. Documento conjunto de la Sección de Cardiología Geriátrica de la Sociedad Española de Cardiología y la Sociedad Española de Geriatría y Gerontología

Cited by 80 publications

References 31 publications

<p>The Double Burden of the COVID-19 Pandemic and Polypharmacy on Geriatric Population – Public Health Implications</p>

<p>The Double Burden of the COVID-19 Pandemic and Polypharmacy on Geriatric Population – Public Health Implications</p>

Ethical Issues in Decision-making Regarding the Elderly Affected by Coronavirus Disease 2019: An Expert Opinion

Melatonin, coronavirus, cardiovascular disease, and the geriatric emergency: let's use everything we have!

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