Covid-19: a call for mobilizing geriatric expertise

O’Hanlon, Shane; Dhesi, Jugdeep; Aronson, Louise; Inouye, Sharon K.

doi:10.1007/s41999-021-00500-9

Cited by 8 publications

(5 citation statements)

References 31 publications

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“…However, it is well known that social isolation and loneliness may lead to patients' distress, depression, functional and cognitive decline, with a consequent negative impact on well-being of both NH residents and their families. Moreover, it should be considered that principles of good geriatric care have been underutilized throughout the pandemic, leading to reduced quality of care and possibly contributing to the disproportionate impact of COVID-19 on older adults [15]. The present data question whether stringent surveillance and isolation measures should be maintained in the NH setting.…”

Section: Discussionmentioning

confidence: 81%

Impact of SARS-CoV2 infection on mortality and hospitalization in nursing home residents during the “Omicron era”

et al. 2023

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Background Widespread vaccination and emergence of less aggressive SARS-CoV2 variants may have blunted the unfavourable outcomes of COVID-19 in nursing home (NH) residents. We analysed the course of COVID-19 epidemic in NHs of Florence, Italy, during the "Omicron era" and investigated the independent effect of SARS-CoV2 infection on death and hospitalization risk. Methods Weekly SARS-CoV2 infection rates between November 2021 and March 2022 were calculated. Detailed clinical data were collected in a sample of NHs. Results Among 2044 residents, 667 SARS-CoV2 cases were confirmed. SARS-CoV2 incidence sharply increased during the Omicron era. Mortality rates did not differ between SARS-CoV2-positive (6.9%) and SARS-CoV2-negative residents (7.3%, p = 0.71). Chronic obstructive pulmonary disease and poor functional status, but not SARS-CoV2 infection independently predicted death and hospitalization. Conclusions Despite that SARS-CoV2 incidence increased during the Omicron era, SARS-CoV2 infection was not a significant predictor of hospitalization and death in the NH setting.

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Section: Discussionmentioning

confidence: 81%

Impact of SARS-CoV2 infection on mortality and hospitalization in nursing home residents during the “Omicron era”

et al. 2023

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“…2,10 It is also important to note that the COVID-19 global health crisis underscored the importance of a comprehensive assessment of the geriatric population, even in overloaded acute clinical scenarios, to offer a patient-centered care plan that also respects the patient's goal of care and preferences. [96][97][98] While COVID-19 adverse effects are greater in older people, previous work highlighted that age itself should not be used to define the prognosis of this disease. [99][100][101][102][103] On the contrary, COVID-19 prognosis depends primarily on the interactions between acute illness severity with previous functional status, determined by vulnerability measures (eg, frailty, functional disability, cognitive impairment).…”

Section: Barriers and Future Perspectivesmentioning

confidence: 99%

Delivering patient-centered care: outcomes of comprehensive geriatric assessment across healthcare settings

Roma

Garção²,

Covinsky³

et al. 2022

Geriatr Gerontol Aging

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Comprehensive geriatric assessment (CGA) is a systematic multidimensional and interdisciplinary evaluation that enables clinicians to recognize age-related impairments and develop a coordinated treatment plan and follow-up suited to the patient's needs. Considering the growing number of older persons requiring care in health systems everywhere and the importance of shifting from a disease-specific care model to a more comprehensive care model, we aimed to present the benefits of CGA for older people in different healthcare settings using a narrative review. This patient-centered model of care has been associated with lower hospital (re)admission, maintenance of function, improved quality of life, less caregiver burden, and higher patient satisfaction with the care provided across different healthcare settings. In some contexts — for example, hospitalized older people —, CGA has already been established as the standard model of care as it was consistently related to reduced mortality. Consistent findings from specific contexts (eg, oncology, orthopaedics) also show the importance of CGA in aiding clinicians make better decisions for older patients. It is noteworthy that further evidence from cost-effectiveness studies is still warranted, particularly in community settings. Another encouraging topic for future research is the role of technology in disseminating CGA-based models of care.

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“…Fears around access to ventilation, in particular in the UK driven by the low per capita intensive care bed base, dominated in the professional and lay media at the time. In some institutions, guidance was produced for children and adults, but the specific needs of older frailer individuals were not examined [ 7 ]. ‘Atypical’ symptoms that were common in older people such as delirium were not highlighted or factored into initial guidance or public health campaigns [ 8 ].…”

Section: Key Pointsmentioning

confidence: 99%