GOMEZ-MORENO, Carolina; HERNANDEZ RUIZ, Virgilio; HERNANDEZ-GILSOUL, Thierry; AVILA-FUNES, Jose Alberto

doi:10.24875/ric.20000131

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GOMEZ-MORENO, Carolina

HERNANDEZ RUIZ, Virgilio

HERNANDEZ-GILSOUL, Thierry

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Revista de Investigacion Clinica. 2020-05, vol. 72, n° 3, p. 127–134

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BACKGROUND: The coronavirus disease 2019 (COVID-19) has been declared a global pandemic. Older adults have been found as a vulnerable group for developing severe forms of disease and increased mortality. OBJECTIVE: The objective of the study was to propose a pathway to assist the decision-making process for hospital resource allocation for older adults with COVID-19 using simple geriatric assessment-based tools. METHODS: We reviewed the available literature at this point of the COVID-19 outbreak, focusing in older adult care to extract key recommendations for those health-care professionals who will be treating older adults in the hospital emergency ward (HEW) in developing countries during the COVID-19 pandemic. RESULTS: We listed a series of easy recommendations for non-geriatrician doctors in the HEW and suggested simple tools for hospital resource allocation during critical care evaluation of older adults with COVID-19 in low- and middle-income countries. CONCLUSIONS: Age must not be used as the sole criterion for resource allocation among older adults with COVID-19. Simple and efficient tools are available to identify components of the comprehensive geriatric assessment, which could be useful to predict outcomes and provide high-quality care that would fit the particular needs of older adults in resource-limited settings amidst this global pandemic.< Réduire

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Clinical Decision Making in Older Adults with Covid-19 in Developing Countries: Looking Beyond Chronological Age

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