印度尼西亚老年医学协会关于老年人COVID-19管理的共识。
Indonesian Geriatrics Society Consensus on COVID-19 Management in Older Adults.
发表日期:2023 Jan
作者:
Igp Suka Aryana, Siti Setiati, Roza Mulyana, Noto Dwimartutie, Aulia Rizka, Bayu Basuki Wijaya, Nur Riviati, Rensa Rensa, Dina Aprilia Ariestine, Bambang Joni Karjono, Eko Aribowo, Hildebrand Hanoch Victor Watupongoh, Ridzqie Dibyantari, Wayan Giri Semara Putra, Fandi Triansyah, Rahmi Istanti, Dian Daniella
来源:
CLINICAL PHARMACOLOGY & THERAPEUTICS
摘要:
80%以上的死亡病例和95%的重症COVID-19病例发生在60岁以上的患者身上。非典型的临床表现具有高发病率和高死亡率,进一步强调了COVID-19管理老年人的重要性。一些老年患者可能呈现无症状,而另一些患者可能出现急性呼吸窘迫综合症和多器官功能衰竭。可能出现发热、呼吸速率增加和 crackles。最常见的胸部X光检查发现是地面玻璃状的混浊。其他常用的成像方式包括肺部计算机断层扫描和肺部超声检查。老年人的COVID-19管理应该是全面的,从氧气、液体、营养、物理康复、药物和心理社会治疗开始。在这个共识中,我们还讨论了患有特殊情况的老年人的管理,例如糖尿病、肾脏疾病、恶性肿瘤、虚弱、谵妄、固定和痴呆症。在COVID-19后阶段,我们认为物理康复很重要,因为它有助于改善健康状况。
More than 80% of death cases and 95% of severe COVID-19 occur in patients aged over 60 years. Atypical clinical manifestations with high morbidity and mortality further emphasize the importance of COVID-19 management in older adults. Some older patients may appear asymptomatic while other may present with acute respiratory distress syndrome and multi organ failure. Fever, higher respiratory rate and crackles may present. The most common chest x-ray finding is ground glass opacity. Other imaging modalities that are often used are pulmonary computed tomography scan and lung ultrasonography. COVID-19 management in older adults should be comprehensive, starting from oxygen, fluid, nutritional, physical rehabilitation, pharmacology and psychosocial therapy. In this consensus, we also discuss about management of older adults with special condition such as diabetes mellitus, kidney disease, malignancy, frailty, delirium, immobilization and dementia. In post COVID-19 phase, we believe that physical rehabilitation is important as it is done to improve fitness.