Experts consensus for the diagnosis, treatment, and prevention of coronavirus disease 2019 in the elderly
10.3760/cma.j.cn112138-20200228-00151
- VernacularTitle:老年新型冠状病毒肺炎诊治与防控专家共识
- Author:
Lianjun LIN
1
;
Lei ZHU
;
Guochao SHI
;
Jianqing WU
;
Hongxia LI
;
Baojun SUN
;
Jiangtao LIN
;
Zuojun XU
;
Tieying SUN
;
Jian LI
;
Senyang YU
;
Xinmin LIU
Author Information
1. 北京大学第一医院老年病内科 100034
- From:
Chinese Journal of Internal Medicine
2020;59(8):588-597
- CountryChina
- Language:Chinese
-
Abstract:
Coronavirus disease 2019 (COVID-19) can cause great damage to the elderly patients and lead to high mortality. The clinical presentations and auxiliary examinations of the elderly patients with COVID-19 are atypical, due to the physiological ageing deterioration and basal pathological state. The treatment strategy for the elderly patients has its own characteristics and treatment protocol should be considered accordingly. To improve the diagnosis, treatment, and prevention of COVID-19 in the elderly, the Expert Committee of Geriatric Respiratory and Critical Care Medicine, China Society of Geriatrics established the "Expert consensus for the diagnosis, treatment, and prevention of coronavirus disease 2019 in the elderly" . We focused on the clinical characteristics and key points for better treatment and prevention of COVID-19 in the elderly. (1) For diagnosis, atypical clinical presentation of COVID-19 in the elderly should be emphasized, which may be complicated by underlying disease. (2) For treatment, strategy of multiple disciplinary team (mainly the respiratory and critical care medicine) should be adopted and multiple systemic functions should be considered. (3) For prevention, health care model about integrated management of acute and chronic diseases, in and out of hospital should be applied.
