Indonesian Geriatrics Society Consensus on COVID-19 Management in Older Adults

Indonesian Geriatrics Society Consensus on COVID-19 Management in Older Adults

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 presen...

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Bibliographic Details
Published in:Acta medica Indonesiana Vol. 55; no. 1; pp. 118 - 131
Main Authors: Aryana, Igp Suka, Setiati, Siti, Mulyana, Roza, Dwimartutie, Noto, Rizka, Aulia, Wijaya, Bayu Basuki, Riviati, Nur, Rensa, Rensa, Ariestine, Dina Aprilia, Karjono, Bambang Joni, Aribowo, Eko, Watupongoh, Hildebrand Hanoch Victor, Dibyantari, Ridzqie, Putra, Wayan Giri Semara, Triansyah, Fandi, Istanti, Rahmi, Daniella, Dian
Format: Journal Article
Language:English
Published: Indonesia Interna Publishing 01-01-2023
Subjects:
Aged
Consensus
covid-19
COVID-19 - therapy
Geriatrics
Humans
Indonesia
management
Middle Aged
older adults
SARS-CoV-2
Indonesia
COVID-19
consensus
older adults
management
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Summary: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.
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ISSN:0125-9326
2338-2732