Lin L J, Zhu L, Shi G C, Wu J Q, Li H X, Sun B J, Lin J T, Xu Z J, Sun T Y, Li J, Yu S Y, Liu X M
Department of Geriatrics, Peking University First Hospital, Beijing 100034, China.
Department of Respiratory Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Zhonghua Nei Ke Za Zhi. 2020 Aug 1;59(8):588-597. doi: 10.3760/cma.j.cn112138-20200228-00151.
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.
2019冠状病毒病(COVID-19)可对老年患者造成严重损害并导致高死亡率。由于生理衰老恶化和基础病理状态,老年COVID-19患者的临床表现和辅助检查不典型。老年患者的治疗策略有其自身特点,应相应考虑治疗方案。为提高老年患者COVID-19的诊断、治疗和预防水平,中国老年医学学会老年呼吸与危重症医学专家委员会制定了《老年2019冠状病毒病诊断、治疗和预防专家共识》。我们重点关注老年患者COVID-19的临床特征以及更好地治疗和预防的关键点。(1)对于诊断,应强调老年COVID-19患者不典型的临床表现,其可能合并基础疾病。(2)对于治疗,应采用多学科团队(主要是呼吸与危重症医学)策略,并考虑多个系统功能。(3)对于预防,应应用关于急性和慢性疾病在院内外综合管理的医疗保健模式。