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老年病学家:治疗 COVID-19 患者的一线专家。

The Geriatrician: The Frontline Specialist in the Treatment of COVID-19 Patients.

机构信息

Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Rome, Italy.

Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Rome, Italy.

出版信息

J Am Med Dir Assoc. 2020 Jul;21(7):937-938. doi: 10.1016/j.jamda.2020.04.017. Epub 2020 Apr 23.

Abstract

On February 20, 2020, a man living in the north of Italy was admitted to the emergency room with an atypical pneumonia that later proved to be COVID-19. This was the trigger of one of the most serious clusters of COVID-19 in the world, outside of China. Despite aggressive restraint and inhibition efforts, COVID-19 continues to increase, and the total number of infected patients in Italy is growing daily. After 6 weeks, the total number of patients reached 128,948 cases (April 5, 2020), with the higher case-fatality rate (15,887 deaths) dominated by old and very old patients. This sudden health emergency severely challenged the Italian Health System, in particular acute care hospitals and intensive care units. In 1 hospital, geriatric observation units were created, the experience of which can be extremely useful for European countries, the United States, and all countries that in the coming days will face a similar situation.

摘要

2020 年 2 月 20 日,一名居住在意大利北部的男子因非典型性肺炎被送入急诊室,后来被证实为 COVID-19。这是中国以外世界上最严重的 COVID-19 聚集之一的导火索。尽管采取了积极的遏制和抑制措施,COVID-19 仍在继续增加,意大利的感染患者总数每天都在增加。6 周后,患者总数达到 128948 例(2020 年 4 月 5 日),病死率较高(15887 人死亡),主要由老年和非常老年患者构成。这一突发卫生紧急情况严重挑战了意大利卫生系统,特别是急症医院和重症监护病房。在一家医院,设立了老年观察病房,其经验对欧洲国家、美国和所有在未来几天将面临类似情况的国家极为有用。

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