TY - JOUR
T1 - Indonesian Geriatrics Society Consensus on COVID-19 Management in Older Adults
AU - Aryana, Igp Suka
AU - Setiati, Siti
AU - Mulyana, Roza
AU - Dwimartutie, Noto
AU - Rizka, Aulia
AU - Wijaya, Bayu Basuki
AU - Riviati, Nur
AU - Rensa, Rensa
AU - Ariestine, Dina Aprilia
AU - Karjono, Bambang Joni
AU - Aribowo, Eko
AU - Watupongoh, Hildebrand Hanoch Victor
AU - Dibyantari, Ridzqie
AU - Putra, Wayan Giri Semara
AU - Triansyah, Fandi
AU - Istanti, Rahmi
AU - Daniella, Dian
N1 - Publisher Copyright:
© 2023, Indonesian Society of Internal Medicine. All rights reserved.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - 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.
AB - 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.
KW - consensus
KW - COVID-19
KW - management
KW - older adults
UR - http://www.scopus.com/inward/record.url?scp=85151316362&partnerID=8YFLogxK
M3 - Article
C2 - 36999262
AN - SCOPUS:85151316362
SN - 0125-9326
VL - 55
SP - 118
EP - 131
JO - Acta medica Indonesiana
JF - Acta medica Indonesiana
IS - 1
ER -