Approach to COVID-19 in older adults and indications for improving the outcomes

Tana, Claudio; Moffa, Livia; Falasca, Katia; Vecchiet, Jacopo; Tana, Marco; Mantini, Cesare; Ricci, Fabrizio; Ticinesi, Andrea; Meschi, Tiziana; Cipollone, Francesco; Giamberardino, Maria Adele

doi:10.1080/07853890.2023.2265298

Cited by 12 publications

(4 citation statements)

References 87 publications

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“…The widespread vaccination against SARS-CoV-2 has radically improved the outcome of patients with COVID-19 and has been associated with a significant overall reduction in mortality. The majority of side effects are mild and transient, therefore periodic vaccination against the SARS-CoV-2 virus is strongly recommended, especially in some at-risk categories of unfavorable outcomes such as immunocompromised patients and older adults [ 52 ].…”

Section: Environmental and Occupational Issues Based On The Example O...mentioning

confidence: 99%

Health equity, care access and quality in headache – part 1

Tana,

Raffaelli,

Souza

et al. 2024

J Headache Pain

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Current definitions of migraine that are based mainly on clinical characteristics do not account for other patient’s features such as those related to an impaired quality of life, due to loss of social life and productivity, and the differences related to the geographical distribution of the disease and cultural misconceptions which tend to underestimate migraine as a psychosocial rather than neurobiological disorder.Global differences definition, care access, and health equity for headache disorders, especially migraine are reported in this paper from a collaborative group of the editorial board members of the Journal of Headache and Pain. Other components that affect patients with migraine, in addition to the impact promoted by the migraine symptoms such as stigma and social determinants, are also reported.

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Section: Environmental and Occupational Issues Based On The Example O...mentioning

confidence: 99%

Health equity, care access and quality in headache – part 1

Tana,

Raffaelli,

Souza

et al. 2024

J Headache Pain

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“…The long COVID syndrome is a complex condition affecting >20% of subjects who survived moderate and severe forms of COVID-19, especially in the earlier pandemic waves [ 143 ]. This syndrome leads to particularly relevant consequences in older individuals, increasing the burden of frailty and sarcopenia [ 144 , 145 ], and ultimately causing disability and loss of independence [ 146 , 147 ].…”

Section: Diaphragm Ultrasound In Specific Clinical Situations or Dise...mentioning

confidence: 99%

Diaphragm Ultrasound in Different Clinical Scenarios: A Review with a Focus on Older Patients

Siniscalchi,

Nouvenne,

Cerundolo

et al. 2024

Geriatrics

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Diaphragm muscle dysfunction is increasingly recognized as a fundamental marker of several age-related diseases and conditions including chronic obstructive pulmonary disease, heart failure and critical illness with respiratory failure. In older individuals with physical frailty and sarcopenia, the loss of muscle mass and function may also involve the diaphragm, contributing to respiratory dysfunction. Ultrasound has recently emerged as a feasible and reliable strategy to visualize diaphragm structure and function. In particular, it can help to predict the timing of extubation in patients undergoing mechanical ventilation in intensive care units (ICUs). Ultrasonographic evaluation of diaphragmatic function is relatively cheap, safe and quick and can provide useful information for real-time monitoring of respiratory function. In this review, we aim to present the current state of scientific evidence on the usefulness of ultrasound in the assessment of diaphragm dysfunction in different clinical settings, with a particular focus on older patients. We highlight the importance of the qualitative information gathered by ultrasound to assess the integrity, excursion, thickness and thickening of the diaphragm. The implementation of bedside diaphragm ultrasound could be useful for improving the quality and appropriateness of care, especially in older subjects with sarcopenia who experience acute respiratory failure, not only in the ICU setting.

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“…After the 2019 COVID epidemic, many studies showed older adults had worse outcomes and increased rates of functional decline [10]. Patients suffer from chronic symptoms after Medicina 2024, 60, 537 2 of 12 COVID-19 infection, which can become debilitating and affect the daily routine [11]. And frailty was associated with an increased risk of developing post-acute sequelae of COVID infection [12].…”

Section: Introductionmentioning

confidence: 99%

Frailty in Older Adults with Dengue Fever

Hu,

Lo,

Yang

et al. 2024

Medicina

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Background and objectives: Dengue is one of the most common epidemic infections around the world. Dengue infections in older adults are related to an atypical presentation and a high mortality. Frailty is associated with poor recovery from hospitalization due to infection. However, few studies describe frailty and functional decline after dengue infection. The current case series study aims to investigate the baseline frailty status, functional decline, and time to recovery in older adults after dengue infection. Method: We studied seven patients with post-dengue frailty who had been admitted to the geriatric ward in one tertiary medical center in Taiwan during the 2023 dengue fever outbreak. Result: The mean age was 82 years old. The clinical frailty scale worsened from a mean of 4.7 at baseline to 6.3 at dengue diagnosis. The mean Katz Index of independence in activities of daily living decreased from 10.6 at baseline to 4.7 with dengue, and it recovered to 6.7 one month after discharge. Conclusions: Our preliminary data suggest that there is indeed an increase in frailty in older adults due to dengue. Post-dengue frailty and functional decline might be profound and persistent. Acute geriatric care intervention rehabilitation for frailty after dengue may benefit this population.

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Approach to COVID-19 in older adults and indications for improving the outcomes

Cited by 12 publications

References 87 publications

Health equity, care access and quality in headache – part 1

Health equity, care access and quality in headache – part 1

Diaphragm Ultrasound in Different Clinical Scenarios: A Review with a Focus on Older Patients

Frailty in Older Adults with Dengue Fever

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