The New Challenge of Geriatrics: Saving Frail Older People from the SARS-COV-2 Pandemic Infection,

Landi, Francesco; Barillaro, Christian; Bellieni, Andrea; Brandi, Vincenzo; Carfì, Angelo; D’Angelo, Melissa Tobin; Fusco, Domenico; Landi, Giovanni; Monaco, Maria Rita Lo; Martone, Anna Maria; Marzetti, Emanuele; Pagano, Francesco; Pais, Cristina; Russo, Andrea M.; Salini, Sara; Tosato, Matteo; Tummolo, A. M.; Benvenuto, Francesca; Bramato, Giulia; Catalano, L.; Ciciarello, Francesca; Martis, Ilaria; Rocchi, Sara; Rota, Elisabetta; Salerno, Andrea; Tritto, Marcello; Sgadari, Antonio; Zuccalà, Giuseppe; Bernabei, Roberto

doi:10.1007/s12603-020-1356-x

Cited by 108 publications

(106 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The complete GAC19-PAC study protocol has been described in detail elsewhere. 11,12 This study was approved by the Catholic University/Fondazione Policlinico Gemelli IRCCS Institutional Ethics Committee (protocol Identification Document Number: 0013008/20). Written informed consent was obtained from the participants.…”

Section: Methodsmentioning

confidence: 99%

“…A multidisciplinary approach, including internal medicine, geriatric, ophthalmologic, otolaryngologic, pneumologic, cardiologic, neurologic, immunologic, and rheumatologic evaluations, has been put in place for a comprehensive assessment of all the possible damage caused by the SARS-CoV-2 virus. 11,12 In particular, during the first visit, a specific focus is paid to collecting information and data about the persistence of signs and symptoms related to COVID-19: cough, fatigue, diarrhea, headache, smell disorders, dysgeusia, red eyes, joint pain, shortness of breath, loss of appetite, sore throat, and rhinitis. Smoking was categorized as current or never/former smoker.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Predictive Factors for a New Positive Nasopharyngeal Swab Among Patients Recovered From COVID-19

Landi

Carfì

Benvenuto

et al. 2021

American Journal of Preventive Medicine

Self Cite

View full text Add to dashboard Cite

on behalf of Gemelli Against COVID-19 Post-Acute Care Team Introduction: As an emerging infectious disease, the clinical and virologic course of COVID-19 requires better investigation. The aim of this study is to identify the potential risk factors associated with persistent positive nasopharyngeal swab real-time reverse transcription-polymerase chain reaction tests in a large sample of patients who recovered from COVID-19. Methods: After the acute phase of SARS-CoV-2 epidemic infection, the Fondazione Policlinico A. Gemelli IRCSS of Rome established a post-acute care service for patients discharged from the hospital and recovered from COVID-19. Between April 21 and May 21, 2020, a total of 137 individuals who officially recovered from COVID-19 were enrolled in this study. All patients were tested for the SARS-CoV-2 virus with nucleic acid RT-PCR tests. Analysis was conducted in June 2020. Results: Of the 131 patients who repeated the nasopharyngeal swab, 22 patients (16.7%) tested positive again. Some symptoms such as fatigue (51%), dyspnea (44%), and coughing (17%) were still present in a significant percentage of the patients, with no difference between patients with a negative test and those who tested positive. The likelihood of testing positive for SARS-CoV-2 infection was significantly higher among participants with persistent sore throat (prevalence ratio=6.50, 95% CI=1.38, 30.6) and symptoms of rhinitis (prevalence ratio=3.72, 95% CI=1.10, 12.5). Conclusions: This study is the first to provide a given rate of patients (16.7%) who test positive on RT-PCR test for SARS-CoV-2 nucleic acid after recovering from COVID-19. These findings suggest that a significant proportion of patients who have recovered from COVID-19 still could be potential carriers of the virus. In particular, if patients continue to have symptoms related to COVID-19, such as sore throat and rhinitis, it is reasonable to be cautious by avoiding close contact, wearing a face mask, and possibly repeating a nasopharyngeal swab.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Predictive Factors for a New Positive Nasopharyngeal Swab Among Patients Recovered From COVID-19

Landi

Carfì

Benvenuto

et al. 2021

American Journal of Preventive Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

“…In the case study described recently by McMichael et al in Washington, 19 days after a first case of Covid-19 diagnosed in a resident of a skilled long-term care facility, 167 confirmed cases of Covid-19 affecting 101 residents, 50 health care personnel, and 16 visitors were found to be epidemiologically linked, showing the possible quick dissemination of the epidemic in nursing homes. Thus, the death rate of residents with confirmed Covid-10 was 33.7%, testifying the threat of this pathology in NH population (3). Based on these findings and many others in the world, it appears clearly that implementing an effective prevention and care strategy in NH is very urgent.…”

mentioning

confidence: 87%

A COVID-19 Support Platform for Long Term Care Facilities

Rolland

Benetos

Villars

et al. 2020

The Journal of nutrition, health and aging

View full text Add to dashboard Cite

“…The Asia-Oceania region constitutes countries with a large population (such as China, India, and Indonesia) and thus with a higher proportion of older adults (7), which is already a challenge (i.e., enable them to maintain autonomy in old age) for geriatrics medicine even in the absence of an outbreak. Now, at the verge of this pandemic there is an additional challenge to save these older population (8). Besides, this region consists of many low and middle income countries.…”

mentioning

confidence: 99%

Prevention of COVID-19 in Older Adults: A Brief Guidance from the International Association for Gerontology and Geriatrics (IAGG) Asia/Oceania Region

Chhetri

Chan

Arai

et al. 2020

The Journal of nutrition, health and aging

View full text Add to dashboard Cite

The New Challenge of Geriatrics: Saving Frail Older People from the SARS-COV-2 Pandemic Infection,

Cited by 108 publications

References 34 publications

Predictive Factors for a New Positive Nasopharyngeal Swab Among Patients Recovered From COVID-19

Predictive Factors for a New Positive Nasopharyngeal Swab Among Patients Recovered From COVID-19

A COVID-19 Support Platform for Long Term Care Facilities

Prevention of COVID-19 in Older Adults: A Brief Guidance from the International Association for Gerontology and Geriatrics (IAGG) Asia/Oceania Region

Contact Info

Product

Resources

About