Approach to SARS-CoV-2 infection in the elderly: case report
Abordaje de infección por covid - 19 en ancianos muy viejos: reporte de caso
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A little more than a year after the first descriptions of the new coronavirus disease 2019 (COVID-19) and to date (30-01-2021), after 102.403.247 reported cases and more than a million deaths worldwide, it continues to be challenging to approach and manage of serious cases, especially that of the most vulnerable population: the elderly. We present a case of a previously functional 83-year-old man with unmanaged comorbidities, with shortness of breath that rapidly evolved to respiratory failure, who was diagnosed with SARS-CoV-2 infection. A COVID-19 infection approach in the elderly is made here, based on the algorithms used in Colombia for diagnosis and management, finally we present its complications and sequelae that have been reported more frequently in the elderly, as well as the strategies for its prevention and early treatment.
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- Trujillo CHS. CONSENSO COLOMBIANO DE ATENCIÓN, DIAGNÓSTICO Y MANEJO DE LA INFECCIÓN POR SARS-COV-2/COVID-19 EN ESTABLECIMIENTOS DE ATENCIÓN DE LA SALUD. SEGUNDA EDICIÓN. SECCIÓN VIII. Consenso colombiano de atención, diagnóstico y manejo de la infección por SARS-COV-2. Infectio. 2020;24(3):1–108.
- Villada-Gómez JS, Florián-Pérez MC. Evaluación geriátrica del anciano en Unidad de Cuidado Intensivo. Acta Colomb Cuid Intensivo. 2019;19(3):133–47.
- Guedes LPCM, Oliveira MLC de, Carvalho GDA. Deleterious effects of prolonged bed rest on the body systems of the elderly - a review. Rev Bras Geriatr e Gerontol [Internet]. 2018 Aug;21(4):499–506. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232018000400499&lng=en&tlng=en
- Martha O, Páez O, León M, Jaime N, Rodriguez N. Prevención y manejo del desacondicionamiento físico en el paciente hospitalizado por COVID-19. 2020. 128 p.
- Delgado J, Orozco N, Gómez J, Castaño L, Díaz J, Muñoz J, et al. Rehabilitación intrahospitalaria en el paciente con COVID-19 In-hospital rehabilitation in patients with COVID-19. Rev Colomb Med Física y Rehabil. 2020;30.
- Zhang L, Hu W, Cai Z, Liu J, Wu J, Deng Y, et al. Early mobilization of critically ill patients in the intensive care unit: A systematic review and meta-analysis. PLoS One. 2019;14(10):1–16.
- Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people. Lancet [Internet]. 2014 Mar;383(9920):911–22. Available from: http://journals.lww.com/00001504-199507000-00013
- Emmerton D, Abdelhafiz A. Delirium in Older People with COVID-19: Clinical Scenario and Literature Review. SN Compr Clin Med. 2020;2(10):1790–7.
- Marcantonio ER. Delirium in Hospitalized Older Adults. N Engl J Med. 2017;377(15):1456–66.
- Andrews LJ, Benken ST. COVID-19: ICU delirium management during SARS-CoV-2 pandemic - Pharmacological considerations. Crit Care. 2020;24(1):1–9.
- Dexamethasone in Hospitalized Patients with Covid-19 — Preliminary Report. N Engl J Med. 2020;1–11.
- Berlin DA, Gulick RM, Martinez FJ. Severe Covid-19. N Engl J Med. 2020;1–10.
- Moores LK, Tritschler T, Brosnahan S, Carrier M, Collen JF, Doerschug K, et al. Prevention, Diagnosis, and Treatment of VTE in Patients With Coronavirus Disease 2019: CHEST Guideline and Expert Panel Report. Chest [Internet]. 2020;158(3):1143–63. Available from: https://doi.org/10.1016/j.chest.2020.05.559
- National Institute for Health and Care Excellence, Practitioners RC of G, Scotland HI. COVID-19 rapid guideline : managing the long-term effects of COVID-19. NICE Guidel. 2020;(18 December 2020):1–35.
- Perez SR. Debates durante una epidemia... en 1802. ARCADIA, Sem. 2020;N°172:7.
