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Revista de investigación clínica
versión On-line ISSN 2564-8896versión impresa ISSN 0034-8376
Resumen
GOMEZ-MORENO, Carolina; HERNANDEZ-RUIZ, Virgilio; HERNANDEZ-GILSOUL, Thierry y AVILA-FUNES, José A.. Clinical Decision Making in Older Adults with COVID-19 in Developing Countries: Looking Beyond Chronological Age. Rev. invest. clín. [online]. 2020, vol.72, n.3, pp.127-134. Epub 04-Mayo-2021. ISSN 2564-8896. https://doi.org/10.24875/ric.20000131.
Background:
The coronavirus disease 2019 (COVID-19) has been declared a global pandemic. Older adults have been found as a vulnerable group for developing severe forms of disease and increased mortality.
Objective:
The objective of the study was to propose a pathway to assist the decision-making process for hospital resource allocation for older adults with COVID-19 using simple geriatric assessment-based tools.
Methods:
We reviewed the available literature at this point of the COVID-19 outbreak, focusing in older adult care to extract key recommendations for those health-care professionals who will be treating older adults in the hospital emergency ward (HEW) in developing countries during the COVID-19 pandemic.
Results:
We listed a series of easy recommendations for non-geriatrician doctors in the HEW and suggested simple tools for hospital resource allocation during critical care evaluation of older adults with COVID-19 in low- and middle-income countries.
Conclusions:
Age must not be used as the sole criterion for resource allocation among older adults with COVID-19. Simple and efficient tools are available to identify components of the comprehensive geriatric assessment, which could be useful to predict outcomes and provide high-quality care that would fit the particular needs of older adults in resource-limited settings amidst this global pandemic.
Palabras llave : Resource-allocation; Frailty; Emergency care; Ethics; COVID-19.