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KMID : 1044520240870020145
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Tuberculosis and Respiratory Diseases
2024 Volume.87 No. 2 p.145 ~ p.154
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Clinical Manifestations and Outcomes of Older Patients with COVID-19: A Comprehensive Review
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Lee Jeong-Eun
Kang Da-Hyun
Kim So-Yun
Kim Duk-Ki
Lee Song-I
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Abstract
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The consequences of coronavirus disease 2019 (COVID-19) are particularly severe inolder adults with a disproportionate number of severe and fatal outcomes. Therefore,this integrative review aimed to provide a comprehensive overview of the clinical characteristics,management approaches, and prognosis of older patients diagnosed withCOVID-19. Common clinical presentations in older patients include fever, cough, anddyspnea. Additionally, preexisting comorbidities, especially diabetes and pulmonaryand cardiovascular diseases, were frequently observed and associated with adverseoutcomes. Management strategies varied, however, early diagnosis, vigilant monitoring,and multidisciplinary care were identified as key factors for enhancing patient outcomes.
Nonetheless, the prognosis remains guarded for older patients, with increasedrates of hospitalization, mechanical ventilation, and mortality. However, timely therapeuticinterventions, especially antiviral and supportive treatments, have demonstratedsome efficacy in mitigating the severe consequences in this age group. In conclusion, while older adults remain highly susceptible to severe outcomes from COVID-19, earlyintervention, rigorous monitoring, and comprehensive care can play a pivotal role in improvingtheir clinical outcomes.
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KEYWORD
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COVID-19, Older Patients, Prognosis
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