Indonesian Geriatrics Society Consensus on COVID-19 Management in Older Adults

Aryana, IGP Suka and Setiati, Siti and Mulyana, Roza and Dwimartutie, Noto and Rizka, Aulia and Wijaya, Bayu Basuki and Riviati, Nur and Rensa, Rensa and Ariestine, Dina Aprilia and Karjono, Bambang Joni and Aribowo, Eko and Watupongoh, Hildebrand H.V. and Dibyantari, Ridzqie and Putra, Wayan Giri Semara and Triansyah, Fandi and Istanti, Rahmi and Daniella, Dian (2023) Indonesian Geriatrics Society Consensus on COVID-19 Management in Older Adults. Acta Medica Indonesia, 55 (1). pp. 118-131. ISSN 2338- 2732

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Abstract

More than 80% of death cases and 95% of severe COVID-19 occur in patients aged over 60 years. Atypical clinical manifestations with high morbidity and mortality further emphasize the importance of COVID-19 management in older adults. Some older patients may appear asymptomatic while other may present with acute respiratory distress syndrome and multi organ failure. Fever, higher respiratory rate and crackles may present. The most common chest x-ray finding is ground glass opacity. Other imaging modalities that are often used are pulmonary computed tomography scan and lung ultrasonography. COVID-19 management in older adults should be comprehensive, starting from oxygen, fluid, nutritional, physical rehabilitation, pharmacology and psychosocial therapy. In this consensus, we also discuss about management of older adults with special condition such as diabetes mellitus, kidney disease, malignancy, frailty, delirium, immobilization and dementia. In post COVID-19 phase, we believe that physical rehabilitation is important as it is done to improve fitness. keywords : COVID-19; older adults; consensus; management

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