Skip to main content

Abstract

Although no age group is safe from the SARS-CoV-2 infection, the burden is higher and severe for persons aged 70 years and over, with documented mortality rates of more than 20% among octogenarians. It is clear that the COVID-19-susceptible population involves older people and people with certain underlying medical conditions (such as cardiovascular diseases, diabetes mellitus, renal failure, respiratory diseases), which requires more attention and care.

M.D. in 061-EPES (Company publishes health emergencies). Almería, Spain. NIMV expert by International School of Non Invasive Mechanical Ventilation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Jordan RE, Adab P, Cheng KK. Covid-19: risk factors for severe disease and death. BMJ. 2020;368:m1198.

    Article  PubMed  Google Scholar 

  2. Livingston E, Bucher K. Coronavirus disease 2019 (COVID-19) in Italy. JAMA. 2020;323:1335. https://doi.org/10.1001/jama.2020.4344.

    Article  PubMed  Google Scholar 

  3. Yang J, Zheng Y, Gou X, et al. Prevalence of comorbilities in the novel Wuhan coronavirus (COVID-19) infection: a systematic review and meta-analysis. Int J Infect Dis. 2020;94:91–5. https://doi.org/10.1016/j.ijd.2020.03.01732173574.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Gemelli Against COVID-19 Geriatrics Team, Landi F, Barillaro C, Bellini A, Brandi V, Carfi A, Ciprinai C, D’Angelo E, Falsiroli C, Fusco D, Landi G, Liperoti R, Lo Monaco M, Martone A, Marzetti E, Pagano F, Pais C, Russo A, Salini S, Tosato M, Tummolo A, Benvenuto Zuccala G, Bernabei R. The geriatrician: the frontline specialist in the treatment of COVID-19 patients. J Am Med Assoc. 2020; https://doi.org/10.1016/j.jamada.2020.04.017.

  5. Niu S, Tian S, Jung L, Kang X, Zhang L, Lian H, Zhang J. Beijing Emergency Medical Center. Clinical characteristics of older patients infected With COVID-19: a descriptive study. Arch Gerontol Geriatr. 2020;89:104058.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Guan W, Ni Z, Hu Y, Liang W, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382:1708. https://doi.org/10.1056/NEJMoa2002032.

    Article  CAS  PubMed  Google Scholar 

  7. Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395:P1054–62. https://doi.org/10.1016/S0140-6736(20)30566-3.

    Article  Google Scholar 

  8. Farfel JM, Franca SA, Sitta MC. Age, invasive ventilatory support and outcomes in elderly patients admitted to intensive care units. Age Ageing. 2009;38:515–20.

    Article  PubMed  Google Scholar 

  9. Fundamentos de Metodología y organización hospitalaria en Ventilación Mecánica No Invasiva: Antonio M. Esquinas, July 2014. Ventilación Mecánica no Invasiva en Geriatría: Pedro Cuesta Santos, Pilar Aguirre Puig, María del Cielo Canitrot Janeiro, María de los Angeles Orallo Morán.

    Google Scholar 

  10. Sacarpazza P, Incorvaia C. Effect of non-invasive mechanical ventilation in elderly patients with hypercapnia acute-on-chronic respiratory failure and do-not-intubate order. Int J COPD. 2008;3(4):797–801.

    Google Scholar 

  11. Kacmarek RM. Should noninvasive ventilation be used with the do-not-intubate patient? Respir Care. 2009;54(2):223–9; discussion 229–31.

    PubMed  Google Scholar 

  12. Brochard L. Mechanical ventilation. Invasive versus non invasive. Eur Respir J. 2003;22(Suppl. 47):31s–7s.

    Article  Google Scholar 

  13. Cannolly MJ. Non invasive ventilation in elderly patientes with acute exacerbation of COPD: bringing pressure to bear. Age Ageing. 2006;35:1–2.

    Article  Google Scholar 

  14. Cinesi Gómez C, et al. Recomendaciones de consenso respecto al soporte respiratorio no invasivo en el paciente adulto con insuficiencia respiratoria aguda secundaria a infección por SARS-CoV-2. Rev Esp Anestesiol Reanim. 2020;67:261. https://doi.org/10.1016/j.redar.2020.03.006.

    Article  PubMed Central  Google Scholar 

  15. Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. WHO (World Health Organization). Interim guidance, 13 March 2020.

    Google Scholar 

  16. Rpchwerg B, Brochard L, Elliot MV, Hess D, Hill NS, Nava S, et al. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J. 2017;50(2):1602426. https://doi.org/10.1183/13993003.02426-2016.

    Article  Google Scholar 

  17. Recomendaciones para el uso de Ventilación Mecánica no Invasiva, sistemas CPAP no mecánicos y Terapia de alto Flujo en pacientes con infección respiratoria por COVID-19. Grupo Multidisciplinar Español de Expertos en Terapias Respiratorias No Invasivas-VMNI-CR Group. Alonso, J.M. and Cols et al March 2020.

    Google Scholar 

  18. Lin Ding L, Wang L, Ma W, He H. Efficacy and safety of early prono positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study. Crit Care. 2020;24:28. https://doi.org/10.1186/s13054-020-2738-5.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Cano, A.P. (2020). The Older Patients in Subacute Units. In: Vargas, N., Esquinas, A.M. (eds) Covid-19 Airway Management and Ventilation Strategy for Critically Ill Older Patients. Springer, Cham. https://doi.org/10.1007/978-3-030-55621-1_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-55621-1_19

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-55620-4

  • Online ISBN: 978-3-030-55621-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics