A point to evaluate in the COVID-19 pandemic process: Frailty

Year 2021, , 210 - 215, 30.08.2021

Hatice Yüceler Kaçmaz , Ayser Döner , Özlem Ceyhan

https://doi.org/10.30565/medalanya.891622

Cited By: 2

Abstract

Globally, as of September 16, 2020, COVID-19 had infected approximately 29 million people and caused the death of 930 thousand people around the world. While the whole world is at risk of COVID-19 infection, the elderly in particular represent the highest risk group. Those who are very old and frail and have cognitive impairment and multi-comorbidity, are the most vulnerable to the severe consequences of this infection. Frailty is a less well-known and often overlooked issue compared to other factors. In the world, the prevalence of frailty is seen to rise with the increase of the aging population, and the prevalence of frailty among the elderly people living in society is thought to be 4 to 59%. The COVID-19 pandemic, which has affected the entire world, leads to the necessity of taking care of elderly patients in nursing homes and care centers. The fact that most persons in such facilities are advanced in age, frail and have multi-comorbidity, makes the management of the disease even more difficult. It is thought that there may be a potential relationship between frailty and the course of COVID-19 and deaths resulting from the infection. The need for a holistic assessment of not only the age of the patient but also the state of frailty, is emphasized to ensure the triage of elderly persons and resource allocation during COVID-19 pandemic process. This review was performed to raise awareness of the healthcare professionals on the importance of frailty among the elderly during the COVID-19 pandemic process and to provide general information about the instruments that can be used to measure the frailty status of the elderly, when managing the COVID-19 pandemic process.

Keywords

Coronovirus disease (COVID-19), frailty, old age

COVID-19 Pandemi Sürecinde Değerlendirilmesi Gereken Bir Nokta: Kırılganlık

Abstract

Küresel olarak, 16 Eylül 2020 tarihi itibariyle COVID-19 dünyada yaklaşık olarak 29 milyon insanı enfekte etmiş ve 930 bin insanın ise ölümüne neden olmuştur. Tüm dünya COVID-19 enfeksiyonu riski altındayken, özellikle yaşlılar en yüksek risk altında olan gruptur. Özellikle çok yaşlı, kırılgan, bilişsel bozukluk ve multikomorbiditeye sahip olanlar bu enfeksiyonun ciddi sonuçlarına karşı en savunmasız olanlardır. Diğer faktörlere kıyasla kırılganlık daha az bilinen ve göz ardı edilen bir konudur. Dünyada, yaşlanan nüfusun artmasıyla birlikte kırılganlık prevelansının da arttığı görülmekte ve toplumda yaşayan yaşlı bireylerdeki kırılganlık prevelansının %4-59 olduğu düşünülmektedir. Tüm dünyayı etkisi altına alan COVID-19 pandemisi yaşlı hastalara huzurevlerinde ve bakım merkezlerinde bakmaya zorlamaktadır. Bu tür tesislerde çoğu kişinin ileri yaşta olması, genellikle kırılgan olması ve sıklıkla multikomorbiditeye sahip olması hastalığın yönetimini daha da zorlaştırmaktadır. Kırılganlık ile COVID-19 ’un seyri ve COVID-19 nedeniyle ölüm arasında potansiyel bir ilişki olabileceği düşünülmektedir. COVID-19 pandemi sürecinde yaşlı bireylerin triyajını sağlama ve kaynak tahsisi sağlama da hastanın sadece yaşının değil kırılganlık durumunun bütüncül bir şekilde değerlendirilmesi gerekliliğinin önemi vurgulanmaktadır. Bu derleme sağlık profesyonellerine COVID-19 pandemi sürecinde yaşlılarda kırılganlığın önemi konusunda farkındalık oluşturmak, COVID-19 pandemi sürecini yönetirken yaşlı bireylerin kırılganlık durumlarının ölçülmesi için yararlanılabilecek araçlar hakkında genel bilgi vermek amacıyla oluşturulmuştur.

Keywords

Koronovirüs hastalığı (COVID-19), kırılganlık, yaşlılık

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