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COVID-19 and the elderly: insights into pathogenesis and clinical decision-making.


ABSTRACT: The elderly may represent a specific cluster of high-risk patients for developing COVID-19 with rapidly progressive clinical deterioration. Indeed, in older individuals, immunosenescence and comorbid disorders are more likely to promote viral-induced cytokine storm resulting in life-threatening respiratory failure and multisystemic involvement. Early diagnosis and individualized therapeutic management should be developed for elderly subjects based on personal medical history and polypharmacotherapy. Our review examines the pathogenesis and clinical implications of ageing in COVID-19 patients; finally, we discuss the evidence and controversies in the management in the long-stay residential care homes and aspects of end-of-life care for elderly patients with COVID-19.

SUBMITTER: Perrotta F 

PROVIDER: S-EPMC7298699 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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COVID-19 and the elderly: insights into pathogenesis and clinical decision-making.

Perrotta Fabio F   Corbi Graziamaria G   Mazzeo Grazia G   Boccia Matilde M   Aronne Luigi L   D'Agnano Vito V   Komici Klara K   Mazzarella Gennaro G   Parrella Roberto R   Bianco Andrea A  

Aging clinical and experimental research 20200616 8


The elderly may represent a specific cluster of high-risk patients for developing COVID-19 with rapidly progressive clinical deterioration. Indeed, in older individuals, immunosenescence and comorbid disorders are more likely to promote viral-induced cytokine storm resulting in life-threatening respiratory failure and multisystemic involvement. Early diagnosis and individualized therapeutic management should be developed for elderly subjects based on personal medical history and polypharmacother  ...[more]

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