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par Beernaert, Laetitia 
;Lesage, Véronique ;Rouviere, Héloïse ;Nicolay, Camille ;De Breucker, Sandra
Référence Revue médicale de Bruxelles, 42, 4, page (344-347)
Publication Publié, 2021-09-01
;Lesage, Véronique ;Rouviere, Héloïse ;Nicolay, Camille ;De Breucker, Sandra Référence Revue médicale de Bruxelles, 42, 4, page (344-347)
Publication Publié, 2021-09-01
Article révisé par les pairs
| Résumé : | The Covid-19 pandemic is responsible of a high mortality rate among the old population, especially after 80 years of age, and among the frailest. It is crucial to screen systematically for geriatric frailty because it has reversible characteristics, and because its diagnosis allows the development of a personalized care plan. During the first wave, the severity of the sanitary situation required the implementation of complex care protocols, where consultation between the different care lines and the patient was sometimes lacking. The saturation of the care units did not always allow access to intensive care for seniors, and the triage raised ethical questions. Any decision to hospitalize, whether urgent or scheduled, should be decided beforehand in accordance with the patients wishes, his or her attending physician and the hospital physician, especially since the frailty syndrome increases the risk of delirium, functional decline, and death during and outside the Covid epidemic. Scientific societies propose the use of the Clinical Frailty Scale to make the best choice for the patients while considering their comorbidities, life expectancy and the severity of the disease. The patient's wishes must be considered, and the drafting of a Personalized Advance Care Plan prior to hospitalization helps to estimate the best intensity of care. |
