Id |
Subject |
Object |
Predicate |
Lexical cue |
T41 |
0-24 |
Sentence |
denotes |
COVID-19 and the Elderly |
T42 |
25-260 |
Sentence |
denotes |
The risk posed by COVID-19 is higher for elderly people than for younger people.[2] For this reason, medical and political authorities should offer older adults strict preventive measures to minimise the risk of exposure and infection. |
T43 |
261-438 |
Sentence |
denotes |
In the event that an effective vaccine for SARS-CoV-2 is developed, priority should be given to vaccination of the elderly, with the aim of maximising the number of lives saved. |
T44 |
439-542 |
Sentence |
denotes |
This is also true for other preventive measures, such as possible pre- or post-exposure prophylaxis.[7] |
T45 |
543-607 |
Sentence |
denotes |
In the case of people with COVID-19, the situation is different. |
T46 |
608-768 |
Sentence |
denotes |
When allocating resources in these scenarios, healthcare professionals might prioritise those most likely to survive over those with remote chances of survival. |
T47 |
769-831 |
Sentence |
denotes |
Making a decision based on chronological age is not justified. |
T48 |
832-936 |
Sentence |
denotes |
In addition to age, other aspects that determine theoretical life expectancy must be taken into account. |
T49 |
937-1052 |
Sentence |
denotes |
Biological age and the use of frailty scales and comprehensive geriatric assessment are essential for this purpose. |
T50 |
1053-1428 |
Sentence |
denotes |
The recent statement of the Executive Board of the European Geriatric Medicine Society insists that advanced age alone should not be a criterion for excluding patients from specialised hospital units.[8] If an elderly patient is dismissed from a specialised hospital unit for any reason, access to medical attention, symptomatic treatment and palliative care must be ensured. |
T51 |
1429-1619 |
Sentence |
denotes |
This last point is essential, as palliative care is frequently suboptimal in elderly patients with other conditions, such as heart failure, and this is probably the case in COVID-19.[2,9,10] |
T52 |
1621-1668 |
Sentence |
denotes |
Therapeutic Adaptation after COVID-19 Admission |
T53 |
1669-1857 |
Sentence |
denotes |
In patients with advanced age who are admitted to hospital due to a severe SARS-CoV-2 infection, it is very important to establish a therapeutic adaptation plan from the time of admission. |
T54 |
1858-2120 |
Sentence |
denotes |
This plan should be clearly documented in the clinical history, making it clear whether or not the patient is a candidate for mechanical ventilation and, in case of their condition worsening, when to propose the withdrawal of life-sustaining therapies (Table 1). |
T55 |
2121-2287 |
Sentence |
denotes |
Decisions that maximise survival to hospital discharge, the number of years of life saved and the possibility of living each of the stages of life can be prioritised. |
T56 |
2288-2467 |
Sentence |
denotes |
In this regard, patients with minimal expected benefit should not be admitted to ICU and the admission of patients with a life expectancy <1–2 years should be carefully evaluated. |
T57 |
2468-2505 |
Sentence |
denotes |
This applies to patients of all ages. |
T58 |
2506-2600 |
Sentence |
denotes |
A utilitarian mentality should be applied, which should prevent prejudice against the elderly. |
T59 |
2601-2820 |
Sentence |
denotes |
For example, a frail elderly patient might have a low chance of surviving the prolonged intubation required to recover from COVID-19 pneumonia, but this is also the case for young patients with severe comorbidities.[11] |