Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 May;50(3):61-63.
doi: 10.1002/hast.1136.

Older Adults and Covid-19: The Most Vulnerable, the Hardest Hit

Older Adults and Covid-19: The Most Vulnerable, the Hardest Hit

Tia Powell et al. Hastings Cent Rep. 2020 May.

Abstract

Older adults in the United States have been the age group hardest hit by the Covid pandemic. They have suffered a disproportionate number of deaths; Covid patients eighty years or older on ventilators had fatality rates higher than 90 percent. How could we have better protected older adults? Both the popular press and government entities blamed nursing homes, labeling them "snake pits" and imposing harsh fines and arduous new regulations. We argue that this approach is unlikely to improve protections for older adults. Rather than focusing exclusively on acute and critical resources, including ventilators, a plan that respected the best interests of older adults would have also supported nursing homes, a critical part of the health care system. Better access to protective equipment for staff members, early testing of staff members and patients, and enhanced means of communication with families were what was needed. These preventive measures would have offered greater benefit to the oldest members of our population than the exclusive focus on acute care.

Keywords: Covid; geriatric; nursing home; public health; ventilator.

PubMed Disclaimer

References

    1. “Daily Updates of Totals by Week and State: Provisional Death Counts for Coronavirus Disease (Covid-19),” Centers for Disease Control and Prevention, National Center for Health Statistics, update for April 27, 2020, via https://www.cdc.gov/nchs/nvss/vsrr/covid_weekly/index.htm.
    1. “Severe Outcomes among Patients with Coronavirus Disease 2019 (COVID-19) United States, February 12-March 16,” Morbidity and Mortality Weekly Report (March 27, 2020 [early-release publication]), https://www.cdc.gov/mmwr/volumes/69/wr/mm6912e2.htm.
    1. E. Bellin, “Clinical Looking Glass View of First Covid-19 Patients at MMC through April 11,” presentation to the Department of Epidemiology, Albert Einstein College of Medicine, New York, NY, April 20, 2020.
    1. S. Richardson et al. and the Northwell COVID-19 Research Consortium, “Presenting Characteristics, Comorbidities, and Outcomes among 5700 Patients Hospitalized with COVID-19 in the New York City Area,” Journal of the American Medical Association (2020): doi:10.1001/jama.2020.6775; F. Zhou et al., “Clinical Course and Risk Factors for Mortality of Adult Inpatients with COVID-19 in Wuhan, China: A Retrospective Cohort Study,” Lancet 395 (2020): 1054-62.
    1. E. Rubin, A. Buhler, and S. Halpern, “Research Letter: Seriously Ill Patients’ Willingness to Trade Survival Time to Avoid High Treatment Intensity at the End of Life,” JAMA Internal Medicine (April 6, 2020 [epub ahead of print]): doi:10.1001/jamainternmed.2020.0681.

MeSH terms