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. 2020 Jul;21(7):937-938.
doi: 10.1016/j.jamda.2020.04.017. Epub 2020 Apr 23.

The Geriatrician: The Frontline Specialist in the Treatment of COVID-19 Patients

Gemelli Against COVID-19 Geriatrics Team  1 ; Francesco Landi  2 , Christian Barillaro  1 , Andrea Bellieni  1 , Vincenzo Brandi  1 , Angelo Carfi  1 , Maria Camilla Cipriani  1 , Emanuela D'Angelo  1 , Cinzia Falsiroli  1 , Domenico Fusco  1 , Giovanni Landi  1 , Rosa Liperoti  1 , Maria Rita Lo Monaco  1 , Anna Maria Martone  1 , Emanuele Marzetti  1 , Francesco Cosimo Pagano  1 , Cristina Pais  1 , Andrea Russo  1 , Sara Salini  1 , Matteo Tosasto  1 , Anna Maria Tummolo  1 , Francesca Benvenuto  1 , Giulia Bramato  1 , Lucia Catalano  1 , Francesca Ciciarello  1 , Ilaria Martis  1 , Sara Rocchi  1 , Elisabetta Rota  1 , Andrea Salerno  1 , Marcello Tritto  1 , Antonio Sgadari  1 , Giuseppe Zuccàla  1 , Roberto Bernabei  1
Affiliations

The Geriatrician: The Frontline Specialist in the Treatment of COVID-19 Patients

Gemelli Against COVID-19 Geriatrics Team et al. J Am Med Dir Assoc. 2020 Jul.

Abstract

On February 20, 2020, a man living in the north of Italy was admitted to the emergency room with an atypical pneumonia that later proved to be COVID-19. This was the trigger of one of the most serious clusters of COVID-19 in the world, outside of China. Despite aggressive restraint and inhibition efforts, COVID-19 continues to increase, and the total number of infected patients in Italy is growing daily. After 6 weeks, the total number of patients reached 128,948 cases (April 5, 2020), with the higher case-fatality rate (15,887 deaths) dominated by old and very old patients. This sudden health emergency severely challenged the Italian Health System, in particular acute care hospitals and intensive care units. In 1 hospital, geriatric observation units were created, the experience of which can be extremely useful for European countries, the United States, and all countries that in the coming days will face a similar situation.

Keywords: COVID-19; Health Care Organization; frailty; personalized medicine.

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