Review

. 2023 Feb;14(1):33-41.

doi: 10.1007/s41999-022-00740-3. Epub 2023 Jan 19.

A multidimensional approach to older patients during COVID-19 pandemic: a position paper of the Special Interest Group on Comprehensive Geriatric Assessment of the European Geriatric Medicine Society (EuGMS)

Alberto Pilotto^{1

2}, Carlo Custodero³, Katie Palmer⁴, Elisabet Maria Sanchez-Garcia⁵, Eva Topinkova^{6

7}, Maria Cristina Polidori^{8

9}; Members of the Special Interest Group on Comprehensive Geriatric Assessment of the EuGMS (European Geriatric Medicine Society)

Collaborators, Affiliations

Collaborators

Members of the Special Interest Group on Comprehensive Geriatric Assessment of the EuGMS (European Geriatric Medicine Society):
Mariana Alves, Mario Barbagallo, Petra Benzinger, Nicolas Berg, Julie Brach, Irwin Cardoso, Maela Caudal, Alberto Cella, Ben Chefi, Annette Ciurea, Ana Maria Cornejo Lingan, Santiago Cotobal Rodeles, Alfonso Cruz-Jentoft, Vito Curiale, Libuse Danielova, Franco Davies, Aafke De Groot, Cathrine De Groot, Jan De Lepeleire, Benjamin De Vries, Anne-Marie Decock, Sanne de Jong, Michael Denkinger, Ayse Dikmeer, Simone Dini, Amaury Durand, Ami Fatin, Marilia Fernandes, Nicola Ferrara, Luigi Ferrucci, Bahaa Francis, Laura Fratiglioni, Ellen Freiberger, Rose Galvin, Blanca Garmendia, Sophie Gillain, Vicky Goodwin, Javier Gomez Pavon, J A Goudzwaard, Antonio Greco, Heidi Gruner, Bernd Gunther, Lisa Happe, Vered Hermush, Jan-Kees Huibregtse Bimmel, Ilaria Indiano, Julia Isaak, Javier Jaramillo, Hanna Kerminen, Barbara Kumlehn, Ni Aoife Laocha, Sandra Lau, Lone Lietzen, Isabel Lozano, Ana Teresa Madeira Sarmento, Stefania Maggi, Arduino A Mangoni, Pedro Marques da Silva, Patricia Mars, Hana Matejovska-Kubesova, Francesco Mattace-Raso, Simone Moeskops, Andrea Molnar, Clarissa Musacchio, Kiruba Nagaratnam, Uomo Nieminen, Margaret O'Connor, Fatma Özge Kayhan Koçak, Marc Paccalin, Anil Palikhe, Tajana Pavic, Raymond Per Nordnes, Izabela Platon, Harmke Polinder, Gabriel Prada, Ragnhild Ragnheim, Lisa Ramsawak, Krzysztof Rewiuk, Carlos Rodrigues, Regina Roller-Wirnsberger, Juhani Rossinen, Giovanni Ruotolo, Georg Ruppe, Dan Ryan, Carlo Sabbà, Elisabet Maria Sanchez-Garcia, Goncalos Sarmento, Sumru Savas, Veronika Schmid, Kaisa Schroderus, Monica Siegrist, Daniel Smedberg, Orla Smit, George Soulis, Maria Tampaki, Natasia Tenkattelaar, Ulrich Thiem, Jorien Tromp, Michiel Van Beek, Lars Van Heijningen, Bob Vandeelen, Heleen Vanderhulst, Nathalie van der Velde, Hana Vankova, Rafaela Verissimo, Nicola Veronese, Filippo Verri, Merel Vonk, Calin Vrabie, Paul Wearing, Michael Weiss, Anna-Karin Welmer, Berenice Werle, Ozlem Ylmaz, Muhammad Shoaib Zaidi, Mihaela Zamfir, Ilo Zanom, Jen Zuidhof

Affiliations

¹ Geriatrics Unit, Department of Geriatric Care, Orthogeriatrics and Rehabilitation, Galliera Hospital, Genoa, Italy.
² Department of Interdisciplinary Medicine, Clinica Medica e Geriatria "Cesare Frugoni", University of Bari Aldo Moro, P.zza Giulio Cesare, 11, 70124, Bari, Italy.
³ Department of Interdisciplinary Medicine, Clinica Medica e Geriatria "Cesare Frugoni", University of Bari Aldo Moro, P.zza Giulio Cesare, 11, 70124, Bari, Italy. carlo.custodero@uniba.it.
⁴ Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
⁵ Servicio de Geriatría, Hospital Universitario Ramón y Cajal, (IRYCIS), Madrid, Spain.
⁶ Department of Geriatrics, First Faculty of Medicine, Charles University, Prague, Czech Republic.
⁷ Faculty of Health and Social Sciences, University of South Bohemia, Ceske Budejovice, Czech Republic.
⁸ Ageing Clinical Research, Department II of Internal Medicine and Center for Molecular Medicine, University of Cologne, Cologne, Germany.
⁹ Cologne Excellence Cluster on Cellular Stress-Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany.

PMID: 36656486
PMCID: PMC9851592
DOI: 10.1007/s41999-022-00740-3

Review

A multidimensional approach to older patients during COVID-19 pandemic: a position paper of the Special Interest Group on Comprehensive Geriatric Assessment of the European Geriatric Medicine Society (EuGMS)

Alberto Pilotto et al. Eur Geriatr Med. 2023 Feb.

. 2023 Feb;14(1):33-41.

doi: 10.1007/s41999-022-00740-3. Epub 2023 Jan 19.

Authors

Collaborators

Members of the Special Interest Group on Comprehensive Geriatric Assessment of the EuGMS (European Geriatric Medicine Society):
Mariana Alves, Mario Barbagallo, Petra Benzinger, Nicolas Berg, Julie Brach, Irwin Cardoso, Maela Caudal, Alberto Cella, Ben Chefi, Annette Ciurea, Ana Maria Cornejo Lingan, Santiago Cotobal Rodeles, Alfonso Cruz-Jentoft, Vito Curiale, Libuse Danielova, Franco Davies, Aafke De Groot, Cathrine De Groot, Jan De Lepeleire, Benjamin De Vries, Anne-Marie Decock, Sanne de Jong, Michael Denkinger, Ayse Dikmeer, Simone Dini, Amaury Durand, Ami Fatin, Marilia Fernandes, Nicola Ferrara, Luigi Ferrucci, Bahaa Francis, Laura Fratiglioni, Ellen Freiberger, Rose Galvin, Blanca Garmendia, Sophie Gillain, Vicky Goodwin, Javier Gomez Pavon, J A Goudzwaard, Antonio Greco, Heidi Gruner, Bernd Gunther, Lisa Happe, Vered Hermush, Jan-Kees Huibregtse Bimmel, Ilaria Indiano, Julia Isaak, Javier Jaramillo, Hanna Kerminen, Barbara Kumlehn, Ni Aoife Laocha, Sandra Lau, Lone Lietzen, Isabel Lozano, Ana Teresa Madeira Sarmento, Stefania Maggi, Arduino A Mangoni, Pedro Marques da Silva, Patricia Mars, Hana Matejovska-Kubesova, Francesco Mattace-Raso, Simone Moeskops, Andrea Molnar, Clarissa Musacchio, Kiruba Nagaratnam, Uomo Nieminen, Margaret O'Connor, Fatma Özge Kayhan Koçak, Marc Paccalin, Anil Palikhe, Tajana Pavic, Raymond Per Nordnes, Izabela Platon, Harmke Polinder, Gabriel Prada, Ragnhild Ragnheim, Lisa Ramsawak, Krzysztof Rewiuk, Carlos Rodrigues, Regina Roller-Wirnsberger, Juhani Rossinen, Giovanni Ruotolo, Georg Ruppe, Dan Ryan, Carlo Sabbà, Elisabet Maria Sanchez-Garcia, Goncalos Sarmento, Sumru Savas, Veronika Schmid, Kaisa Schroderus, Monica Siegrist, Daniel Smedberg, Orla Smit, George Soulis, Maria Tampaki, Natasia Tenkattelaar, Ulrich Thiem, Jorien Tromp, Michiel Van Beek, Lars Van Heijningen, Bob Vandeelen, Heleen Vanderhulst, Nathalie van der Velde, Hana Vankova, Rafaela Verissimo, Nicola Veronese, Filippo Verri, Merel Vonk, Calin Vrabie, Paul Wearing, Michael Weiss, Anna-Karin Welmer, Berenice Werle, Ozlem Ylmaz, Muhammad Shoaib Zaidi, Mihaela Zamfir, Ilo Zanom, Jen Zuidhof

Affiliations

¹ Geriatrics Unit, Department of Geriatric Care, Orthogeriatrics and Rehabilitation, Galliera Hospital, Genoa, Italy.
² Department of Interdisciplinary Medicine, Clinica Medica e Geriatria "Cesare Frugoni", University of Bari Aldo Moro, P.zza Giulio Cesare, 11, 70124, Bari, Italy.
³ Department of Interdisciplinary Medicine, Clinica Medica e Geriatria "Cesare Frugoni", University of Bari Aldo Moro, P.zza Giulio Cesare, 11, 70124, Bari, Italy. carlo.custodero@uniba.it.
⁴ Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
⁵ Servicio de Geriatría, Hospital Universitario Ramón y Cajal, (IRYCIS), Madrid, Spain.
⁶ Department of Geriatrics, First Faculty of Medicine, Charles University, Prague, Czech Republic.
⁷ Faculty of Health and Social Sciences, University of South Bohemia, Ceske Budejovice, Czech Republic.
⁸ Ageing Clinical Research, Department II of Internal Medicine and Center for Molecular Medicine, University of Cologne, Cologne, Germany.
⁹ Cologne Excellence Cluster on Cellular Stress-Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany.

PMID: 36656486
PMCID: PMC9851592
DOI: 10.1007/s41999-022-00740-3

Abstract

Purpose: The COVID-19 pandemic has been a dramatic trigger that has challenged the intrinsic capacity of older adults and of society. Due to the consequences for the older population worldwide, the Special Interest Group on Comprehensive Geriatric Assessment (CGA) of the European Geriatric Medicine Society (EuGMS) took the initiative of collecting evidence on the usefulness of the CGA-based multidimensional approach to older people during the COVID-19 pandemic.

Methods: A narrative review of the most relevant articles published between January 2020 and November 2022 that focused on the multidimensional assessment of older adults during the COVID-19 pandemic.

Results: Current evidence supports the critical role of the multidimensional approach to identify older adults hospitalized with COVID-19 at higher risk of longer hospitalization, functional decline, and short-term mortality. This approach appears to also be pivotal for the adequate stratification and management of the post-COVID condition as well as for the adoption of preventive measures (e.g., vaccinations, healthy lifestyle) among non-infected individuals.

Conclusion: Collecting information on multiple health domains (e.g., functional, cognitive, nutritional, social status, mobility, comorbidities, and polypharmacy) provides a better understanding of the intrinsic capacities and resilience of older adults affected by SARS-CoV-2 infection. The EuGMS SIG on CGA endorses the adoption of the multidimensional approach to guide the clinical management of older adults during the COVID-19 pandemic.

Keywords: COVID-19; Comprehensive Geriatric Assessment; Decision-making; Intrinsic capacity; Multidimensional frailty; Prognosis; SARS-CoV-2.

PubMed Disclaimer

Conflict of interest statement

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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A multidimensional approach to older patients during COVID-19 pandemic: a position paper of the Special Interest Group on Comprehensive Geriatric Assessment of the European Geriatric Medicine Society (EuGMS)

Collaborators

Affiliations

A multidimensional approach to older patients during COVID-19 pandemic: a position paper of the Special Interest Group on Comprehensive Geriatric Assessment of the European Geriatric Medicine Society (EuGMS)

Authors

Collaborators

Affiliations

Abstract

Conflict of interest statement

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