Management of Older Outpatients during the COVID-19 Pandemic: The GeroCovid Ambulatory Study
| Autor: | Stefano Volpato, Gianluca Zia, Pietro Gareri, Alessandra Coin, Alba Malara, Valeria Calsolaro, Stefano Fumagalli, Anette Hylen Ranhoff, Caterina Trevisan, Giuseppe Bellelli, Susanna Del Signore, Enrico Mossello, Raffaele Antonelli Incalzi |
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| Přispěvatelé: | Gareri, P, Fumagalli, S, Malara, A, Mossello, E, Trevisan, C, Volpato, S, Coin, A, Calsolaro, V, Bellelli, G, Del Signore, S, Zia, G, Ranhoff, A, Incalzi, R |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Aging
medicine.medical_specialty Activities of daily living Home care patient Socio-culturale Older patient Quality of life (healthcare) Rating scale Outpatients medicine Older patients COVID-19 GeroCovid study Home care patients business.industry Outpatient Mood Cohort Ambulatory Physical therapy Anxiety Geriatric Depression Scale Clinical Section: Brief Report Geriatrics and Gerontology medicine.symptom business |
| Zdroj: | Gerontology |
| Popis: | Objectives: The GeroCovid Study is a multi-setting, multinational, and multi-scope registry that includes the GeroCovid home and outpatients’ care cohort. The present study aims to evaluate whether outpatient and home care services with remote monitoring and consultation could mitigate the impact of the COVID-19 pandemic on mental and affective status, perceived well-being, and personal capabilities of outpatients and home care patients with cognitive disorders. Methods: Prospectively recorded patients in an electronic web registry provided by BlueCompanion Ltd. Up to October 31, 2020, the sample included 90 patients receiving regular care from the Center for Cognitive Disorders and Dementia in Catanzaro Lido, Italy. It was made of 52 ambulatory outpatients and 38 home care patients, mean age 83.3 ± 7.54 years. Participants underwent a multidimensional assessment at baseline (T0) and after 90 days (T1). For each patient, we administered the Mini-Mental State Examination (MMSE) for cognitive functions, the Activities of Daily Living (ADL) and Instrumental ADL (IADL) scales for functional capabilities, the Cumulative Illness Rating Scale (CIRS) for comorbidities and their impact on patients’ health, the 5-items Geriatric Depression Scale (GDS) for mood, and the Euro Quality of Life (EuroQoL) for perceived quality of life. Contacts with both ambulatory and home care patients were managed in person or via telephone, preferably through video calls (WhatsApp or FaceTime). Results: Contacts with patients were kept at T0 through telephone. At T1, visits were made in person for over 95% out of the cases. The ADL, IADL, CIRS, GDS, MMSE, and EuroQoL changed slightly between T0 and T1. Most of the patients were clinically stable over time on the majority of the scales explored, but behavioral changes were found in 24.4% of patients and anxiety and insomnia in 17.7% of patients. Conclusion: Our study suggests that contacts through telephone and video consultations are likely associated with a health status preservation of the patients. |
| Databáze: | OpenAIRE |
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