{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T14:18:46Z","timestamp":1747145926782,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,7,27]],"date-time":"2022-07-27T00:00:00Z","timestamp":1658880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aging Medicine"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Hong Kong was hit by a tsunami of COVID\u201019 in mid\u2010February 2022, impacting on frail older adults with high COVID\u201019 mortality. Two older adults with COVID\u201019 managed by geriatric telemedicine at home were reported with favorable outcome despite severe frailty (Clinical Frailty Score 7). Stressed by COVID\u201019, both presented with the geriatric giants or frailty syndromes of brain failure (delirium) and balance failure (falls). Their successful outcome resulted not from COVID\u201019 antiviral treatment, but individualized holistic person\u2010centered care attending to the frailty syndromes: optimized treatment of comorbid conditions by medication review, medication reduction on recognition of drug\u2010induced hypotension and hypoglycaemia, appropriate use of medication to reduce iatrogenesis, caregivers' replenishment of fluid and nutrition deficit, oxygen support during critical hypoxic period, and recognition and early treatment of superimposed infections (bacterial respiratory tract superinfection, herpes zoster). Their social support was good. Family members and helpers became invaluable resources in providing the much\u2010needed personal care, nutrition, hydration, comfort, and health monitoring to keep the geriatrician informed of their condition and to draw up an individualized management plan. Home environment and human presence were therapeutic in delirium care, avoiding damage from separation and isolation commonly practiced in this COVID\u201019 pandemic.<\/jats:p>","DOI":"10.1002\/agm2.12218","type":"journal-article","created":{"date-parts":[[2022,7,27]],"date-time":"2022-07-27T07:34:08Z","timestamp":1658907248000},"page":"232-236","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Favorable outcome of geriatric telemedicine for frail older adults with COVID\u201019 staying at home during the omicron tsunami in Hong Kong"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4340-7479","authenticated-orcid":false,"given":"Tak\u2010kwan","family":"Kong","sequence":"first","affiliation":[{"name":"Division of Geriatric Medicine, Department of Medicine The University of Hong Kong Li Ka Shing Faculty of Medicine  Hong Kong SAR China"},{"name":"Division of Geriatrics, Department of Medicine &amp; Therapeutics Prince of Wales Hospital, The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,27]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"The Government of the Hong Kong Special Administrative Region Press Releases.Government announces arrangements for persons pending admission to hospitals or isolation facilities.2022.https:\/\/www.info.gov.hk\/gia\/general\/202202\/15\/P2022021500524.htm. Accessed 26 Apr 2022."},{"key":"e_1_2_9_3_1","unstructured":"The Government of the Hong Kong Special Administrative Region COVID\u201019 Thematic Website.Archive of statistics on 5th wave of COVID\u201019.https:\/\/www.coronavirus.gov.hk\/eng\/5th\u2010wave\u2010statistics.html. Accessed 23 June 2022."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab026"},{"key":"e_1_2_9_5_1","unstructured":"The Government of the Hong Kong Special Administrative Region COVID\u201019 Thematic Website.Provisional data analysis on COVID\u201019 reported death cases (from 31 Dec 2021 up till 15 June 2022 00:00). 16 June 2022.https:\/\/wwwcovidvaccinegovhk\/pdf\/death_analysispdf. Accessed 23 June 2022."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab006"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.5770\/cgj.23.463"},{"issue":"1","key":"e_1_2_9_8_1","first-page":"31","article-title":"In memory of Professor Bernard Isaacs","volume":"7","author":"Kong TK","year":"1996","journal-title":"J Hong Kong Geriatr Soc"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.issn.0254-9026.2016.10.001"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)62167-9"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(20)30444-7"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-021-01714-6"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2010.04.027"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-030371"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.04.023"},{"key":"e_1_2_9_16_1","first-page":"71","volume-title":"The Hong Kong Geriatrics Society Curriculum in Geriatric Medicine","author":"Yu TKK","year":"2017"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjinnov-2020-000440"},{"key":"e_1_2_9_18_1","unstructured":"LassersonD.Older people with multiple long term conditions part 1 \u2010 can we really bring the hospital into the home?Royal College of Physicians of Edinburgh Symposium on Medicine of Older People.2022 11 March 2022.https:\/\/events.rcpe.ac.uk\/medicine\u2010older\u2010people"},{"key":"e_1_2_9_19_1","unstructured":"The Government of the Hong Kong Special Administrative Region Press Releases.Government responds to media reports on telemedicine services and medical and health sector's support to fight against epidemic. 16 March 2022.https:\/\/www.info.gov.hk\/gia\/general\/202203\/16\/P2022031600695.htm. Accessed 13 June 2022."}],"container-title":["AGING MEDICINE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/agm2.12218","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/agm2.12218","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/agm2.12218","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T02:07:05Z","timestamp":1702433225000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/agm2.12218"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,27]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1002\/agm2.12218"],"URL":"https:\/\/doi.org\/10.1002\/agm2.12218","archive":["Portico"],"relation":{},"ISSN":["2475-0360","2475-0360"],"issn-type":[{"type":"print","value":"2475-0360"},{"type":"electronic","value":"2475-0360"}],"subject":[],"published":{"date-parts":[[2022,7,27]]},"assertion":[{"value":"2022-04-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}