{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T01:26:08Z","timestamp":1768267568095,"version":"3.49.0"},"reference-count":85,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Port J Public Health"],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;\/i&gt;&lt;\/b&gt; COVID-19 has currently well-described signs and symptoms. However, older adults often present with an atypical condition, which can confuse and delay diagnosis and treatment. &lt;b&gt;&lt;i&gt;Summary:&lt;\/i&gt;&lt;\/b&gt; A scoping review was performed according to Joanna Briggs Institute methodology and prepared using the PRISMA-ScR. It included 61 studies. The objectives were to identify the atypical symptoms of COVID-19 in older adults and summarize and synthesize the evidence regarding the clinical outcomes of older adults with atypical presentations of COVID-19. Fifty-eight atypical symptoms were identified. Geriatric syndromes were the most prevalent atypical presentations of COVID-19. The prevalence of older adults with atypical presentation was 29 \u00b1 18.45%. The mortality rate of older adults with atypical presentation was 28.3 \u00b1 10.26 (17\u201337%). &lt;b&gt;&lt;i&gt;Key Messages:&lt;\/i&gt;&lt;\/b&gt; This scoping review showed that geriatric syndromes represent a frequent atypical presentation of COVID-19 in older adults. It is necessary to give visibility to those presentations in older populations with COVID-19 to advance the required interventions. <\/jats:p>","DOI":"10.1159\/000534250","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T21:02:04Z","timestamp":1698440524000},"page":"198-217","source":"Crossref","is-referenced-by-count":4,"title":["Atypical Presentation of COVID-19 in Older Adults: A Scoping Review"],"prefix":"10.1159","volume":"41","author":[{"given":"Jo\u00e3o","family":"Tavares","sequence":"first","affiliation":[]},{"given":"Daniela","family":"Figueiredo","sequence":"additional","affiliation":[]},{"given":"L\u00edgia","family":"Passos","sequence":"additional","affiliation":[]},{"given":"Leila","family":"Sobrinho","sequence":"additional","affiliation":[]},{"given":"Elaine","family":"Souza","sequence":"additional","affiliation":[]},{"given":"Larissa","family":"Pedreira","sequence":"additional","affiliation":[]}],"member":"127","published-online":{"date-parts":[[2023,10,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.657"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sjbs.2020.11.001"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6915e3"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.4683"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2020.104335"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002\/agm2.12126"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57020189"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2020-137979"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-021-02261-3"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa223"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.29540"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16894"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2020.04.009"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_1582_20"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.12592"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.46658\/JBIMES-20-12"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-020-01542-z"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1177\/2333721421999313"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.586686"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1186\/s13000-021-01075-6"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.idcr.2020.e00774"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab050"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.12.003"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1159\/000508734"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-021-01599-5"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.10.034"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1007\/s41999-020-00352-9"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-020-02372-7"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.regg.2020.11.001"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-021-02565-4"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.3390\/geriatrics5040065"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1177\/0036933020962891"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.3390\/geriatrics6010011"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa068"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10132962"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2020.100490"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2020.07.049"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13215"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-020-1389-1"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.7861\/clinmed.2021-0308"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.3390\/pathogens10010008"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytaa339"},{"key":"ref43","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16536"},{"key":"ref44","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.928471"},{"key":"ref45","doi-asserted-by":"publisher","DOI":"10.1016\/j.hemonc.2020.05.001"},{"key":"ref46","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2020-237617"},{"key":"ref47","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.12455"},{"key":"ref48","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2020-238875"},{"key":"ref49","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvscit.2020.05.001"},{"key":"ref50","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2020.04.018"},{"key":"ref51","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2020-237520"},{"key":"ref52","doi-asserted-by":"publisher","DOI":"10.5152\/eurasianjmed.2020.20134"},{"key":"ref53","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v8.i7.1265"},{"key":"ref54","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13990"},{"key":"ref55","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinre.2020.05.003"},{"key":"ref56","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa068"},{"key":"ref57","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtho.2020.06.019"},{"key":"ref58","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.20-0259"},{"key":"ref59","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.4235"},{"key":"ref60","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2021-242028"},{"key":"ref61","doi-asserted-by":"publisher","DOI":"10.1111\/psyg.12587"},{"key":"ref62","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2020.05.016"},{"key":"ref63","doi-asserted-by":"publisher","DOI":"10.1097\/WNF.0000000000000459"},{"key":"ref64","doi-asserted-by":"publisher","DOI":"10.1016\/j.nmni.2020.100742"},{"key":"ref65","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2021.102484"},{"key":"ref66","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2020.04.045"},{"key":"ref67","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2021-243880"},{"key":"ref68","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0000000000001922"},{"key":"ref69","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.7561"},{"key":"ref70","doi-asserted-by":"publisher","DOI":"10.26355\/eurrev_202102_24879"},{"key":"ref71","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16526"},{"key":"ref72","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2021.08.006"},{"key":"ref73","doi-asserted-by":"publisher","DOI":"10.1016\/j.sciaf.2021.e01033"},{"key":"ref74","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17228362"},{"key":"ref75","doi-asserted-by":"publisher","DOI":"10.3390\/geriatrics6040095"},{"key":"ref76","doi-asserted-by":"publisher","DOI":"10.1139\/facets-2022-0044"},{"key":"ref77","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2021.104388"},{"key":"ref78","doi-asserted-by":"publisher","DOI":"10.1177\/2151459321996619"},{"key":"ref79","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01156.x"},{"key":"ref80","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glab171"},{"key":"ref81","doi-asserted-by":"publisher","DOI":"10.1007\/s41999-022-00736-z"},{"key":"ref82","doi-asserted-by":"publisher","DOI":"10.1177\/23337214221079956"},{"key":"ref83","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12619"},{"key":"ref84","doi-asserted-by":"publisher","DOI":"10.47176\/mjiri.35.5"},{"key":"ref85","doi-asserted-by":"publisher","DOI":"10.37766\/inplasy2021.10.0103"}],"container-title":["Portuguese Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/pjp\/article-pdf\/41\/3\/198\/4125563\/000534250.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/pjp\/article-pdf\/41\/3\/198\/4125563\/000534250.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:45:00Z","timestamp":1745423100000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000534250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":85,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,12,22]]}},"URL":"https:\/\/doi.org\/10.1159\/000534250","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.24334498","asserted-by":"subject"}]},"ISSN":["2504-3137","2504-3145"],"issn-type":[{"value":"2504-3137","type":"print"},{"value":"2504-3145","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023]]}}}