TY - JOUR
T1 - How a Barcelona Post-Acute Facility became a Referral Center for Comprehensive Management of Subacute Patients With COVID-19
AU - Inzitari, Marco
AU - Udina, Cristina
AU - Len, Oscar
AU - Ars, Joan
AU - Arnal, Cristina
AU - Badani, Hugo
AU - Davey, Vanessa
AU - Risco, Ester
AU - Ayats, Pere
AU - de Andrés, Ana M.
AU - Mayordomo, Cristina
AU - Ros, Francisco J.
AU - Morandi, Alessandro
AU - Cesari, Matteo
PY - 2020/7
Y1 - 2020/7
N2 - The COVID-19 pandemic's greatest impact is among older adults. Management of the situation requires a systemic response, and post-acute care (PAC) can provide an adequate mix of active treatment, management of associated geriatric syndromes and palliative care, both in the acute phase, and in post–COVID-19 recovery. In the region of Catalonia, Spain, selected PAC centers have become sites to treat older patients with COVID-19. Referrals come from the emergency department or COVID-19 wards of the acute reference hospitals, nursing homes, or private homes. We critically review the actions taken by Parc Sanitari Pere Virgili, a PAC facility in Barcelona, to manage the pandemic, including its administration, health care, communication, psychological support, and ethical frameworks. We believe that the strategies we used and the lessons we learned can be useful for other sites and countries where similar adaptation of existing facilities may be implemented.
AB - The COVID-19 pandemic's greatest impact is among older adults. Management of the situation requires a systemic response, and post-acute care (PAC) can provide an adequate mix of active treatment, management of associated geriatric syndromes and palliative care, both in the acute phase, and in post–COVID-19 recovery. In the region of Catalonia, Spain, selected PAC centers have become sites to treat older patients with COVID-19. Referrals come from the emergency department or COVID-19 wards of the acute reference hospitals, nursing homes, or private homes. We critically review the actions taken by Parc Sanitari Pere Virgili, a PAC facility in Barcelona, to manage the pandemic, including its administration, health care, communication, psychological support, and ethical frameworks. We believe that the strategies we used and the lessons we learned can be useful for other sites and countries where similar adaptation of existing facilities may be implemented.
KW - COVID-19
KW - geriatric syndromes
KW - geriatrics
KW - older adults
KW - palliative care
KW - post-acute care
UR - http://www.scopus.com/inward/record.url?scp=85087766726&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85087766726&partnerID=8YFLogxK
U2 - 10.1016/j.jamda.2020.06.015
DO - 10.1016/j.jamda.2020.06.015
M3 - Article
C2 - 32674827
AN - SCOPUS:85087766726
VL - 21
SP - 954
EP - 957
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
SN - 1525-8610
IS - 7
ER -