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UK News Frailty ‘as big a risk for dying with coronavirus as age or poor health’

03:05  01 july  2020
03:05  01 july  2020 Source:   uk.style.yahoo.com

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People from ethnic minorities are at a higher risk of dying from coronavirus , a report by Public Health England says. It shows age remains the biggest risk factor, while being male The rapid review was launched when it became clear that some people were getting more sick with coronavirus than others.

Unsurprisingly, the risk of dying increases with age , rising sharply from age 60 onwards. The ONS has also looked to what extent coronavirus is causing the death Nick Stripe, head of health analysis at the ONS, said understanding what the deaths from coronavirus meant was "difficult and challenging".

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Scientists have stressed frailty should be considered as big a risk factor for dying with the coronavirus as old age or having an underlying health condition.

People aged 70 or over are considered “clinically vulnerable”, putting them at “moderate risk” of becoming seriously ill with the infection. Others in this group include pregnant women, the very obese and those with heart disease.

Those who are “clinically extremely vulnerable” and therefore at “high risk” include patients on chemotherapy and those who have had an organ transplant. Being frail is not mentioned on either list.

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By Michelle Roberts Health editor, BBC News online. And these are the high- risk patients dexamethasone appears to help. The drug is already used to reduce Dexamethasone does not appear to help people with milder symptoms of coronavirus who do not need help with their breathing.

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After looking at more than 1,500 coronavirus patients across 11 hospitals, scientists from Cardiff University found frailty more than doubled the risk of dying with the infection.

Early research suggests the coronavirus is mild in four out of five cases, however, it can trigger a respiratory disease called COVID-19.

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‘Being frail affects your chance of recovery’

The National Institute for Health and Care Excellence (Nice) said in March – the start of the UK’s coronavirus outbreak – when adults are admitted to hospital, they should be assessed according to the Clinical Frailty Scale.

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The age -related death risk probably reflects the strength, or weakness, of the respiratory system. The ARDS patients had an average age of 61, compared to an average age of 49 for those who did not develop Co-morbidities also raise the risk of dying from Covid-19. China CDC’s analysis of 44,672

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“We don’t know how much this is being used in practice”, said lead author Dr Jonathan Hewitt. “Our study shows it is vital to frontline care.

“Every COVID-19 patient should be assessed for frailty because we now know being frail, no matter how old you are or what underlying conditions you may have, affects your chance of recovery from this disease.

“Up until now the focus has been on age and other health issues but we believe this should now shift to frailty to make sure patients are receiving the appropriate, targeted treatment.”

Frailty has been defined as “diminished strength, endurance and reduced physiologic function that increases an individual’s vulnerability for developing increased dependency and/or death”.

To learn more about how it affects coronavirus patients, the scientists looked at patients across 10 hospitals in the UK and one in Italy.

Of the more than 1,500 participants, two thirds were 65 or over.

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But the risk of dying was significantly higher in older people. Selfies at Columbia University on Wednesday. New C.D.C. numbers indicate that young adults American adults of all ages — not just those in their 70s, 80s and 90s — are being seriously sickened by the coronavirus , according to a

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Just under two thirds (65%) of those over 65 were considered frail, compared to one in five (20%) of the younger patients.

Results, published in The Lancet Public Health, revealed the patients who were considered “severely frail” were 2.4 times more likely to die with COVID-19 than those classed as “fit”.

This remained true after adjusting for age, other health issues and the severity of illness on admission to hospital.

“We need to think of frailty as being just as important as age or underlying health conditions when it comes to treating COVID-19 and we should now look at ways to help reduce frailty in the general population as a protective measure,” said co-author Dr Ben Carter from King’s College London.

“With the measures in shielding being relaxed in coming months and the ongoing possibility of a second wave of COVID-19 it will be important to have a meaningful indicator to help inform decisions as to who may have to shield again.”

From 6 July, people in England classed as being extremely clinically vulnerable will no longer need to stay 2m (6.5ft) apart from the people they live with.

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Like other coronaviruses , it has come from animals. The World Health Organization (WHO) has declared it a pandemic. But, he added, “you cannot have that only the elderly and the very young will die , it is part of the natural history of such infections that we will get deaths across the age ranges …

Like previous reports on coronavirus patients, this one found that older people and those with underlying health problems like Over all, about 26 percent of the 138 patients needed intensive care; their median age was 66, compared with a What’s the risk of catching coronavirus from a surface?

People who live alone or are a single parent residing with their children will also be able to meet with one other household, “a support bubble”.

The extremely clinically vulnerable will be permitted to meet outside with people they do not live with in groups of up to six, providing they stay 2m apart.

The scientists stressed further research is required into whether geriatric care, physical activity and optimal nutrition could improve outcomes for frail patients.

“Greater awareness is needed around the concept of frailty and its use as a tool for assessment, both within hospitals and in the community,” said co-author Dr Kathryn McCarthy, from North Bristol NHS Trust.

“Frailty assessment is quick and easy. It could be routinely carried out by GPs or geriatricians in primary care, or even in care homes, allowing this information to be at hand on admission to hospital.

“Our findings may also adjust people’s understanding of their own personal risk from COVID-19.

“For example, younger people can be frail and higher risk but are told they are in a lower risk group, while older people who are not frail have been told they are at risk and need to shield just because of their age.

“If people believe they may fall into the high frailty category they should engage with their GP”.

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What is the coronavirus?

The coronavirus is one of seven strains of a virus class that are known to infect humans.

Others cause everything from the common cold to severe acute respiratory syndrome (Sars), which killed 774 people during its 2002/3 outbreak.

Since the coronavirus outbreak was identified at the end of 2019, more than 10 million cases have been confirmed worldwide, according to Johns Hopkins University.

Of these cases, over 5 million are known to have recovered.

Globally, the death toll has exceeded 509,000.

The coronavirus mainly spreads face to face via infected droplets expelled in a cough or sneeze.

There is also evidence it is transmitted in faeces and survives on surfaces.

Symptoms typically include fever, cough and loss of taste or smell.

The infection itself has no “set” treatment, with most patients naturally fighting it off.

The steroid dexamethasone is being used in hospitals throughout the UK to reduce the risk of death among patients on ventilators or oxygen.

Officials urge people ward off infection by washing their hands regularly and maintaining social distancing.

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Coronavirus: Peru begins partial deconfinement despite a worrying situation .
© REUTERS / Sebastian Castaneda Peruvians on the escalator of a shopping center in Lima on June 22, 2020. With nearly 300,000 cases and more than 9,500 Peru is still dead among the six countries most affected by coronavirus in the world. However, the country begins a partial deconfinement this Wednesday, July 1. The quarantine is lifted in more than half of Peru (18 of the 25 regions), including the capital, which accounts for 60% of the country's coronavirus cases.

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