166 HEALTH TRAJECTORIES OF FRAIL, OLDER PEOPLE WHILE COCOONING DURING THE COVID-19 PANDEMIC

Abstract

Abstract Background Cocooning, i.e. staying at home and reducing interaction with others, was a key part of the strategy to protect older people during the COVID-19 pandemic. Unfortunately, there are concerns this has had a negative impact on the physical and mental wellbeing of those who have been isolated. Methods We completed a survey of 150 patients (55% female, mean age 79.8 years, average Clinical Frailty Scale 4.8) attending ambulatory medical services in a large university hospital. Questions were focused on: access to healthcare services, mental health, physical health, and attitudes to COVID-19 restrictions. Results Almost 40% reported that their mental health was ‘worse’ or ‘much worse’ while cocooning, while over 40% reported a decline in their physical health. Over 57% had a scheduled healthcare-related visit cancelled while cocooning, most frequently hospital outpatient appointments. Worryingly, almost 1/6 reported not seeking medical attention for an illness that they would usually. Of these, half did not as they were worried about catching COVID and 46% did not as this service was not currently available to them. Conclusion The COVID-19 pandemic and lack of access to essential services, both medical and social, has had a devastating impact on older people. This is evident in both the acute presentations to hospital and the longer-term impact it has had on health and function. It is important that in the future clear policies are in place to enable older people to access care when they need it.