首页> 外文期刊>Canadian Journal of Emergency Medicine >Age is just a number – and so is frailty: Strategies to inform resource allocation during the COVID-19 pandemic
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Age is just a number – and so is frailty: Strategies to inform resource allocation during the COVID-19 pandemic

机译:年龄只是一个数字 - 也是脆弱的:在Covid-19流行期间提供资源分配的战略

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As cases of critical COVID-19 patients have taxed theirresources, hospitals in China and Europe have facedthe difficult task of establishing criteria for whichpatients receive which level of care. Hospitals in Italyduring this pandemic seem overwhelmed, leaving physicians with little guidance on how to triage patients andallocate therapeutic resources.1 Based on current ratesof critical care admission in China and Italy, in a worstcase scenario, Canada would have a deficit of thousandsof intensive care unit (ICU) beds in the peak of a nationalepidemic—a problem that will disproportionately affectolder adults. This highlights the necessity of sound geriatric principles in the emergency department (ED) thatincorporate the essential concept of frailty. We proposethat a structured, evidence-based assessment of frailty,and not just noting the person’s age, will help guideED care during the COVID-19 pandemic.
机译:由于关键的Covid-19患者征税的病例,中国和欧洲的医院面临着建立患有患者级别的标准的艰巨任务。意大利的医院这种大流行似乎不堪重负,留下医生,几乎没有关于如何对患者进行探讨的指导,并根据当前中国和意大利的当前的重大护理录取,在一个最糟糕的情况下,加拿大将缺乏成千上万的重症监护室(ICU)床位在全国卓越的巅峰之中 - 一个将不成比例地影响成年人的问题。这突出了急诊部门(ED)官员在努力施工的基本概念中的声音老年原则的必要性。我们提出了一项结构化,证据的基于证据的评估,而不仅仅是指出该人的年龄,将有助于在Covid-19大流行期间引导护理。

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