Rationing care in COVID-19: if we must do it, can we do better?-Reference-Cited by-同舟云学术

Rationing care in COVID-19: if we must do it, can we do better?

Published:2020-09-16 Issue:1 Volume:50 Page:3-6
ISSN:0002-0729
Container-title:Age and Ageing
language:en
Short-container-title:

Author:

Rockwood Kenneth¹²

Affiliation:

1. Division of Geriatric Medicine, Department of Medicine, Dalhousie University, Halifax, NS, Canada

2. Nova Scotia Health Authority, Halifax, NS, Canada

Abstract

Abstract The COVID-19 pandemic has seen a proposal for frailty to be used as a rationing criterion. This commentary suggests circumstances under which that is defensible: in the face of lack of capacity to treat everyone, and as an alternative to age in stratifying risk. How best to stratify risk is likely to evolve and may include information about illness severity and dynamic measures. Current research must focus on mobilizing better, COVID-19-specific prognostic information, with a goal of best discriminating which lives are most and least likely to be saved should scarcity of resources dictate that not everyone can receive critical care.

Funder

Canadian Institutes of Health Research

Canadian Frailty Network

Nova Scotia Health Authority Research and Innovation Fund

Nova Scotia Health Research Fund

Fountain Family Innovation Fund

QEII Health Sciences Foundation

Publisher

Oxford University Press (OUP)

Subject

Geriatrics and Gerontology,Aging,General Medicine

Link

http://academic.oup.com/ageing/advance-article-pdf/doi/10.1093/ageing/afaa202/33857712/afaa202.pdf

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