Prioritization to ensure care in covid-19 pandemic

• Type: Article in International Scientific Journal
• Date: 2021

Authors

Bezerra M.R. (Author) Other; de Mello M.J.G. (Author) Other; Lima J.T.d.O. (Author) Other; Cavalcanti Z.D.R. (Author) Other; Bezerra G.M.P. (Author) Other; Dias L.M. (Author) Other; de Oliveira Sá P.K. (Author) Other; Rui Nunes (Author) FMUP

Journal

Title: Revista Brasileira de Saude Materno Infantil

Vol. 21

Pages: 519-527

ISSN: 1519-3829

Publisher: Instituto Materno Infantil de Pernambuco

Indexing

Scopus - 0 Citations

Other information

Authenticus ID: P-00V-ZV5

DOI: 10.1590/1806-9304202100s200011

Abstract (EN): Objectives: to develop a flow to ensure care for all people with severe acute respiratory syndrome coronavirus 2, offering from intensive care to palliative care, in an equitable and fair manner. Methods: the modified Delphi methodology was used to reach consensus on a flow and a prioritization index among specialists, the regional council of medicine, members of the healthcare system and the local judicial sector. Results: the score was incorporated into the flow as the final phase for building the list of patients who will be referred to intensive care, whenever a ventilator is available. Patients with lower scores should have priority access to the ICU. Patients with higher scores should receive palliative care associated with available curative measures. However, curative measures must be proportionate to the severity of the overall clinical situation and the prognosis. Conclusions: this tool could and will prevent patients from being excluded from access to the necessary health care so that their demands are assessed, their suffering is reduced, and their illnesses are cured, when possible.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 8