Prioritization to ensure care in COVID-19 pandemic
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Saúde Materno Infantil (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292021000300519 |
Resumo: | Abstract 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. |
id |
IMIPFF-1_ae5d3d0c3e060fad6cefd53c143d1b84 |
---|---|
oai_identifier_str |
oai:scielo:S1519-38292021000300519 |
network_acronym_str |
IMIPFF-1 |
network_name_str |
Revista Brasileira de Saúde Materno Infantil (Online) |
repository_id_str |
|
spelling |
Prioritization to ensure care in COVID-19 pandemicSARS-CoV-2COVID-19Respiratory insufficiencyPrinciple-based ethicsCritical carePalliative careAbstract 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.Instituto de Medicina Integral Prof. Fernando Figueira2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292021000300519Revista Brasileira de Saúde Materno Infantil v.21 suppl.2 2021reponame:Revista Brasileira de Saúde Materno Infantil (Online)instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)instacron:IMIPFF10.1590/1806-9304202100s200011info:eu-repo/semantics/openAccessBezerra,Mirella RebelloMello,Maria Júlia Gonçalves deLima,Jurema Telles de OliveiraCavalcanti,Zilda do RêgoBezerra,Guacyra Magalhães PiresDias,Laiane MoraesSá,Priscilla Karen de OliveiraNunes,Ruieng2021-06-25T00:00:00Zoai:scielo:S1519-38292021000300519Revistahttp://www.scielo.br/rbsmihttps://old.scielo.br/oai/scielo-oai.php||revista@imip.org.br1806-93041519-3829opendoar:2021-06-25T00:00Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)false |
dc.title.none.fl_str_mv |
Prioritization to ensure care in COVID-19 pandemic |
title |
Prioritization to ensure care in COVID-19 pandemic |
spellingShingle |
Prioritization to ensure care in COVID-19 pandemic Bezerra,Mirella Rebello SARS-CoV-2 COVID-19 Respiratory insufficiency Principle-based ethics Critical care Palliative care |
title_short |
Prioritization to ensure care in COVID-19 pandemic |
title_full |
Prioritization to ensure care in COVID-19 pandemic |
title_fullStr |
Prioritization to ensure care in COVID-19 pandemic |
title_full_unstemmed |
Prioritization to ensure care in COVID-19 pandemic |
title_sort |
Prioritization to ensure care in COVID-19 pandemic |
author |
Bezerra,Mirella Rebello |
author_facet |
Bezerra,Mirella Rebello Mello,Maria Júlia Gonçalves de Lima,Jurema Telles de Oliveira Cavalcanti,Zilda do Rêgo Bezerra,Guacyra Magalhães Pires Dias,Laiane Moraes Sá,Priscilla Karen de Oliveira Nunes,Rui |
author_role |
author |
author2 |
Mello,Maria Júlia Gonçalves de Lima,Jurema Telles de Oliveira Cavalcanti,Zilda do Rêgo Bezerra,Guacyra Magalhães Pires Dias,Laiane Moraes Sá,Priscilla Karen de Oliveira Nunes,Rui |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Bezerra,Mirella Rebello Mello,Maria Júlia Gonçalves de Lima,Jurema Telles de Oliveira Cavalcanti,Zilda do Rêgo Bezerra,Guacyra Magalhães Pires Dias,Laiane Moraes Sá,Priscilla Karen de Oliveira Nunes,Rui |
dc.subject.por.fl_str_mv |
SARS-CoV-2 COVID-19 Respiratory insufficiency Principle-based ethics Critical care Palliative care |
topic |
SARS-CoV-2 COVID-19 Respiratory insufficiency Principle-based ethics Critical care Palliative care |
description |
Abstract 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. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292021000300519 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292021000300519 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-9304202100s200011 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto de Medicina Integral Prof. Fernando Figueira |
publisher.none.fl_str_mv |
Instituto de Medicina Integral Prof. Fernando Figueira |
dc.source.none.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil v.21 suppl.2 2021 reponame:Revista Brasileira de Saúde Materno Infantil (Online) instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) instacron:IMIPFF |
instname_str |
Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
instacron_str |
IMIPFF |
institution |
IMIPFF |
reponame_str |
Revista Brasileira de Saúde Materno Infantil (Online) |
collection |
Revista Brasileira de Saúde Materno Infantil (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
repository.mail.fl_str_mv |
||revista@imip.org.br |
_version_ |
1752129930750066688 |