大流行期痴呆症的稀缺资源分配
Pandemic Dementia Scarce Resource Allocation.
作者信息
Smith Eric E, Couillard Philippe, Fisk John D, Ismail Zahinoor, Montero-Odasso Manuel, Robillard Julie M, Vedel Isabelle, Sivananthan Saskia, Gauthier Serge
机构信息
Department of Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, AB.
Department of Clinical Neurosciences and Department of Critical Care Medicine, Hotchkiss Brain Institute, University of Calgary, Calgary, AB.
出版信息
Can Geriatr J. 2020 Sep 1;23(3):216-218. doi: 10.5770/cgj.23.457. eCollection 2020 Sep.
Abstract
Hospitals and intensive care units are straining to provide care for a large surge of patients with coronavirus disease 19 (Covid-19). Contingency plans are being made for the possibility that resources for lifesaving care, including mechanical ventilators, will be in short supply. Covid-19 is more severe and more likely to be fatal in older persons. Dementia is one of the commonest severe comorbidities of aging. Persons with dementia are vulnerable and often need the support of others to make their voices heard. This commentary, created by a task force commissioned by the Alzheimer Society of Canada, provides guidance for triaging persons with dementia to scarce medical resources during the Covid-19 pandemic.
摘要
医院和重症监护病房正竭尽全力为大量激增的新型冠状病毒肺炎（Covid-19）患者提供治疗。针对包括机械呼吸机在内的救生护理资源可能短缺的情况，正在制定应急计划。Covid-19在老年人中病情更严重，致死率也更高。痴呆症是老年人最常见的严重合并症之一。患有痴呆症的人很脆弱，往往需要他人的支持才能表达自己的声音。本评论由加拿大阿尔茨海默病协会委托的一个特别工作组撰写，为在Covid-19大流行期间将痴呆症患者分诊至稀缺医疗资源提供指导。
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本文引用的文献
1
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Lancet. 2020 Apr 11;395(10231):1190-1191. doi: 10.1016/S0140-6736(20)30755-8. Epub 2020 Mar 30.
2
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CMAJ. 2020 Apr 14;192(15):E400-E404. doi: 10.1503/cmaj.200465. Epub 2020 Mar 31.
3
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JAMA. 2020 May 12;323(18):1773-1774. doi: 10.1001/jama.2020.5046.
4
Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) - United States, February 12-March 16, 2020.2020 年 2 月 12 日至 3 月 16 日，美国 2019 冠状病毒病（COVID-19）患者的严重结局。
MMWR Morb Mortal Wkly Rep. 2020 Mar 27;69(12):343-346. doi: 10.15585/mmwr.mm6912e2.
5
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N Engl J Med. 2020 Apr 30;382(18):e41. doi: 10.1056/NEJMp2006141. Epub 2020 Mar 25.
6
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7
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9
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10
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Palliat Med. 2013 May;27(5):389-400. doi: 10.1177/0269216312465649. Epub 2012 Nov 22.
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