在 COVID-19 大流行期间优先考虑手术：魁北克指南。
Prioritizing surgery during the COVID-19 pandemic: the Quebec guidelines.
机构信息
From the Faculty of Medicine, Université de Montréal, Montréal, Que. (Bouthillier, Dumez); the Centre intégré de santé et de services sociaux de Laval, Laval, Que. (Lorange, Dahine, Montpetit); the Ministère de la Santé et des Services Sociaux, Que. (Legault, Latreille, Opatrny); McGill University Health Centre, Montréal, Que. (Wade); the National Radiation Oncology Committee, Que. (Germain); the Centre Hospitalier Universitaire de Québec, Québec, Que. (Grégoire); the National Breast Cancer Committee (Prady); the Quebec Association of Vascular and Endovascular Surgery (Thibault); the Centre Hospitalier Universitaire de Montréal, Montréal, Que. (Dumez).
出版信息
Can J Surg. 2021 Feb 18;64(1):E103-E107. doi: 10.1503/cjs.022220.
In many countries, health care institutions have ramped down nonemergent activities in order to free up hospital and critical care beds in anticipation of a wave of patients with coronavirus disease 2019 (COVID-19). Medical activities were reduced to a minimum, leaving operating rooms to run semiurgent and urgent surgeries only. The status quo of systematically prioritizing resources away from surgical care to patients with COVID-19 may lead to unintended long-term outcomes. We propose a 4-step prioritization system based on resource availability and clinical criteria, as well as supplemental triage criteria for instances where multiple patients have equal claims to priority. The algorithm aims to guide clinicians and decision-makers toward allocating resources to surgical patients while still optimizing pandemic-specific benefits to the population.
在许多国家，医疗机构已经减少了非紧急活动，以便腾出医院和重症监护病房的床位，以应对 2019 年冠状病毒病（COVID-19）患者的浪潮。医疗活动已减少到最低限度，只保留手术室进行半紧急和紧急手术。将资源从外科护理系统地优先分配给 COVID-19 患者的现状可能会导致意想不到的长期后果。我们提出了一个基于资源可用性和临床标准的 4 步优先排序系统，以及在多个患者对优先级有同等要求的情况下的补充分诊标准。该算法旨在指导临床医生和决策者分配资源给外科患者，同时仍然优化针对该人群的大流行特定益处。
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