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

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 t...

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Detalles Bibliográficos
Autor principal: Rockwood, Kenneth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Editorial
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7543265/
https://www.ncbi.nlm.nih.gov/pubmed/32939534
http://dx.doi.org/10.1093/ageing/afaa202
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author Rockwood, Kenneth
author_facet Rockwood, Kenneth
author_sort Rockwood, Kenneth
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description 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.
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spelling pubmed-75432652020-10-08 Rationing care in COVID-19: if we must do it, can we do better? Rockwood, Kenneth Age Ageing Editorial 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. Oxford University Press 2020-09-16 /pmc/articles/PMC7543265/ /pubmed/32939534 http://dx.doi.org/10.1093/ageing/afaa202 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_modelThis article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)
spellingShingle Editorial
Rockwood, Kenneth
Rationing care in COVID-19: if we must do it, can we do better?
title Rationing care in COVID-19: if we must do it, can we do better?
title_full Rationing care in COVID-19: if we must do it, can we do better?
title_fullStr Rationing care in COVID-19: if we must do it, can we do better?
title_full_unstemmed Rationing care in COVID-19: if we must do it, can we do better?
title_short Rationing care in COVID-19: if we must do it, can we do better?
title_sort rationing care in covid-19: if we must do it, can we do better?
topic Editorial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7543265/
https://www.ncbi.nlm.nih.gov/pubmed/32939534
http://dx.doi.org/10.1093/ageing/afaa202
work_keys_str_mv AT rockwoodkenneth rationingcareincovid19ifwemustdoitcanwedobetter

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