¿Cuáles son las pautas para el triaje de los pacientes infectados por coronavirus?

(What are the guidelines for triaging patients infected with coronavirus?)

Primeras 5 respuestas:

Established guidelines allow for modifications of optimal timing and type of surgery for colorectal cancer during an unrelated pandemic.

The proposed guide is based mainly on categorizing patients into low, medium or high risk of disease progression with cancer treatment delay.

This article provides practical guidance to front-line physicians forced to make critical rationing decisions.

Most guidelines suggest that health care workers dealing with these sites either defer management of these patients or use appropriate protective measures.

Guidelines are emerging to help guide the provision of head and neck cancer care,

Established guidelines allow for modifications of optimal timing and type of surgery for colorectal cancer during an unrelated pandemic.

... increases the vulnerability of patients. CONCLUSION: The COVID-19 pandemic has stressed already limited health care resources and forced rationing, triage and prioritization of care in general, specifically of surgical interventions. Established guidelines allow for modifications of optimal timing and type of surgery for colorectal cancer during an unrelated pandemic. ...

Ref: Management Considerations for the Surgical Treatment of Colorectal Cancer During the Global Covid-19 Pandemic [Ann. surg, 2020]

The proposed guide is based mainly on categorizing patients into low, medium or high risk of disease progression with cancer treatment delay.

... for cancer therapy. 13 Kutikov et al 14 have proposed specific recommendations which can be used to guide the decision process on delaying or continuing cancer treatment during COVID-19 pandemic. The proposed guide is based mainly on categorizing patients into low, medium or high risk of disease progression with cancer treatment delay. ...

Ref: The Impact of the COVID-19 Pandemic on Cancer Patients [Am J Clin Oncol, 2020-04-23]

This article provides practical guidance to front-line physicians forced to make critical rationing decisions.

... OBJECTIVES: Coronavirus disease 2019 patients are currently overwhelming the world’s healthcare systems. This article provides practical guidance to front-line physicians forced to make critical rationing decisions. DATA SOURCES: PubMed and Medline search for scientific literature, reviews, and guidance documents related to epidemic ICU triage ...

Ref: Adult ICU Triage During the Coronavirus Disease 2019 Pandemic: Who Will Live and Who Will Die? Recommendations to Improve Survival [Crit Care Med, 2020-05-11]

Most guidelines suggest that health care workers dealing with these sites either defer management of these patients or use appropriate protective measures.

... of all the sites through which the SARS-CoV-2 can be transmitted-oral, oropharyngeal, nasal, and laryngopharyngeal. Most guidelines suggest that health care workers dealing with these sites either defer management of these patients or use appropriate protective measures. 2 This has led to many centers rescheduling appointments indefinitely causing a significant delay in ...

Ref: Navigating the impact of COVID‐19 on palliative care for head and neck cancer [Head Neck, 2020-04-27]

Guidelines are emerging to help guide the provision of head and neck cancer care,

... unprecedented needs placed on our health care system by the Coronavirus disease 2019 (COVID‐19) pandemic. Guidelines are emerging to help guide the provision of head and neck cancer care, though in practice, it can be challenging to operationalize such recommendations. Head and neck surgeons ...

Ref: Considerations for head and neck oncology practices during the coronavirus disease 2019 (COVID‐19) pandemic: Wuhan and Toronto experience [Head Neck, 2020-04-27]

Guidelines developed by experts can help all practitioners standardize their attitudes and improve the treatment of COVID-19.

... patients with COVID-19. It establishes a flowchart to guide health practitioners on triaging critical cases. COVID-19 is essentially an unknown clinical condition for the majority of pediatric intensive care professionals. Guidelines developed by experts can help all practitioners standardize their attitudes and improve the treatment of COVID-19. ...

Ref: COVID-19 Diagnostic and Management Protocol for Pediatric Patients [Clinics (Sao Paulo), 2020]

it has stressed health systems worldwide, leading to the cancellation of elective surgical cases and discussions regarding health care resource rationing.

... disease 2019 (COVID-19) pandemic has affected >3.5 million people and touched every inhabited continent. Accordingly, it has stressed health systems worldwide, leading to the cancellation of elective surgical cases and discussions regarding health care resource rationing. It is expected that rationing of surgical resources will continue even after the pandemic peak ...

Ref: Scoring System to Triage Patients for Spine Surgery in the Setting of Limited Resources: Application to the Coronavirus Disease 2019 (COVID-19) Pandemic and Beyond [World neurosurgery (Online), 2020]

The tool has recommended emergency-level care with high sensitivity, and decreased triage time for patients with less severe illness.

... widely used by patients and is being rapidly expanded to other populations and health systems. The tool has recommended emergency-level care with high sensitivity, and decreased triage time for patients with less severe illness. The data suggests it also prevents unnecessary triage messages, phone calls, and in-person visits. CONCLUSION: ...

Ref: Rapid design and implementation of an integrated patient self-triage and self-scheduling tool for COVID-19 [J Am Med Inform Assoc, 2020]

Emergency medical services providers have to ensure timely transfer of patients while minimizing the risk of infectious exposure for themselves, their co-workers, and other patients.

... The coronavirus disease 2019 (COVID-19) pandemic has broad implications on stroke patient triage. Emergency medical services providers have to ensure timely transfer of patients while minimizing the risk of infectious exposure for themselves, their co-workers, and other patients. This statement paper provides a conceptual framework for acute stroke patient triage and transfer during the COVID-19 ...

Ref: Prehospital Triage of Acute Stroke Patients During the COVID-19 Pandemic [Stroke, 2020]

we address the triage of patients in need of trans-catheter aortic valve replacement and percutaneous mitral valve repair.

... when it may be appropriate to proceed with intervention despite the ongoing pandemic. In particular, we address the triage of patients in need of trans-catheter aortic valve replacement and percutaneous mitral valve repair. We also address procedural issues and considerations for the function of structural heart disease teams ...

Ref: Triage Considerations for Patients Referred for Structural Heart Disease Intervention During the Coronavirus Disease 2019 (COVID-19) Pandemic: An ACC /SCAI Consensus Statement [JACC cardiovasc. interv, 2020]

consider ways they can continue to provide care and/or support multidisciplinary tumor boards

... If staff are required to self-isolate due to contact with a confirmed case of coronavirus, consider ways they can continue to provide care and/or support multidisciplinary tumor boards [74] (e.g., virtual attendance at MDT meetings; telephone or video consultations, especially follow-ups; identifying vulnerable ...

Ref: A Practical Approach to the Management of Cancer Patients During the Novel Coronavirus Disease 2019 (COVID‐19) Pandemic: An International Collaborative Group [Oncologist, 2020-04-27]

Access to SARS-CoV-2 testing for patients can help with this triage.

... cancer centre in order to reduce the risk of exposure to other patients and staff. Access to SARS-CoV-2 testing for patients can help with this triage. Testing of staff, a problem even in the health-care systems of many economically developed countries, ...

Ref: Provision of cancer care during the COVID-19 pandemic [Nat Rev Clin Oncol, 2020-04-15]

The general priorities are: a) to minimize exposure to coronavirus for SHD patients and the structural interventional team;

... The general priorities are: a) to minimize exposure to coronavirus for SHD patients and the structural interventional team; b) maintain high quality and durable structural interventional outcomes in those who do require a procedure during the pandemic; c) reduce the risk that these SHD patients use resources that ...

It is prudent that all operating surgeons adhere to strict personal protective equipment (PPE) guidelines.

... telephone, and viral PCR swabs along with pre-operative CT chest are performed to evaluate viral risk. Dual consultant-delivered procedures are conducted to ensure maximisation of theatre and reduced operating times. It is prudent that all operating surgeons adhere to strict personal protective equipment (PPE) guidelines. ...

Ref: Adjusting to the COVID-19 pandemic: challenges and opportunities of frontline colorectal cancer teams in the UK [Int J Colorectal Dis, 2020-05-27]

The WHO has provided guidelines on the rational use of personal protective equipment (PPE) for COVID-19.

... The WHO has provided guidelines on the rational use of personal protective equipment (PPE) for COVID-19. The Government of India has adopted those guidelines as applicable for different levels of care based on risk profile. 9 ...

Ref: Proposed Modifications in the 6-Minute Walk Test for Potential Application in Patients With Mild COVID-19: A Step to Optimize Triage Guidelines [Anesth Analg, 2020-05-26]

provide safe and evidence-based care.

... triaging patients with brain tumours who are sent for radiotherapy during this pandemic and to provide safe and evidence-based care. MATERIALS AND METHODS: Published data for this review were identified by systematically searching PubMed database ...

Ref: Radiotherapeutic management of brain tumours during the COVID-19 pandemic [Journal of Radiotherapy in Practice, 2020-06-09]

A surveillance area and surgical triage allowed us to protect the hospital from as many as 33 patients infected with SARS-CoV-2.

... and 6 of 201 surgical patients (3%). CONCLUSION: Applying filters to protect our comprehensive cancer center from COVID-19 spread contributed to guaranteeing cancer care during the COVID-19 crisis in Milan. A surveillance area and surgical triage allowed us to protect the hospital from as many as 33 patients infected with SARS-CoV-2. ...

Ref: Response of a comprehensive cancer center to the COVID-19 pandemic: the experience of the Fondazione IRCCS-Istituto Nazionale dei Tumori di Milano [Tumori, 2020]

To assess the patient risk, a questionnaire was developed to classify patients at unknown, high, and very high risk.

... health institutes, dental associations) guidelines were screened to summarize recommendations related to dental emergency care. To assess the patient risk, a questionnaire was developed to classify patients at unknown, high, and very high risk. Patient triage recommendations were summarized in a flow chart that graded the emergency level of ...

Ref: Recommendations for Dental Care during COVID-19 Pandemic. [Journal of clinical medicine, 2020-06-12]

to provide safe and evidence-based care.

... in triaging patients with brain tumours who are sent for radiotherapy during this pandemic and to provide safe and evidence-based care. MATERIALS AND METHODS: Published data for this review were identified by systematically searching PubMed database ...

Ref: Radiotherapeutic management of brain tumours during the COVID-19 pandemic [Journal of Radiotherapy in Practice, 2020-06-09]

community/nursing home, triage, and posttriage.

... the basis of their chronological age, and by discriminatory societal norms based solely on chronological age. In this difficult and urgent context, we offer the following guidelines, involving three stages: community/nursing home, triage, and posttriage. ...

Ref: Israel Ad Hoc COVID‐19 Committee: Guidelines for Care of Older Persons During a Pandemic [J Am Geriatr Soc, 2020-05-23]

advise on how to triage, prioritize and organize diagnostic procedures, surgical, radiation and medical treatments.

... practiced, we have yet to feel the full impact of COVID-19. In this manuscript we provide guidance to prepare for the impact of COVID-19 pandemic on breast cancer patients and advise on how to triage, prioritize and organize diagnostic procedures, surgical, radiation and medical treatments. ...

Ref: Recommendations for triage, prioritization and treatment of breast cancer patients during the COVID-19 pandemic [Breast, 2020]

Accordingly, it has stressed health systems worldwide, leading to the cancellation of elective surgical cases and discussions regarding health care resource rationing.

... coronavirus disease 2019 (COVID-19) pandemic has affected >3.5 million people and touched every inhabited continent. Accordingly, it has stressed health systems worldwide, leading to the cancellation of elective surgical cases and discussions regarding health care resource rationing. It is expected that rationing of surgical resources will continue even after the pandemic peak ...

We implement thorough screening for COVID-19 symptoms at multiple levels before a patient is seen by a designated provider.

... using strict infection control guidelines in the setting of limited personal protective equipment (PPE) resources. We implement thorough screening for COVID-19 symptoms at multiple levels before a patient is seen by a designated provider. Conclusions/Lessons Learned We recommend active triaging, communication, frequent screening for COVID-19 symptoms for palliative care ...

Ref: Rapid De-Escalation and Triaging Patients in Community-Based Palliative Care [J Pain Symptom Manage, 2020-04-08]

Three separate rounds of videoconferencing and written correspondence were used to reach a final scoring system.

... constructed a scoring system for the triage and prioritization of emergent and elective spine surgeries. Three separate rounds of videoconferencing and written correspondence were used to reach a final scoring system. Sixteen test cases were used to optimize the scoring system so that it could categorize ...

access to ventilation, and withdrawal of intensive care in non-responsive or deteriorating cases

... strain on the country’s critical care services and necessitate unprecedented rationing decisions This could occur at two critical points: access to ventilation, and withdrawal of intensive care in non-responsive or deteriorating cases The ethical dimensions of decision-making at both junctures merit urgent consideration ...

Ref: Critical care triaging in the shadow of COVID-19: Ethics considerations [South African Medical Journal, 2020]

Triage, an effective solution proposed in disaster medicine, also works well to manage Emergency Department (ED) flow.

... have been explored to stem the spread of the disease and appropriately manage patient flow. Triage, an effective solution proposed in disaster medicine, also works well to manage Emergency Department (ED) flow. The aim of this study was to describe the role of an ED Triage Center ...

Ref: Immersion in an emergency department triage center during the Covid-19 outbreak: first report of the Liège University hospital experience. [Acta clinica Belgica, 2020-06-12]

a first evaluation summary of epidemiological data, including information about travel history, is mandatory.

... classification of the patients should be mandatory and should be carried out through preventive triage: a first evaluation summary of epidemiological data, including information about travel history, is mandatory. Then, the clinical presentation results reported by the patient himself are fundamental to assessing the ...

Ref: COVID-19 Pandemic and Telephone Triage before Attending Medical Office: Problem or Opportunity? [Medicina (Kaunas), 2020-05-20]

Triage urgency was determined based on clinical assessment of urgency with which a patient would require medical treatment or surgical intervention.

... rationalise and harmonise the management of patients with venous and lymphatic disorders or vascular anomalies. Triage urgency was determined based on clinical assessment of urgency with which a patient would require medical treatment or surgical intervention. Clinical conditions were classified into six categories of: 1) Venous thromboembolism (VTE), 2) Chronic Venous ...

Ref: Triage of Patients with Venous and Lymphatic Diseases during the COVID-19 pandemic- the Venous and Lymphatic Triage and Acuity Scale (VELTAS) [J Vasc Surg Venous Lymphat Disord, 2020-05-16]

In particular, we address the triage of patients in need of trans-catheter aortic valve replacement and percutaneous mitral valve repair.

... to decide when it may be appropriate to proceed with intervention despite the ongoing pandemic. In particular, we address the triage of patients in need of trans-catheter aortic valve replacement and percutaneous mitral valve repair. We also address procedural issues and considerations for the function of structural heart disease teams ...

We developed a digital triage tool to be sent to patients to quickly identify people with high risk of COVID-19 infection.

... infection risk in people with multiple sclerosis, especially those on immunosuppressant drugs, during COVID-19 pandemic. We developed a digital triage tool to be sent to patients to quickly identify people with high risk of COVID-19 infection. This tool will also limit unnecessary accesses to the MS centers reducing the risk of ...

Ref: Digital triage for people with multiple sclerosis in the age of COVID-19 pandemic [Neurol Sci, 2020-04-17]

These guidelines provide context for endocrine surgery within the spectrum of surgical oncology,

... acute phase, all endocrine surgeries are deferred, except thyroid tumors requiring acute airway management. CONCLUSIONS: These guidelines provide context for endocrine surgery within the spectrum of surgical oncology, with the goal of optimal individualized multidisciplinary patient care and the expectation of significant resource ...

Ref: Endocrine surgery in the Coronavirus disease 2019 pandemic: Surgical Triage Guidelines [Head Neck, 2020]

The actual sanitary crisis led to a massive mobilization of sanitary system towards intensive care units and management of COVID-19 patients.

... The actual sanitary crisis led to a massive mobilization of sanitary system towards intensive care units and management of COVID-19 patients. This unstable period of time is therefore drastically reducing the possibility for surgical procedures. Furthermore, social distancing measures limit outpatient"s visits or hospitalizations. ...

Ref: French Spine Surgery Society guidelines for management of spinal surgeries during COVID-19 pandemic [World J Clin Cases, 2020-05-26]

guidelines from the American College of Surgeons (ACS) currently divide 122 surgeries into five levels based upon apparent acuity.

... several broad descriptions of triage strategies presented in the neurosurgical 121 literature, 29, 30 and guidelines from the American College of Surgeons (ACS) currently divide 122 surgeries into five levels based upon apparent acuity. 11 However a large proportion of spinal 123 cases require emergent or urgent addressal 29 ...

Ref: Scoring system to triage patients for spine surgery in the setting of limited resources: Application to the COVID-19 pandemic and beyond [World Neurosurg, 2020-05-29]

In our guidelines, we describe basic infection precaution principles, an epidemiologic screening tool, prioritization of surgical procedures, and operating room requirements.

... guidelines might be helpful to departments of obstetrics and gynecology internationally during these unprecedented times. In our guidelines, we describe basic infection precaution principles, an epidemiologic screening tool, prioritization of surgical procedures, and operating room requirements. Using these principles, we then review management of gynecologic patients during the COVID-19 epidemic in ...

Ref: Management of Gynecology Patients during COVID-19 Pandemic: Chinese Expert Consensus [Am J Obstet Gynecol, 2020-05-15]

COVID-19 testing guidelines differ among hospitals and regions, and are dependent on many factors that continue to evolve on a national scale.

... COVID-19 testing guidelines differ among hospitals and regions, and are dependent on many factors that continue to evolve on a national scale. Active COVID-19 patients are not considered for surgery unless that surgery is thought to be life-saving during that admission. We are not yet Copyright © 2020 Wolters Kluwer Health, Inc. ...

Ref: A Multidisciplinary Team Approach for Triage of Elective Cancer Surgery at the Massachusetts General Hospital During the Novel Coronavirus COVID-19 Outbreak [Ann Surg, 2020-04-13]

provide first-, second-, and third-line options based on IMDC favorable-versus intermediate/poor-risk disease [97] .

... There is no consensus as to the optimal therapeutic agent(s) to use during the COVID-19 pandemic; thus, it is advisable to follow the EAU guidelines, which provide first-, second-, and third-line options based on IMDC favorable-versus intermediate/poor-risk disease [97] . ...

Ref: Risks from Deferring Treatment for Genitourinary Cancers: A Collaborative Review to Aid Triage and Management During the COVID-19 Pandemic [Eur Urol, 2020-05-03]

The COVID-19 pandemic presents clinicians a unique set of challenges in managing breast cancer (BC) patients.

... The COVID-19 pandemic presents clinicians a unique set of challenges in managing breast cancer (BC) patients. As hospital resources and staff become more limited during the COVID-19 pandemic, it becomes critically important to define which BC patients require more urgent care and which patients can wait ...

Ref: Recommendations for prioritization, treatment, and triage of breast cancer patients during the COVID-19 pandemic. the COVID-19 pandemic breast cancer consortium [Breast Cancer Res Treat, 2020]

Interdisciplinary care is implemented using strict infection control guidelines in the setting of limited personal protective equipment resources.

... during the ongoing COVID-19 pandemic. Patients are initially triaged based on location followed by acuity. Interdisciplinary care is implemented using strict infection control guidelines in the setting of limited personal protective equipment resources. We implement thorough screening for COVID-19 symptoms at multiple levels before a patient is seen ...

Ref: Rapid De-Escalation and Triaging Patients in Community-Based Palliative Care [J. pain symptom manage, 2020]

Streamlining of workflows for rapid diagnosis and isolation, clinical management, and infection prevention will matter not only to patients with COVID-19,

... the intensive care unit (ICU) community must prepare for the challenges associated with this pandemic. Streamlining of workflows for rapid diagnosis and isolation, clinical management, and infection prevention will matter not only to patients with COVID-19, but also to health-care workers and other patients who are at risk from nosocomial transmission. ...

Ref: Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendations [Lancet Respir Med, 2020]

The COVID-19 pandemic has challenged our ability to provide timely surgical care for our patients.

... The COVID-19 pandemic has challenged our ability to provide timely surgical care for our patients. In response, the U.S. Surgeon General, the American College of Srugeons, and other surgical professional societies recommended postponing elective surgical procedures and proceeding cautiously with cancer procedures that may require ...

Ref: Society of gynecologic oncology surgery considerations during when to operate, hesitate and reintegrate the COVID-19 pandemic [Gynecol. oncol, 2020]

We continue to advocate for individual consideration of cases in a multidisciplinary fashion based on individual patient circumstances and resource availability.

... needs to be deferred. CONCLUSION: These guidelines are intended to help clinicians caring for patients with HNC appropriately allocate resources during a health care crisis, such as the COVID-19 pandemic. We continue to advocate for individual consideration of cases in a multidisciplinary fashion based on individual patient circumstances and resource availability. ...

Ref: Head and neck surgical oncology in the time of a pandemic: Subsite-specific triage guidelines during the COVID-19 pandemic [Head Neck, 2020]

For example, New York City issued their own guidelines encouraging people with symptoms to contact medical professionals earlier,

... slightly protected by the different provisions and guidelines issued on a state by state basis. For example, New York City issued their own guidelines encouraging people with symptoms to contact medical professionals earlier, after data revealed a high number of patients dying from COVID-19 at home 16 . ...

Ref: Patient-Led COVID-19 Triage Systems and Case Fatality Rates: A Comparative Study Between Singapore, Japan, Norway, the USA and the UK. [Head Neck, 2020-05-05]

many hospitals and practices have opted to cancel elective surgeries in order to mobilize resources, ration personal protective equipment and guard patients from the virus.

... challenge. In light of its high transmissibility and large burden on the health care system, many hospitals and practices have opted to cancel elective surgeries in order to mobilize resources, ration personal protective equipment and guard patients from the virus. Head and neck cancer physicians are particularly affected by these changes given their scope of ...

Ref: Head and neck virtual medicine in a pandemic era: Lessons from COVID‐19 [Head Neck, 2020-04-22]

There are a few guidelines developed by cancer centres/ surgical oncology societies to aid the treating oncologist in making complex treatment decisions

... There are a few guidelines developed by cancer centres/ surgical oncology societies to aid the treating oncologist in making complex treatment decisions [3, 4] . However, considering that the COVID-19 pandemic is a new respiratory infection, the available evidences are limited and hence most of the guidelines give only very broad rather ...

Ref: The Need for Prioritizing Cancer Surgeries Amidst the COVID-19 Pandemic [Indian J Surg Oncol, 2020-04-29]

A protocol that defines how patients will be triaged for admission, observation, early discharge, and quarantine is important.

... mechanical ventilation and critical care, should be outlined, in consultation with ethics and medical staff. A protocol that defines how patients will be triaged for admission, observation, early discharge, and quarantine is important. Hospitals should anticipate that normal staffing ratios and some standards of care are unlikely to ...

Ref: How Should U.S. Hospitals Prepare for Coronavirus Disease 2019 (COVID-19)? [Ann Intern Med, 2020-03-11]

Providers and healthcare systems were forced to rapidly create triage schemas in order to preserve resources and reduce potential viral transmission while continuing to provide care for patients.

... Coronavirus Disease 2019 pandemic placed urologic surgeons, and especially urologic oncologists, in an unprecedented situation. Providers and healthcare systems were forced to rapidly create triage schemas in order to preserve resources and reduce potential viral transmission while continuing to provide care for patients. We reviewed United States and international triage proposals from professional societies, peer-reviewed publications, and publicly ...

Ref: Urologic oncology surgery during COVID-19: a rapid review of current triage guidance documents [Urol Oncol, 2020-05-30]

New York City issued their own guidelines encouraging people with symptoms to contact medical professionals earlier,

... by the different provisions and guidelines issued on a state by state basis. For example, New York City issued their own guidelines encouraging people with symptoms to contact medical professionals earlier, after data revealed a high number of patients dying from COVID-19 at home 16 . ...

Ref: Patient-Led COVID-19 Triage Systems and Case Fatality Rates: A Comparative Study Between Singapore, Japan, Norway, the USA and the UK. [Urol Oncol, 2020-05-05]

use of protective devices, triage of patients accessing the hospital, delay of non-urgent visits and use of telemedicine.

... that the following measures for oncologic patients have been promptly implemented through the whole country: use of protective devices, triage of patients accessing the hospital, delay of non-urgent visits and use of telemedicine. Results of this survey suggest that Italian oncology departments have promptly set a proactive approach ...

Ref: Reorganisation of medical oncology departments during the novel coronavirus disease-19 pandemic: a nationwide Italian survey [Eur J Cancer, 2020]

We have already managed the oncological home care service in L'Aquila (middle Italy) after the 2009 earthquake.

... have to face during a pandemic are quite similar to those posed by natural disasters. We have already managed the oncological home care service in L"Aquila (middle Italy) after the 2009 earthquake. With this letter, we want to share the procedures and tools that we have started ...

Ref: Home Care for Cancer Patients During COVID-19 Pandemic: The Double Triage Protocol [J. pain symptom manage, 2020]

Prioritising patients who needed urgent surgery,

... Service (NHS) and the British Orthopaedic Oncology Society (BOOS) to deliver unhindered care to patients. Prioritising patients who needed urgent surgery, weighing the risk-benefit ratio while delivering adjuvant treatments and conducting regular virtual multi-disciplinary team (MDT) ...

Ref: Service delivery during the COVID-19 pandemic: Experience from the oxford bone tumour and soft tissue sarcoma unit [J Clin Orthop Trauma, 2020-05-30]

Infectious disease specialists, pneumologists and intensivists were not enough to face the enormous amount of patients that needed hospital care;

... The outbreak of coronavirus disease 2019 (COVID-19) has distressed our working practice. Infectious disease specialists, pneumologists and intensivists were not enough to face the enormous amount of patients that needed hospital care; therefore, many doctors have been recruited from other medical specialties trying to take care of as many patients ...

Ref: Treat all COVID 19-positive patients, but do not forget those negative with chronic diseases [Intern Emerg Med, 2020-06-09]

These guidelines are elaborative and cover all aspect of management of patients with HNC cancer, from surgical to nonsurgical modalities.

... a multispecialty national society in India has provided guidelines for the management of HNC patients. These guidelines are elaborative and cover all aspect of management of patients with HNC cancer, from surgical to nonsurgical modalities. As this is a nongovernmental body, they have advised to keep abreast of advisories and ...

Ref: Status and strategies for the management of head and neck cancer during COVID‐19 pandemic: Indian scenario [Head Neck, 2020-05-13]

Recommendation three deals with handling patients whose prognosis is much the same.

... Recommendation three deals with handling patients whose prognosis is much the same. The authors assert that the best way to ensure equality in these cases is to use a random method of allocation, such as lottery. They reject a first-come, first-served process ...

Ref: Clinical Ethical Challenges in the Covid-19 Crisis in South Africa [Head Neck, 2020-04-19]

pass screening for COVID-19 (questionnaire and thermal scan) and follow strict personal protective equipment (PPE) guidelines.

... has been recommended. Healthcare workers taking care of cancer patients must be uninfected with COVID-19, pass screening for COVID-19 (questionnaire and thermal scan) and follow strict personal protective equipment (PPE) guidelines. Several efforts have aimed at addressing the increasing shortage of PPEs including increasing supply, rationing, ...

Ref: Managing Cancer Care during the COVID-19 Pandemic and Beyond [Trends Cancer, 2020-04-27]

a number of to-hospital and within-hospital filters were applied.

... to protect the Fondazione IRCCS-Istituto Nazionale dei Tumori di Milano from the spread of COVID-19, a number of to-hospital and within-hospital filters were applied. Among others, a triage process to detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positivity ...

Ref: Response of a comprehensive cancer center to the COVID-19 pandemic: the experience of the Fondazione IRCCS-Istituto Nazionale dei Tumori di Milano. [Tumori, 2020-05-04]

The admission of large numbers of patients with suspected COVID-19 disease risks overwhelming the capacity to protect other patients from exposure.

... INTRODUCTION: The COVID-19 pandemic presents a significant infection prevention and control challenge. The admission of large numbers of patients with suspected COVID-19 disease risks overwhelming the capacity to protect other patients from exposure. The delay between clinical suspicion and confirmatory testing adds to the complexity of the problem. METHODS: We implemented ...

Ref: A Novel Cohorting and Isolation Strategy for Suspected COVID-19 Cases during a Pandemic [J. hosp. infect, 2020]

There have been some guidelines recently promulgated by the American College of Surgeons based on surgical acuity that are generally sound [5] .

... adjudicate patient prioritization in the context of severely constrained resources is urgently needed [4] . There have been some guidelines recently promulgated by the American College of Surgeons based on surgical acuity that are generally sound [5] . Similarly, a recent article by Burke et al. articulated an approach towards case prioritization for ...

Ref: Inpatient and outpatient case prioritization for patients with neuro-oncologic disease amid the COVID-19 pandemic: general guidance for neuro-oncology practitioners from the AANS/CNS Tumor Section and Society for Neuro-Oncology [J Neurooncol, 2020-04-09]

guidelines should be relaxed while maintaining high standard quality of care.

... community, current practice for the management of acute ischemic stroke (AIS) will require modification, and guidelines should be relaxed while maintaining high standard quality of care. The aim of these suggestions is to avoid contributing to the rapid spread of COVID-19 ...

Ref: Acute Stroke Care in the Coronavirus Disease 2019 Pandemic [J Stroke Cerebrovasc Dis, 2020-04-17]

As initial actions, we recommended that routine screening be suspended

... of SARS‐CoV‐2 transmission versus the magnitude of clinical benefit deriving from a specific therapeutic approach. As initial actions, we recommended that routine screening be suspended and that patients with early and advanced cancer be treated as outpatients as much as ...

Ref: How to Guarantee the Best of Care to Patients with Cancer During the COVID‐19 Epidemic: The Italian Experience [Oncologist, 2020-04-27]

The coronavirus pandemic has resulted in the need for rapid assessment of resource utilization within our hospital systems.

... The coronavirus pandemic has resulted in the need for rapid assessment of resource utilization within our hospital systems. Specifically, the overwhelming need for intensive care unit (ICU) beds within epicenters of the pandemic has created a need for consideration as to how acute coronary syndrome cases, and specifically ...

Ref: Adapting STEMI care for the COVID-19 pandemic: The case for low-risk STEMI triage and early discharge [Catheter. cardiovasc. interv, 2020]

surgeons should be able to continue to provide safe and effective care to their patients during the COVID-19 pandemic.

... staff safety, training and education. With guidelines specific to each specialty being implemented and followed, surgeons should be able to continue to provide safe and effective care to their patients during the COVID-19 pandemic. In this comprehensive and up to date review we assess changes to working practices through ...

Ref: Impact of the Coronavirus (COVID-19) pandemic on surgical practice - Part 2 (surgical prioritisation) [Int J Surg, 2020]

The implementation of these recommendations for patient triage, which are based on the highest level available evidence,

... Priority C patients have conditions that can be safely deferred until the pandemic is over. The implementation of these recommendations for patient triage, which are based on the highest level available evidence, must be adapted to current availability of hospital resources and severity of the COVID-19 pandemic ...

Ethical guidelines such as the one put forth in The Annals and tiered triage guidance statements for adult cardiac surgery [3] ,

... Ethical guidelines such as the one put forth in The Annals and tiered triage guidance statements for adult cardiac surgery [3] , congenital heart surgery [4] and thoracic malignancies [5] provide peace of mind and moral protection to trainees to allow them to focus on performing their clinical duties without becoming overwhelmed ...

Ref: Ethical Guidelines and Moral Distress During the COVID-19 Pandemic: The Trainees’ Perspective [Ann Thorac Surg, 2020-06-05]

The National Institute for Health and Care Excellence (NICE) recently published COVID-19 rapid guidelines for critical care in adults.

... on an individual"s functional abilities, multimorbidities, prognosis, and treatment preferences, may prove more valuable. 5 The National Institute for Health and Care Excellence (NICE) recently published COVID-19 rapid guidelines for critical care in adults. 6 It recommends the use of the Clinical Frailty Scale (CFS) in patients aged 65 ...

Ref: COVID‐19: Use of the Clinical Frailty Scale for Critical Care Decisions [J Am Geriatr Soc, 2020-05-13]

a triage process for COVID-19 was established to guide patients through a 4-level triage process during their hospital visits.

... requirements of the level 1 emergency response of public health emergencies in Shaanxi Province, China, a triage process for COVID-19 was established to guide patients through a 4-level triage process during their hospital visits. The diagnosis of COVID-19 was based on positive COVID-19 nucleic acid testing according to the ...

Ref: The role of triage in the prevention and control of COVID-19 [Infect Control Hosp Epidemiol, 2020]

Many CHD patients have excellent prognoses, if they receive operative intervention in a timely fashion.

... for timing of CHD intervention has been outlined by Stephens EH et al. (10) . Many CHD patients have excellent prognoses, if they receive operative intervention in a timely fashion. Identifying which patients are most likely to benefit from intervention, either from a minimal intervention ...

Ref: The Hidden Victims of COVID-19 Pandemic: Congenital Heart Disease Patients [JACC Case Rep, 2020-06-15]

critical questions arose about how to best deliver health care in emergency situations where material and personnel resources become scarce.

... unprecedented challenge to healthcare systems and clinicians around the globe. As the virus has spread, critical questions arose about how to best deliver health care in emergency situations where material and personnel resources become scarce. Clinicians who excel at caring for the individual patient at the bedside are now being ...

Ref: A Bioethical Perspective for Navigating Moral Dilemmas Amidst the COVID-19 Pandemic [J Am Acad Orthop Surg, 2020-04-10]

Longstanding principles of medical ethics should guide the profession, individual clinicians, health systems, and our society.

... Institutions must support their efforts (and have a responsibility to provide protection from occupational exposures). Longstanding principles of medical ethics should guide the profession, individual clinicians, health systems, and our society. They must be reaffirmed in the circumstances of health system catastrophes, during which their application-but ...

Ref: Universal Do-Not-Resuscitate Orders, Social Worth, and Life-Years: Opposing Discriminatory Approaches to the Allocation of Resources During the COVID-19 Pandemic and Other Health System Catastrophes [Ann Intern Med, 2020-04-24]

Streamlining of workflows for rapid diagnosis and isolation, clinical management, and infection prevention

Ref: Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendations [Lancet Respir Med, 2020]

The development and implementation of protocols using a scoring system seems best addressed by multidisciplinary ethics and triage committees with synergistic but disparate functions.

... supplies and products during normal circumstances, as well as others during national crises, are outlined. The development and implementation of protocols using a scoring system seems best addressed by multidisciplinary ethics and triage committees with synergistic but disparate functions. Triage committees should alleviate the burdens of unilateral decisions by the healthcare team caring for ...

Ref: Ethical Framework for Nutrition Support Resource Allocation During Shortages: Lessons From COVID-19. [Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2020-06-03]

This work also provides useful suggestions on the modality of patient triage,

... and personalized according to the balance between COVID-19-related risk and the expected benefit of treatments. This work also provides useful suggestions on the modality of patient triage, the conduct of clinical trials, the management of an oncologic team, and the approach to ...

Ref: Personalized Risk-Benefit Ratio Adaptation of Breast Cancer Care at the Epicenter of COVID-19 Outbreak [Oncologist, 2020]

This work also provides useful suggestions on the modality of patient triage, the conduct of clinical trials,

Ref: Personalized Risk-Benefit Ratio Adaptation of Breast Cancer Care at the Epicenter of COVID-19 Outbreak [Oncologist, 2020]

General guidance for timing of CHD intervention has been outlined by Stephens EH et al. (10) .

... surgical teams is essential to implement timing of CHD intervention when there are less resources. General guidance for timing of CHD intervention has been outlined by Stephens EH et al. (10) . Many CHD patients have excellent prognoses, if they receive operative intervention in a timely fashion. ...

Ref: The Hidden Victims of COVID-19 Pandemic: Congenital Heart Disease Patients [JACC Case Rep, 2020-06-15]

Guidelines were made with an aim-1.

... Guidelines were made with an aim-1. To protect medical staff , paramedical staff and support staff ( high risk subjects) from cross infection 2. Indications for hospitalization and emergency surgical intervention should be strictly controlled; elective ...

Ref: Corona virus (Covid-19) – ITS implications in pediatric orthopedic care [J Orthop, 2020-06-13]

Under the guidance of COVID-19 diagnosis and treatment guidelines ,

... of vascular surgical emergencies in an area under guaranting Covid-19 (corona virus disease 2019) @*Methods@# Under the guidance of COVID-19 diagnosis and treatment guidelines , 4 cases of vascular surgical emergency patients admitted to our department from Feb 1 to ...

Ref: Diagnosis and rational approach to emergency vascular surgery in the shadow of novel coronavirus pneumonia [Chinese Journal of General Surgery, 2020]

We offer a guide, focusing on inpatient management, including testing policies, admission criteria, medical management, care for the decompensating patient,

... with novel coronavirus disease 2019 (COVID-19) in New York, the COVID-19 epicenter in the United States and review current guidelines. We offer a guide, focusing on inpatient management, including testing policies, admission criteria, medical management, care for the decompensating patient, as well as practical tips for inpatient antepartum service management. ...

Ref: From the Trenches: Inpatient Management of COVID-19 in Pregnancy [Am J Obstet Gynecol MFM, 2020-06-15]

o Providing emotional and physical support for healthcare workers,

... with common general principles, and few particularities that emerge from every society"s experience (86) . o Providing emotional and physical support for healthcare workers, as well as protective measures for those of them who have chronic conditions that predispose ...

Ref: Cancer patients and research during COVID-19 pandemic: A systematic review of current evidence [Crit Rev Oncol Hematol, 2020-04-22]

consider ways they can continue to provide care and/or support multidisciplinary tumor boards [74] (

... If staff are required to self-isolate due to contact with a confirmed case of coronavirus, consider ways they can continue to provide care and/or support multidisciplinary tumor boards [74] ( e.g., virtual attendance at MDT meetings; telephone or video consultations, especially follow-ups; identifying vulnerable patients ...

Ref: A Practical Approach to the Management of Cancer Patients During the Novel Coronavirus Disease 2019 (COVID‐19) Pandemic: An International Collaborative Group [Oncologist, 2020-04-27]

consider ways they can continue to provide care and/or support multidisciplinary tumor boards [74]

Ref: A Practical Approach to the Management of Cancer Patients During the Novel Coronavirus Disease 2019 (COVID‐19) Pandemic: An International Collaborative Group [Oncologist, 2020-04-27]

In March 2020, we established a Covid-19 triage center close to the Liège University EDs.

... Center for patients with suspected novel coronavirus disease (Covid-19) and characterize the patient flow. Methods. In March 2020, we established a Covid-19 triage center close to the Liège University EDs. From March 2 to March 23, we planned to analyze the specific flow of patients ...

Ref: Immersion in an emergency department triage center during the Covid-19 outbreak: first report of the Liège University hospital experience. [Acta clinica Belgica, 2020-06-12]

The first triage is a telephonic interview, performed by a dedicated nurse the day before the scheduled home visit.

... ensuring the continuity of care and to protect the health care professionals from the infection. The first triage is a telephonic interview, performed by a dedicated nurse the day before the scheduled home visit. This step is obviously focused on identifying patients who might have even mild forms of ...

Ref: Home Care for Cancer Patients During COVID-19 Pandemic: The Double Triage Protocol [J Pain Symptom Manage, 2020-03-31]

The updated ACS guidelines for triage give detailed suggestions on how to prioritize cancer cases that have been deferred at these six disease sites.

... both in-or outpatient procedures because few cancer cases would be considered as truly elective. 7 The updated ACS guidelines for triage give detailed suggestions on how to prioritize cancer cases that have been deferred at these six disease sites. 4 A general principle emerging from these suggestions is that clinicians must review the priority ...

Ref: COVID-19 Guideline Modifications as CMS Announces “Opening Up America Again”: Comments from the Society of Surgical Oncology [Ann Surg Oncol, 2020-05-06]

The lack of a clear national consensus as to the criteria used to ration life-sustaining treatment will make decisions appear arbitrary, further compounding the challenge.

... mindset and is likely to provoke intense emotions among patients and families who are triaged. The lack of a clear national consensus as to the criteria used to ration life-sustaining treatment will make decisions appear arbitrary, further compounding the challenge. Palliative care providers may be asked to be the bearers of bad news in this ...

Ref: What Should Palliative Care's Response Be to the COVID-19 Pandemic? [J Pain Symptom Manage, 2020-03-27]

Many oncology societies and health ministries have issued guidelines for cancer care to enable oncologists and patients navigate the crisis.

... COVID-19 pandemic has posed insurmountable challenges to health care systems globally. Cancer therapy is complex, and outcomes are centered on timing. Many oncology societies and health ministries have issued guidelines for cancer care to enable oncologists and patients navigate the crisis. Lessons learned should inform care models for future pandemics. ...

Ref: Managing Cancer Care during the COVID-19 Pandemic and Beyond [Trends Cancer, 2020-04-27]

the available evidences are limited and hence most of the guidelines give only very broad rather than any specific recommendations.

... decisions [3, 4] . However, considering that the COVID-19 pandemic is a new respiratory infection, the available evidences are limited and hence most of the guidelines give only very broad rather than any specific recommendations. The treating oncologists must keep reminding themselves that these guidelines must be interpreted only after ...

Ref: The Need for Prioritizing Cancer Surgeries Amidst the COVID-19 Pandemic [Indian J Surg Oncol, 2020-04-29]

They can serve as a resource to guide breast cancer management for future contingencies in this city-state,

... guidelines. These recommendations have been developed within the unique context of Singapore"s public healthcare sector. They can serve as a resource to guide breast cancer management for future contingencies in this city-state, while certain elements therein may be extrapolatable to other medical systems during this global public ...

Ref: COVID-19: impact on and recommendations for breast cancer care: the Singapore experience. [Endocrine-related cancer, 2020-06-01]

Surgeons urgently need guidance on how to deliver surgical services safely and effectively during the COVID‐19 pandemic.

... BACKGROUND: Surgeons urgently need guidance on how to deliver surgical services safely and effectively during the COVID‐19 pandemic. The aim was to identify the key domains that should be considered when developing pandemic preparedness plans for surgical services. METHODS: A scoping search was conducted to identify published ...

Ref: Global guidance for surgical care during the COVID‐19 pandemic [Br J Surg, 2020-04-15]

These guidelines apply specifically to surgical procedures.

... Head and Neck Surgical Oncology, Surgical Endocrinology, and Medical Endocrinology, we have devised the following Surgical Triaging Guidelines for Endocrine Surgery at the time of a pandemic such as COVID-19. These guidelines apply specifically to surgical procedures. ...

Ref: Endocrine surgery in the Coronavirus disease 2019 pandemic: Surgical Triage Guidelines [Head Neck, 2020-04-30]

patient triage based on risk level, admission control, and measures counteracting emergencies and newly discovered high risk cases at in-patient department.

... then further summarize and demonstrate our maternal health care management strategies including antenatal care planning, patient triage based on risk level, admission control, and measures counteracting emergencies and newly discovered high risk cases at in-patient department. In the meantime, we will explain the alterations we have done throughout different stages of ...

Ref: Maternal health care management during the outbreak of coronavirus disease 2019 (COVID-19). [Journal of medical virology, 2020-03-26]

We found a potentially dangerous overlap of classical urinary symptoms and the as yet not fully described symptoms of COVID-19.

... disease 2019 (COVID-19) pandemic is a challenge for physicians in triaging patients in emergency rooms. We found a potentially dangerous overlap of classical urinary symptoms and the as yet not fully described symptoms of COVID-19. After a patient was primarily triaged as a urosepsis case and then subsequently diagnosed with ...

Ref: Urinary Frequency as a Possibly Overlooked Symptom in COVID-19 Patients: Does SARS-CoV-2 Cause Viral Cystitis? [Eur Urol, 2020-05-19]

Some scholars proposed establishing traffic control, using a triage process for patients, and creating checkpoints for hand washing.

... to take more effective measures to control the epidemic of infectious diseases and hospital infection. Some scholars proposed establishing traffic control, using a triage process for patients, and creating checkpoints for hand washing. 5 Successful control of the SARS epidemic relied on the integration of several measures, including ...

Ref: The role of triage in the prevention and control of COVID-19 [Infection control and hospital epidemiology, 2020-05-04]

These guidelines were created with the intent of preserving quality of patient care and reducing clinician exposure in order to maintain a capable health care workforce.

... a surge of COVID-19 positive patients with the potential to overwhelm our health care system. These guidelines were created with the intent of preserving quality of patient care and reducing clinician exposure in order to maintain a capable health care workforce. Factors relevant to our review included optimal timing of tracheostomy, duration of viral shedding in ...

Ref: Tracheostomy guidelines developed at a large academic medical center during the COVID‐19 pandemic [Head Neck, 2020-04-27]

medical oncologists are required to consider the possibility to delay active treatment administration based on a case-by-case risk/benefit evaluation.

... treatments, delaying follow-up visits and limiting caregiver admission to the hospitals. In this historical moment, medical oncologists are required to consider the possibility to delay active treatment administration based on a case-by-case risk/benefit evaluation. Potential risks associated with COVID-19 infection should be considered, considering tumor histology and natural course, ...

Ref: Results of Multilevel Containment Measures to Better Protect Lung Cancer Patients From COVID-19: The IEO Model [Front Oncol, 2020-04-22]

Many surgical oncology associations across the globe have come up with triage guidelines for surgical care of cancer patients;

... this long period may have a direct impact on the long-term outcomes of cancer patients. Many surgical oncology associations across the globe have come up with triage guidelines for surgical care of cancer patients; however, these are based on expert opinion rather than actual data. Herein, we intend to ...

Ref: To Do or Not to Do?-A Review of Cancer Surgery Triage Guidelines in COVID-19 Pandemic [Indian J Surg Oncol, 2020]

Existing spine specific triage guidelines were debated and a locally accepted set of guidelines was established.

... of best practices, the Delphi panel method was adopted to form a consensus on others. Existing spine specific triage guidelines were debated and a locally accepted set of guidelines was established. Although preoperative testing is currently not performed routinely, the panel voted in favor of its ...

Ref: Addressing Coronavirus Disease 2019 in Spine Surgery: A Rapid National Consensus Using the Delphi Method via Teleconference [Asian Spine J, 2020-05-14]

Staff members must absorb multiple executive briefings, adapt to escalating scenario modelling, and seamlessly execute ever-changing operational modes in real-time.

... ABSTRACT The COVID-19 pandemic poses daily challenges to the entire oncology workforce. Staff members must absorb multiple executive briefings, adapt to escalating scenario modelling, and seamlessly execute ever-changing operational modes in real-time. The unique threat of looming re-deployment and rationing care add to the uncertainty. We highlight the need for ...

Ref: COVID-19 and the cancer care workforce: from doctors to ancillary staff [Asian Spine J, 2020-06-16]

The best way to prevent COVID-19 hospitalizations is to prevent viral spread;

... hospital setting, taking up needed bed space and increasing use of PPE and healthcare personnel. The best way to prevent COVID-19 hospitalizations is to prevent viral spread; the best way to improve throughput and reduce length of stay This article is protected ...

Ref: Proposed Workflow for Rehabilitation in a Field Hospital Setting During the COVID‐19 Pandemic [PM R, 2020-05-15]

These guidelines are intended to help clinicians caring for patients with HNC appropriately allocate resources during a health care crisis,

... Options for alternative treatment modalities are provided if surgical treatment needs to be deferred. CONCLUSION: These guidelines are intended to help clinicians caring for patients with HNC appropriately allocate resources during a health care crisis, such as the COVID-19 pandemic. We continue to advocate for individual consideration of cases in ...

Ref: Head and neck surgical oncology in the time of a pandemic: Subsite-specific triage guidelines during the COVID-19 pandemic [Head Neck, 2020]

actions to preserve aliquots of the healthcare system to guarantee treatment to patients are mandatory.

... the need to treat a large number of people with different degrees of respiratory failure, actions to preserve aliquots of the healthcare system to guarantee treatment to patients are mandatory. METHODS In order to protect the Fondazione IRCCS-Istituto Nazionale dei Tumori di Milano from the ...

Ref: Response of a comprehensive cancer center to the COVID-19 pandemic: the experience of the Fondazione IRCCS-Istituto Nazionale dei Tumori di Milano. [Tumori, 2020-05-04]

From February 24, 2020, a COVID-19 obstetric task force was structured to deliver management recommendations for obstetric care.

... From February 24, 2020, a COVID-19 obstetric task force was structured to deliver management recommendations for obstetric care. From March 1, 2020, six COVID-19 hubs and their spokes were designated. An interim analysis of cases occurring in or transferred to these hubs was performed on March 20, 2020 ...

Ref: COVID-19 Obstetrics Task Force, Lombardy, Italy: Executive management summary and short report of outcome [Int J Gynaecol Obstet, 2020]