Frailty triage: is rationing intensive medical treatment on the grounds of frailty ethical?

DJC Wilkinson - The American Journal of Bioethics, 2021 - Taylor & Francis
In early 2020, a number of countries developed and published intensive care triage
guidelines for the pandemic. Several of those guidelines, especially in the UK, encouraged …

Age discrimination in critical care triage in South Africa: The law and the allocation of scarce health resources in the COVID-19 pandemic

N Erasmus - South African Medical Journal, 2020 - journals.co.za
No one may be refused emergency medical treatment in South Africa (SA). Yet score-based
categorical exclusions used in critical care triage guidelines disproportionately discriminate …

Rationing care by frailty during the COVID-19 pandemic

EG Lewis, M Breckons, RP Lee, C Dotchin… - Age and …, 2021 - academic.oup.com
Abstract The coronavirus disease 2019 (COVID-19) pandemic is disproportionately affecting
older people and those with underlying comorbidities. Guidelines are needed to help …

[HTML][HTML] End-of-life decisions and care in the midst of a global coronavirus (COVID-19) pandemic

N Pattison - Intensive & critical care nursing, 2020 - ncbi.nlm.nih.gov
The unprecedented and unfolding global situation with Coronavirus (the virus SaRS Cov-2,
leading to the disease named COVID-19)(WHO, 2020) has forced health care providers …

Triaging for adult critical care in the event of overwhelming need

N Eastman, B Philips, A Rhodes - Intensive care medicine, 2010 - Springer
Introduction Predictions of the need for critical care within the H1N1 influenza pandemic
suggested overwhelming need beyond potential resources, necessitating rationing of care …

Feasibility and reliability of frailty assessment in the critically ill: a systematic review

RJ Pugh, A Ellison, K Pye, CP Subbe, CM Thorpe… - Critical care, 2018 - Springer
Background For healthcare systems, an ageing population poses challenges in the delivery
of equitable and effective care. Frailty assessment has the potential to improve care in the …

[HTML][HTML] Frailty in intensive care medicine must be measured, interpreted and taken into account!

C Jung, B Guidet, H Flaatten - Intensive Care Medicine, 2023 - Springer
Frailty has become a condition we as intensivists have been gradually more familiar with.
Geriatricians have developed the concept and it includes several age-related changes …

Development of a structured process for fair allocation of critical care resources in the setting of insufficient capacity: a discussion paper

T Cook, K Gupta, C Dyer, R Fackrell, S Wexler… - Journal of medical …, 2021 - jme.bmj.com
Early in the COVID-19 pandemic there was widespread concern that healthcare systems
would be overwhelmed, and specifically, that there would be insufficient critical care …

Routine frailty screening in critical illness: a population-based cohort study in Australia and New Zealand

JN Darvall, R Bellomo, E Paul, M Bailey, PJ Young… - Chest, 2021 - Elsevier
Background Frailty is associated with poor outcomes in critical illness. However, it is unclear
whether frailty screening on admission to the ICU can be conducted routinely at the …

COVID-19 and the challenges of frailty screening in older adults

R O'Caoimh, S Kennelly, E Ahern, S O'Keeffe… - The Journal of Frailty & …, 2020 - Springer
We read with interest the recent editorial examining the relationship between geriatric
syndromes and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause …