在教学医院的COVID-19大流行期间做出决策:为未来的教训
Mick van de Wiel1, Sabrina van Ierssel2, Walter Verbrugghe3
1Antwerp University Hospital (UZA), Department of Thoracic Oncology, Drie Eikenstraat 655, Edegem 2650, Belgium.
Journal of aging research
|December 28, 2023
概括
在COVID-19大流行期间,医生对临床脆弱度量 (CFS) 等分辨分数的熟悉程度很低. 虽然临床评估是关键,但这些评分可以帮助做出"不复苏" (DNR) 决策,特别是对于实习生.
科学领域:
- 医学科学 医学科学 医学科学
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 由于COVID-19的流行,需要快速分拣协议.
- 评估患者的敏度和预后对于资源分配和治疗决策至关重要.
研究的目的:
- 评估医生在COVID-19大流行期间对分拣评分系统的熟悉性和感知效用.
- 了解影响疫情背景下不复苏 (DNR) 决策的因素.
主要方法:
- 在安特卫普大学医院对医生和医生进行了横截面调查.
- 该调查于2021年2月至4月进行,评估了对临床虚弱度量表 (CFS) 和查尔森并发症指数 (CCI) 的熟悉程度.
主要成果:
- 有127名医生参加. 熟悉度为CFS的51%和CCI的20%.
- 医生根据临床评估,并发症,患者的愿望,年龄,预后和功能状态做出DNR决定.
- 据报道,对分类得分的整体熟悉度很低.
结论:
- 医生认识到整体患者评估的重要性,脆弱性测量 (CFS) 捕捉了关键方面.
- 尽管对临床判断的附加价值有限,但分类得分可以支持DNR决策,特别是初级医生.
- 在公共卫生危机期间,加强对分拣分数的培训可能对医生有益.
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