Pandemic Dementia Scarce Resource Allocation.

COVID-19 critical care dementia ethics mechanical ventilation

Journal

Canadian geriatrics journal : CGJ
ISSN: 1925-8348
Titre abrégé: Can Geriatr J
Pays: Canada
ID NLM: 101579189

Informations de publication

Date de publication:
Sep 2020
Historique:
entrez: 9 9 2020
pubmed: 10 9 2020
medline: 10 9 2020
Statut: epublish

Résumé

Hospitals and intensive care units are straining to provide care for a large surge of patients with coronavirus disease 19 (Covid-19). Contingency plans are being made for the possibility that resources for lifesaving care, including mechanical ventilators, will be in short supply. Covid-19 is more severe and more likely to be fatal in older persons. Dementia is one of the commonest severe comorbidities of aging. Persons with dementia are vulnerable and often need the support of others to make their voices heard. This commentary, created by a task force commissioned by the Alzheimer Society of Canada, provides guidance for triaging persons with dementia to scarce medical resources during the Covid-19 pandemic.

Identifiants

DOI: 10.5770/cgj.23.457 PMID: 32904792 PMC: PMC7458602
pubmed: 32904792
doi: 10.5770/cgj.23.457
pii: cgj-23-216
pmc: PMC7458602
doi:

Types de publication

Journal Article

Langues

eng

Pagination

216-218

Informations de copyright

© 2020 Author(s). Published by the Canadian Geriatrics Society.

Déclaration de conflit d'intérêts

CONFLICT OF INTEREST DISCLOSURES The authors declare that no conflicts of interest exist.

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Auteurs

Eric E Smith (EE)

Department of Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, AB.

Philippe Couillard (P)

Department of Clinical Neurosciences and Department of Critical Care Medicine, Hotchkiss Brain Institute, University of Calgary, Calgary, AB.

John D Fisk (JD)

Nova Scotia Health Authority, Halifax, and Department of Psychiatry, Dalhousie University, Halifax, NS.

Zahinoor Ismail (Z)

Department of Psychiatry, Hotchkiss Brain Institute, University of Calgary, Calgary, AB.

Manuel Montero-Odasso (M)

Departments of Medicine (Geriatrics), and Epidemiology and Biostatistics, The University of Western Ontario, London; Lawson Health Research Institute, Gait and Brain Lab, University of Western Ontario, London, ON.

Julie M Robillard (JM)

Department of Medicine, University of British Columbia, Vancouver; BC Children's & Women's Hospital, Vancouver, BC.

Isabelle Vedel (I)

Department of Family Medicine, McGill University, Montreal, QC.

Saskia Sivananthan (S)

Alzheimer Society of Canada, Toronto, ON.

Serge Gauthier (S)

Departments of Neurology, Neurosurgery and Psychiatry, McGill University, Montreal, QC, Canada.

Classifications MeSH