Triaging Access to Critical Care Resources in Patients With Chronic Respiratory Diseases in the Event of a Major COVID-19 Surge: Key Highlights From the Canadian Thoracic Society (CTS) Position Statement

Samir Gupta¹, Jane Batt², Jean Bourbeau³, Kenneth R Chapman⁴, Andrea Gershon⁵, John Granton⁶, Nathan Hambly⁷, Paul Hernandez⁸, Martin Kolb⁷, Sanjay Mehta⁹, Lisa Mielniczuk¹⁰, Steeve Provencher¹¹, Anne L Stephenson¹², John Swiston¹³, D Elizabeth Tullis¹⁴, Nicholas T Vozoris¹⁴, Joshua Wald⁷, Jason Weatherald¹⁵, Mohit Bhutani¹⁶

Affiliations

¹ St Michael's Hospital Unity Health Toronto, Li Ka Shing Knowledge Institute, Department of Medicine, University of Toronto, Toronto, ON, Canada. Electronic address: samir.gupta@unityhealth.to.
² Keenan Research Center for Biomedical Science, St Michael's Hospital Unity Health Toronto, Department of Medicine, University of Toronto, Toronto, ON, Canada.
³ Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada.
⁴ Toronto General Hospital Research Institute, University of Toronto, Toronto, ON, Canada.
⁵ Sunnybrook Health Sciences Centre, Department of Medicine, University of Toronto, Toronto, ON, Canada.
⁶ Division of Respirology, Department of Medicine, University Health Network, Sinai Health System, University of Toronto, Toronto, ON, Canada.
⁷ Department of Medicine, Firestone Institute for Respiratory Health, St. Joseph's Healthcare, Department of Medicine, McMaster University, Hamilton, ON, Canada.
⁸ Department of Medicine, Dalhousie University, Halifax, NS, Canada.
⁹ Division of Respirology, Department of Medicine, London Health Sciences Centre, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
¹⁰ Department of Medicine, University of Ottawa, Division of Cardiology, University of Ottawa Heart Institute, Ottawa, ON, Canada.
¹¹ Pulmonary Hypertension Research Group, Institut universitaire de cardiologie et de pneumologie de Québec, Department of Medicine, Université Laval, Quebec City, QC, Canada.
¹² Adult Cystic Fibrosis Program, St Michael's Hospital, University of Toronto, Toronto, ON, Canada.
¹³ Division of Respirology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
¹⁴ St Michael's Hospital Unity Health Toronto, Li Ka Shing Knowledge Institute, Department of Medicine, University of Toronto, Toronto, ON, Canada.
¹⁵ Department of Medicine, Division of Respirology, Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada.
¹⁶ Division of Pulmonary Medicine, Department of Medicine, University of Alberta, Edmonton, AB, Canada.

PMID: 32693101
PMCID: PMC7368654
DOI: 10.1016/j.chest.2020.07.018

Editorial

Triaging Access to Critical Care Resources in Patients With Chronic Respiratory Diseases in the Event of a Major COVID-19 Surge: Key Highlights From the Canadian Thoracic Society (CTS) Position Statement

Samir Gupta et al. Chest. 2020 Dec.

. 2020 Dec;158(6):2270-2274.

doi: 10.1016/j.chest.2020.07.018. Epub 2020 Jul 18.

Authors

Affiliations

¹ St Michael's Hospital Unity Health Toronto, Li Ka Shing Knowledge Institute, Department of Medicine, University of Toronto, Toronto, ON, Canada. Electronic address: samir.gupta@unityhealth.to.
² Keenan Research Center for Biomedical Science, St Michael's Hospital Unity Health Toronto, Department of Medicine, University of Toronto, Toronto, ON, Canada.
³ Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada.
⁴ Toronto General Hospital Research Institute, University of Toronto, Toronto, ON, Canada.
⁵ Sunnybrook Health Sciences Centre, Department of Medicine, University of Toronto, Toronto, ON, Canada.
⁶ Division of Respirology, Department of Medicine, University Health Network, Sinai Health System, University of Toronto, Toronto, ON, Canada.
⁷ Department of Medicine, Firestone Institute for Respiratory Health, St. Joseph's Healthcare, Department of Medicine, McMaster University, Hamilton, ON, Canada.
⁸ Department of Medicine, Dalhousie University, Halifax, NS, Canada.
⁹ Division of Respirology, Department of Medicine, London Health Sciences Centre, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
¹⁰ Department of Medicine, University of Ottawa, Division of Cardiology, University of Ottawa Heart Institute, Ottawa, ON, Canada.
¹¹ Pulmonary Hypertension Research Group, Institut universitaire de cardiologie et de pneumologie de Québec, Department of Medicine, Université Laval, Quebec City, QC, Canada.
¹² Adult Cystic Fibrosis Program, St Michael's Hospital, University of Toronto, Toronto, ON, Canada.
¹³ Division of Respirology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
¹⁴ St Michael's Hospital Unity Health Toronto, Li Ka Shing Knowledge Institute, Department of Medicine, University of Toronto, Toronto, ON, Canada.
¹⁵ Department of Medicine, Division of Respirology, Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada.
¹⁶ Division of Pulmonary Medicine, Department of Medicine, University of Alberta, Edmonton, AB, Canada.

PMID: 32693101
PMCID: PMC7368654
DOI: 10.1016/j.chest.2020.07.018

No abstract available

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References

1. Rosenbaum L. Facing Covid-19 in Italy: ethics, logistics, and therapeutics on the epidemic’s front line. N Engl J Med. 2020;382(20):1873–1875. - PubMed
1. Daugherty Biddison E.L., Faden R., Gwon H.S. Too many patients…a framework to guide statewide allocation of scarce mechanical ventilation during disasters. Chest. 2019;155(4):848–854. - PubMed
1. Emanuel E.J., Persad G., Upshur R. Fair allocation of scarce medical resources in the time of Covid-19. N Engl J Med. 2020;382(21):2049–2055. - PubMed
1. Ministry of Health and Long-Term Care. Government of Ontario. Clinical Triage Protocol for Major Surge in COVID Pandemic. https://www.corhealthontario.ca/Clinical-Triage-Protocol-for-Major-Surge... Posted on March 28, 2020.
1. Gupta S., Batt J., Bourbeau J. Position statement from the Canadian Thoracic Society (CTS) on clinical triage thresholds in respiratory disease patients in the event of a major surge during the Covid-19 pandemic. Can J Respir Crit Care Sleep Med. 2020 doi: 10.1080/24745332.2020.1769436. [Published online ahead of print May 11, 2020] - DOI

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Triaging Access to Critical Care Resources in Patients With Chronic Respiratory Diseases in the Event of a Major COVID-19 Surge: Key Highlights From the Canadian Thoracic Society (CTS) Position Statement

Affiliations

Triaging Access to Critical Care Resources in Patients With Chronic Respiratory Diseases in the Event of a Major COVID-19 Surge: Key Highlights From the Canadian Thoracic Society (CTS) Position Statement

Authors

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References

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LinkOut - more resources

Full Text Sources

Medical

Research Materials