2021
Reflections on New Evidence on Crisis Standards of Care in the COVID-19 Pandemic.
Tolchin B, Latham SR, Bruce L, Ferrante LE, Kraschel K, Jubanyik K, Hull SC, Herbst JL, Kapo J, Moritz ED, Hughes J, Siegel MD, Mercurio MR. Reflections on New Evidence on Crisis Standards of Care in the COVID-19 Pandemic. The Journal Of Clinical Ethics 2021, 32: 358-360. PMID: 34928864, DOI: 10.1086/jce2021324358.Commentaries, Editorials and LettersConceptsSOFA scoreBlack patientsCrisis standardsSequential Organ Failure Assessment scoreOrgan Failure Assessment scoreAccurate prognostic scoresNext public health emergencyCOVID-19 patientsLife-saving medical resourcesMedical resourcesCOVID-19 pandemicSame scoring systemPublic health emergencyPrognostic scoreBody of evidenceRare casePatientsScoring systemTriage purposesAssessment scoresHealth emergencyCareHealthcare systemCOVID-19ScoresAn observational case series of targeted virtual geriatric medicine and palliative care consults for hospitalized older adults with COVID-19
Ouellet JA, Prsic EH, Spear RA, Blatt L, Kukulka S, Cronin-Ozyck R, Kapo JM, Lai JM. An observational case series of targeted virtual geriatric medicine and palliative care consults for hospitalized older adults with COVID-19. Annals Of Palliative Medicine 2021, 0: 0-0. PMID: 34154358, DOI: 10.21037/apm-21-117.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCOVID-19Hospice CareHumansPalliative CareReferral and ConsultationSARS-CoV-2ConceptsPalliative care cliniciansPalliative care consultationCare cliniciansGeriatric medicineCare consultationsOlder adultsCode statusCOVID-19Virtual consultationsIntensive care unit levelLarge tertiary academic hospitalObservational case series studyDNR/DNIPalliative care consultCare unit levelHospitalized older adultsMedical record reviewCase series studyGoals of careObservational case seriesTime of consultationTertiary academic hospitalPersonal protective equipmentCare consultChart abstraction
2020
Developing a Triage Protocol for the COVID-19 Pandemic: Allocating Scarce Medical Resources in a Public Health Emergency.
Tolchin B, Latham SR, Bruce L, Ferrante LE, Kraschel K, Jubanyik K, Hull SC, Herbst JL, Kapo J, Moritz ED, Hughes J, Siegel MD, Mercurio MR. Developing a Triage Protocol for the COVID-19 Pandemic: Allocating Scarce Medical Resources in a Public Health Emergency. The Journal Of Clinical Ethics 2020, 31: 303-317. PMID: 32991327, DOI: 10.1086/jce2020314303.Peer-Reviewed Original ResearchConceptsPublic health emergencyTriage protocolScarce medical resourcesYale New Haven Health SystemMedical resourcesEthical challengesHealth emergencyCOVID-19 pandemicAllocating Scarce Medical ResourcesFuture wavesMajor ethical challengesChronic comorbiditiesPregnant patientsSimilar public health emergenciesHealthcare workersTriage assessmentClinical judgmentCoronavirus diseaseHealth systemSocioeconomic disparitiesRole of ageCOVID-19Less needPublic discussionSecondary goal