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; Jane Batt; Jean Bourbeau; Kenneth R Chapman; Andrea Gershon; John Granton; Nathan Hambly; Paul Hernandez; Martin Kolb; Sanjay Mehta; Lisa Mielniczuk; Steeve Provencher; Anne L Stephenson; John Swiston; D Elizabeth Tullis; Nicholas T Vozoris; Joshua Wald; Jason Weatherald; Mohit Bhutani

doi:10.1016/j.chest.2020.07.018

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

Chest. 2020 Dec;158(6):2270-2274. doi: 10.1016/j.chest.2020.07.018. Epub 2020 Jul 18.

Authors

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.

No abstract available

Publication types

Editorial

MeSH terms

COVID-19 / complications
COVID-19 / therapy*
Canada
Chronic Disease
Critical Care / ethics
Critical Care / methods*
Cystic Fibrosis / complications
Cystic Fibrosis / physiopathology
Forced Expiratory Volume
Frailty / complications
Frailty / physiopathology*
Health Care Rationing / ethics
Health Care Rationing / methods*
Health Resources
Health Services Accessibility
Humans
Intensive Care Units / supply & distribution*
Mortality
Oxygen Inhalation Therapy
Patient Selection
Prognosis
Pulmonary Arterial Hypertension / complications
Pulmonary Arterial Hypertension / physiopathology
Pulmonary Diffusing Capacity
Pulmonary Disease, Chronic Obstructive / complications
Pulmonary Disease, Chronic Obstructive / physiopathology
Pulmonary Fibrosis / complications
Pulmonary Fibrosis / physiopathology
Pulmonary Medicine
Respiratory Function Tests
Respiratory Tract Diseases / complications
Respiratory Tract Diseases / physiopathology*
Societies, Medical
Surge Capacity
Triage / methods