Paul Nuki@PaulNuki (Telegraph)
1/7 ^Official guidance sets out rules for doctors triaging critical care in UK...
- provides "algorithm" to guide doctors
- says patients to be considered by "frailty score"
- data on mortality by pneumonia by age
- advises on cancer/ and dialysis
Sobering reading
2/ In Italy, doctors have reportedly been forced to discriminate between patients based simply on age.
^
The NICE guidance does NOT categorise by age^
but instead asks doctors to score patients on a “clinical frailty scale” [CFS] as they might normally do. #COVIDDーー199
^
< screenshot 1>
3/ Admissions to be made on the basis of “medical benefit, taking into account the likelihood that the person will recover to an outcome that is acceptable to them and within a period of time consistent with the diagnosis,”^
says NICE.
Here's the algorithm: < screenshot 2 >
4/ The triage guidance also provides doctors with mortality data for patients suffering from pneumonia
in critical care beds compared to a regular hospital ward.
This is age banded. < screenshot 3 >
5/ Data banded by age is also provided for critical care patients
with and without underlying heart and lung conditions < screenshot 4 >
https://www.nice.org.uk/guidance/ng159/resources/information-to-support-decision-making-pdf-8708913901
6/ Covid-19 patients receiving treatment for cancer or who need dialysismust also be carefully assessed ahead of admission.
“Where decisions need to be made about prioritising patients for treatment,
these need to take into account the level of immunosuppression,”
it says.
7/ @NICEComms
Nice says the guidelines will be updated as more data becomes available.
They have been produced in collaboration with NHS England and a cross-specialty clinical group, supported by the specialist societies and Royal Colleges