Establishing a South African national framework for COVID-19 surgical prioritisation.
S Afr Med J
; 111(5): 426-431, 2021 03 23.
Artículo
en Inglés
| MEDLINE | ID: covidwho-1256982
ABSTRACT
BACKGROUND:
Since the start of the COVID-19 pandemic, surgical operations have been drastically reduced in South Africa (SA). Guidelines on surgical prioritisation during COVID-19 have been published, but are specific to high-income countries. There is a pressing need for context-specific guidelines and a validated tool for prioritising surgical cases during the COVID-19 pandemic. In March 2020, the South African National Surgical Obstetric Anaesthesia Plan Task Team was asked by the National Department of Health to establish a national framework for COVID-19 surgical prioritisation.OBJECTIVES:
To develop a national framework for COVID-19 surgical prioritisation, including a set of recommendations and a risk calculatorfor operative care.METHODS:
The surgical prioritisation framework was developed in three stages (i) a literature review of international, national and local recommendations on COVID-19 and surgical care was conducted; (ii) a set of recommendations was drawn up based on the available literature and through consensus of the COVID-19 Task Team; and (iii) a COVID-19 surgical risk calculator was developed and evaluated.RESULTS:
A total of 30 documents were identified from which recommendations around prioritisation of surgical care were used to draw up six recommendations for preoperative COVID-19 screening and testing as well as the use of appropriate personal protective equipment. Ninety-nine perioperative practitioners from eight SA provinces evaluated the COVID-19 surgical risk calculator, which had high acceptability and a high level of concordance (81%) with current clinical practice.CONCLUSIONS:
This national framework on COVID-19 surgical prioritisation can help hospital teams make ethical, equitable and personalised decisions whether to proceed with or delay surgical operations during this unprecedented epidemic.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Servicio de Cirugía en Hospital
/
Procedimientos Quirúrgicos Operativos
/
Triaje
/
Cuidados Críticos
/
COVID-19
/
Unidades de Cuidados Intensivos
Tipo de estudio:
Estudio experimental
/
Estudio observacional
/
Estudio pronóstico
/
Revisiones
Límite:
Humanos
País/Región como asunto:
Africa
Idioma:
Inglés
Revista:
S Afr Med J
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
SAMJ.2021.v111i5.15603
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