Triage of patients with venous and lymphatic diseases during the COVID-19 pandemic – The Venous and Lymphatic Triage and Acuity Scale (VELTAS)

Autor: David Jenkins, Alberto Martinez Granados, Roy Varghese, Victor Manuel Canata, Sergio Gianesini, Marlin Schul, William A. Marston, Andrew Stirling, Marianne De Maeseneer, Andrew N. Nicolaides, Cees H. A. Wittens, Paul Dinnen, Andre M. van Rij, Simon Thibault, Mark H. Meissner, Peter Gloviczki, Malay Patel, Brajesh K. Lal, Adrian Lim, Alun H. Davies, Stefania Roberts, Peter Paraskevas, Christopher Rogan, Lowell S. Kabnick, Oscar Bottini, Antonios P. Gasparis, Harold J. Welch, Kurosh Parsi, David Huber, Nick Morrison, Pedro Komlos, Stephen Benson
Rok vydání: 2020
Předmět:
medicine.medical_specialty
Consensus
Deep vein
Clinical Decision-Making
Pneumonia
Viral
Psychological intervention
030204 cardiovascular system & hematology
Decision Support Techniques
lymphatic
03 medical and health sciences
0302 clinical medicine
vascular
medicine
International Union of Phlebology (UIP) Consensus Document
Humans
Vascular Diseases
030212 general & internal medicine
vascular malformations
Vein
Lymphatic Diseases
Pandemics
venous
Health Services Needs and Demand
medicine.diagnostic_test
SARS-CoV-2
business.industry
pandemic
Patient Selection
COVID-19
Interventional radiology
Decision Support Systems
Clinical
medicine.disease
Thrombosis
Triage
Lymphatic disease
Pulmonary embolism
vascular anomalies
medicine.anatomical_structure
Emergency medicine
Surgery
Coronavirus Infections
Emergency Service
Hospital
Cardiology and Cardiovascular Medicine
business
Zdroj: Journal of Vascular Surgery: Venous and Lymphatic Disorders
Phlebology
ISSN: 2213-333X
Popis: The coronavirus disease 2019 (COVID-19) global pandemic has resulted in diversion of healthcare resources to the management of patients infected with SARS-CoV-2 virus. Elective interventions and surgical procedures in most countries have been postponed and operating room resources have been diverted to manage the pandemic. The Venous and Lymphatic Triage and Acuity Scale was developed to provide an international standard to rationalise and harmonise the management of patients with venous and lymphatic disorders or vascular anomalies. Triage urgency was determined based on clinical assessment of urgency with which a patient would require medical treatment or surgical intervention. Clinical conditions were classified into six categories of: (1) venous thromboembolism (VTE), (2) chronic venous disease, (3) vascular anomalies, (4) venous trauma, (5) venous compression and (6) lymphatic disease. Triage urgency was categorised into four groups and individual conditions were allocated to each class of triage. These included (1) medical emergencies (requiring immediate attendance), example massive pulmonary embolism; (2) urgent (to be seen as soon as possible), example deep vein thrombosis; (3) semi-urgent (to be attended to within 30-90 days), example highly symptomatic chronic venous disease, and (4) discretionary/non-urgent- (to be seen within 6-12 months), example chronic lymphoedema. Venous and Lymphatic Triage and Acuity Scale aims to standardise the triage of patients with venous and lymphatic disease or vascular anomalies by providing an international consensus-based classification of clinical categories and triage urgency. The scale may be used during pandemics such as the current COVID-19 crisis but may also be used as a general framework to classify urgency of the listed conditions.
Databáze: OpenAIRE
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