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 |
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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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