The Critical Care Society of Southern Africa Consensus Guideline on ICU Triage and Rationing (ConICTri).
@article{Joynt2019TheCC, title={The Critical Care Society of Southern Africa Consensus Guideline on ICU Triage and Rationing (ConICTri).}, author={Gavin Matthew Joynt and Dean Gopalan and A. A. Argent and S Chetty and Robert A. Wise and V K W Lai and Eric Hodgson and A Lee and Ivan A Joubert and S. Mokgokong and Stephilia Tshukutsoane and Guy A. Richards and Colin Nigel Menezes and Rudo Mathivha and B. Espen and B L Levy and K Asante and Fathima Paruk}, journal={South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde}, year={2019}, volume={109 8b}, pages={ 630-642 } }
Background. In South Africa (SA), administrators and intensive care practitioners are faced with the challenge of resource scarcity as well as an increasing demand for intensive care unit (ICU) services. ICU services are expensive, and practitioners in low- to middle-income countries experience the consequences of limited resources daily. Critically limited resources necessitate that rationing and triage (prioritisation) decisions are routinely necessary in SA, particularly in the publicly…
10 Citations
The Critical Care Society of Southern Africa Consensus Statement on ICU Triage and Rationing (ConICTri).
- Medicine, Political ScienceSouth African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
- 2019
Recommendations and a guideline have been developed to guide policy-making and assist frontline triage decision-making in SA and are not a complete plan for quality practice but rather the beginning of a long-term initiative to engage clinicians, the public and administrators in appropriate decisions.
Age discrimination in critical care triage in South Africa: The law and the allocation of scarce health resources in the COVID-19 pandemic.
- MedicineSouth African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
- 2020
COVID-19 guidelines and score-based triage protocols must be revised urgently to eliminate unlawful discrimination against legally protected categories of patients in SA, including the disabled and the elderly.
The Critical Care Society of Southern Africa guidelines on the allocation of scarce critical care resources during the COVID-19 public health emergency in South Africa.
- MedicineSouth African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
- 2020
Letter by Gopalan et al. on article by Singh and Moodley (Singh JA, Moodley K. critical care triaging in the shadow of COVID-19: Ethics considerations): Ethics considerations.
Critical care triaging in the shadow of COVID-19: Ethics considerations.
- MedicineSouth African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
- 2020
While healthcare professionals in SA have become resilient and adept at making difficult decisions in the face of resource limitations, a surge in COVID-19 cases could place a severe strain on the country's critical care services and necessitate unprecedented rationing decisions.
The SAPS 3 score as a predictor of hospital mortality in a South African tertiary intensive care unit: A prospective cohort study.
- MedicinePloS one
- 2020
The SAPS 3 model can be used to describe the case mix in this African ICU with a high incidence of HIV and showed good calibration and fair discrimination when applied to the cohort.
Risk factors and outcomes of acute kidney injury in South African critically ill adults: a prospective cohort study
- MedicineBMC Nephrology
- 2019
In this large prospective multidisciplinary ICU cohort of younger patients, AKI was common, often associated with trauma in addition to traditional risk factors and was associated with good functional renal recovery at 90 days in most survivors.
Association between pre-intensive care unit (ICU) hospital length of stay and ICU outcomes in a resource-limited setting
- Medicine, Political ScienceThe Southern African journal of critical care : the official journal of the Critical Care Society
- 2021
Pre-ICU hospital LOS was not associated with either ICU mortality or ICU LOS in a resource-limited setting and future studies should aim to include multicentre data and evaluate long-term outcomes.
Development of a framework for critical care resource allocation for the COVID-19 pandemic in Saskatchewan
- MedicineCanadian Medical Association Journal
- 2020
The ethical principles and process used in Saskatchewan to address potentially overwhelming demand for critical care resources because of coronavirus disease 2019 are described.
The trauma burden on a tertiary surgical intensive care unit during the lockdown period in South Africa: A retrospective observational study
- Medicine
- 2021
A study of the impact of the lockdown period in 2020 on critical care resources in South Africa and the potential impact of restrictions on access to care has not been studied.
Job satisfaction of registered nurses in a private critical care unit in the Eastern Cape: A pilot study
- MedicineHealth SA = SA Gesondheid
- 2020
The high levels of satisfaction at this single critical care unit lead to the question whether this situation is common throughout the Eastern Cape, which opens the path for further research in this regard.
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- 2019
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