Elective cardiovascular care in the era of the COVID-19 pandemic: managing tragic choices.
Adam E BermanDouglas MillerRobert A SorrentinoElias A MossialosPublished in: BMJ open quality (2020)
The COVID-19 pandemic has led to significant morbidity and mortality globally. As health systems grapple with caring for patients affected with COVID-19, cardiovascular procedures that are deemed 'elective' have been postponed. Guidelines concerning which cardiac procedures should be performed during the pandemic vary by specialty and geography in the USA. We propose a clinical heuristic to guide individual physicians and governing bodies in their decision making regarding which cardiac procedures should be performed during the COVID-19 pandemic using the behavioural economics concept of heuristics and ecological rationality.
Keyphrases
- coronavirus disease
- sars cov
- decision making
- end stage renal disease
- patients undergoing
- left ventricular
- ejection fraction
- primary care
- newly diagnosed
- healthcare
- prognostic factors
- palliative care
- peritoneal dialysis
- quality improvement
- heart failure
- climate change
- risk assessment
- clinical practice
- chronic pain
- health insurance