Ohio State University, Columbus

- In order to establish fair and consistent guidelines for patient care with limited resources, resources must allocated in order to maximize number of lives saved, rewarding instrumental value, and prioritizing those who are considered the worst off
- This may be done by breaking up a patient’s condition into its core components and creating a diagram on the Central Illustration to assess how a patients falls in the resource allocation perspective
- By utilizing the Central Illustration, patients who create the largest polygons are associated with the most risk and therefore should be denoted the most care resources as in theory their condition is the worst
- This distribution of resources must be assessed at all facets of a patient’s care including surgery whereas an example a procedure such as a valve replacement shouldn’t be performed if a patient is considered low risk with severe aortic stenosis, but this patient should instead be considered for a trans catheter aortic valve replacement (TAVR) which is considered more minimally invasive and can accelerate recovery time


Patient Selection Based off Condition and Environmental Restraints

Chung, C. J., Nazif, T. M., Wolbinski, M., Hakemi, E., Lebehn, M., Brandwein, R., Rezende, C. P., Doolittle, J., Rabbani, L., Uriel, N., Schwartz, A., Biviano, A., Wan, E., Hathaway, L., Hahn, R., Khalique, O., Hamid, N., Ng, V., Patel, A., Vahl, T., … Kodali, S. K. (2020). Restructuring Structural Heart Disease Practice During the COVID-19 Pandemic: JACC Review Topic of the Week. Journal of the American College of Cardiology, 75(23), 2974–2983. https://doi.org/10.1016/j.jacc.2020.04.009

URL: https://pubmed.ncbi.nlm.nih.gov/32278716/


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