id author title date pages extension mime words sentences flesch summary cache txt cord-267664-vahd59z8 Cesari, Matteo COVID-19 in Italy: Ageism and Decision-Making in a Pandemic 2020-04-01 .txt text/plain 1664 98 56 Not surprisingly, the usual, despicable age criterion started to be implicitly adopted in the decisional algorithm for the allocation of scarce resources to the mounting number of patients. It is noteworthy that during the early crisis, the Società Italiana di Anestesia, Analgesia, Rianimazione e Terapia Intensiva (SIAARTI; Italian Society of Anesthesia, Analgesia, and Intensive Care) released clinical ethics recommendations for the allocation of treatment in exceptional resource-limited situations. Of course, the patient's age… If we want to fight such an ageistic approach and replace the age criterion for the allocation of resources, we must have and propose a parameter more robust than age but equally easy-to-obtain, that can be used for critical and rapid decision-making. In settings where rationing of resources becomes a necessity and such preparation has not been made, medical staff or oversight organizations should implement ad hoc guidelines that incorporate key prognostic factors beyond age -most notably frailty, comorbidity, and functional status. Clinical ethics recommendations for the allocation of intensive care treatments, in exceptional, resource-limited circumstances ./cache/cord-267664-vahd59z8.txt ./txt/cord-267664-vahd59z8.txt