Ty - jour t1 - covid-19:欧洲呼吸学会国际工作组JF -欧洲呼吸杂志JO - Eur Respi188bet官网地址r J DO - 10.1183/13993003.02583-2020 VL - 56 IS - 3 SP - 2002583 AU - Janssen, Daisy J.A. AU - Ekström, Magnus AU - Currow, David C. AU - Johnson, Miriam J. AU - Maddocks, Matthew AU - Simonds, Anita K. AU - Tonia, Thomy AU - Marsaa,Kristoffer Y1 - 20/09/01 UR - //www.qdcxjkg.com/content/56/3/2002583.abstract N2 -背景许多人死于2019冠状病毒病(COVID-19),但缺乏关于COVID-19姑息治疗的共识指南。这种新的危及生命的疾病给医疗保健系统带来了压力,许多在这一领域经验有限的临床医生对姑息治疗的需求增加了。因此,我们的目标是使用建议和证据意见汇集(CORE)流程,为COVID-19患者的姑息治疗提出共识性建议。我们邀请了90名国际专家完成一项在线调查,包括表明他们同意或不同意14项潜在建议。至少需要70%的人同意方向性才能提供共识性建议。如果第一轮没有达成协商一致意见,就进行第二轮。结果第一轮有68名(75.6%)专家参与。大多数参与者是姑息治疗、呼吸医学或重症监护医学方面的专家。在第一轮中,根据间接证据和临床经验,就13项建议达成了共识。在第二轮中,第一轮的68名专家中有58人(85.3%)做出了回应,结果对第14项建议达成了一致意见。Conclusion This multi-national task force provides consensus recommendations for palliative care for patients with COVID-19 concerning: advance care planning; (pharmacological) palliative treatment of breathlessness; clinician–patient communication; remote clinician–family communication; palliative care involvement in patients with serious COVID-19; spiritual care; psychosocial care; and bereavement care. Future studies are needed to generate empirical evidence for these recommendations.This multi-national task force provides consensus recommendations for palliative care for patients with COVID-19 https://bit.ly/31X83oZ ER -