key: cord-315143-s0nfejq8
authors: Kumar, Abhyuday
title: COVID-19 pandemic and the need for objective criteria for ICU admissions
date: 2020-06-01
journal: J Clin Anesth
DOI: 10.1016/j.jclinane.2020.109945
sha: 
doc_id: 315143
cord_uid: s0nfejq8

nan

J o u r n a l P r e -p r o o f 1 Abhyuday Kumar drabhyu@gmail.com Room No. 503, OT Complex, All India Patna, Bihar 801507, India.

As we are in the middle of the COVID-19 pandemic, many European and North American countries are hard hit by increasing death tolls. Condition is expected to be worst in developed countries with its widespread. With the increase in the influx of patients, hospitals all over the world are facing a crisis of essential equipment and manpower and thus a rational decision is required considering the resources available in the hospital. Early recognition of the patients who will require ICU admission and will benefit most from it is of utmost importance. For that triage of the patients admitted to the emergency department is needed. This warrants the formulation of a uniform criterion for admission to the intensive-care unit (ICU). [3] [4] [5] Moreover, patients with two or more comorbidities have significantly escalated risks of ICU admission, invasive ventilation, and mortality as compared with those who had single comorbidity, and even more so as compared with those without any comorbidity. [5] ANEWS would help as objective criteria for early recognition and escalation of treatment that can be used by less expertized health care workers (HCW) in the event of scarcity of HCWs. Moreover, when the number of critically ill people would outnumber the ICU beds, ANEWS can work as a useful tool for triage of the patients admitted to the emergency department. In such conditions, the patients with ANEWS ≥ 7 and lesser survival benefits like advanced malignancies and end stage organ failure should be given a lesser preference for ICU care. 

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