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Musculoskeletal risk stratification tool to inform a discussion about face-to-face assessment during the COVID-19 pandemic
BMJ Open Sport & Exercise Medicine Pub Date : 2020-09-01 , DOI: 10.1136/bmjsem-2020-000916
Andrea Ravindra , Andrew Cuff , Ian A Bernstein , Marwan Al-Dawoud

The COVID-19 pandemic and lockdown caused clinicians in the UK to switch to delivering musculoskeletal care using telephone or video consultations. NHS England (an executive non-departmental public body of the Department of Health and Social Care, England) recommended prioritisation of more urgent conditions, including those people whose condition has deteriorated and those waiting the longest as part of a phased return to pre-COVID-19 service provision. Clinicians will need to assess an individual’s risk factors for complications from COVID-19 alongside their clinical priority to inform a shared decision-making discussion about appropriate face-to-face care delivery. This paper outlines a risk stratification tool that informs that discussion and aims to reduce the subjectivity in the risk assessment between clinicians.

中文翻译:

肌肉骨骼风险分层工具,可指导有关COVID-19大流行期间面对面评估的讨论

COVID-19大流行和封锁导致英国的临床医生转而使用电话或视频咨询来提供肌肉骨骼护理。NHS英格兰(英格兰卫生和社会护理部的执行性非部门公共机构)建议优先考虑更紧急的疾病,包括那些病情恶化和等待时间最长的人,作为分阶段重返COVID的一部分-19服务提供。临床医生将需要评估个人因COVID-19引起并发症的风险因素,以及他们的临床优先考虑,以指导有关适当的面对面护理服务的共同决策讨论。本文概述了风险分层工具,该工具可为讨论提供参考,并旨在减少临床医生之间风险评估的主观性。
更新日期:2020-09-01
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