Prognostication and Proactive Planning in COVID-19

J Pain Symptom Manage. 2020 Aug;60(2):e52-e55. doi: 10.1016/j.jpainsymman.2020.04.152. Epub 2020 May 7.

Abstract

Accurate prognostication is challenging in the setting of SARS-CoV-2, the virus responsible for COVID-19, due to rapidly changing data, studies that are not generalizable, and lack of morbidity and functional outcomes in survivors. To provide meaningful guidance to patients, existing mortality data must be considered and appropriately applied. Although most people infected with SARS-CoV-2 will recover, mortality increases with age and comorbidity in those who develop severe illness.

Keywords: COVID-19; Prognosis; SARS-CoV-2; palliative care; proactive planning; prognostication.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • COVID-19
  • Child
  • Child, Preschool
  • Coronavirus Infections / diagnosis*
  • Coronavirus Infections / mortality
  • Coronavirus Infections / therapy
  • Humans
  • Infant
  • Infant, Newborn
  • Middle Aged
  • Palliative Care / methods
  • Pandemics
  • Pneumonia, Viral / diagnosis*
  • Pneumonia, Viral / mortality
  • Pneumonia, Viral / therapy
  • Precision Medicine / methods
  • Prognosis
  • Young Adult