目前已知高齡伴隨有多種慢性疾病者，為新冠肺炎重症和因病致死的高危險族群，然而目前在資源匱乏的情況下，如何分流照護此族群是一大考驗Drs. Roland 和 Markusb 建議在此情況下，是否讓此高危險族群接受住院治療，應和本人及家屬開誠布公的溝通，尊重本人意願為優先；另外，遠距安寧緩和照護團隊在必要時應與安養中心保持聯繫，予以適當治療，相關SOP請參考附表。
Background: While the whole population is at risk from infection with the coronavirus (SARS-CoV-2), older people – often frail and subject to multimorbidity – are at highest risk for severe and fatal disease. Experience from Italy shows a median age at death of 79 years for men and 82 for women . Severe illness with an uncertain outcome and end-of-life situations call for good palliative care for the patients concerned. The Association for Geriatric Palliative Medicine (FGPG) promotes the integration of a palliative care approach and skills into the care of elderly and very elderly people – both in the inpatient setting and at home. The current pandemic and the publication of the SAMS Guidelines “COVID-19 pandemic: triage for intensive-care treatment under resource scarcity”  have prompted the FGPG to prepare these recommendations for practice.
Author：Roland Kunz, Markus Minder