A Framework for Rationing Ventilators and Critical Care Beds During the COVID-19 Pandemic

This Viewpoint describes a framework for rationing ventilators during the COVID-19 pandemic should intensive care units find themselves with more patients than they can care for, using a score-based system that incorporates patients' likelihood of surviving to hospital discharge and beyond and...

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Veröffentlicht in:	JAMA : the journal of the American Medical Association 2020-05, Vol.323 (18), p.1773-1774
Hauptverfasser:	White, Douglas B, Lo, Bernard
Format:	Artikel
Sprache:	eng
Schlagworte:	Age Factors Beds - ethics Beds - supply & distribution Betacoronavirus Coronavirus Infections - epidemiology Coronaviruses COVID-19 Critical care Critical Care - ethics Ethics, Clinical Health Care Rationing - ethics Health Personnel Hospitals Humans Intensive care units Life Cycle Stages Pandemics Patient Selection - ethics Pneumonia, Viral - epidemiology Public health Public Health - ethics Quality-Adjusted Life Years SARS-CoV-2 Triage - ethics Triage - methods Ventilators Ventilators, Mechanical - ethics Ventilators, Mechanical - supply & distribution Withholding Treatment - ethics
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Beschreibung
Zusammenfassung:	This Viewpoint describes a framework for rationing ventilators during the COVID-19 pandemic should intensive care units find themselves with more patients than they can care for, using a score-based system that incorporates patients' likelihood of surviving to hospital discharge and beyond and their role in the public health response to the outbreak.
ISSN:	0098-7484 1538-3598
DOI:	10.1001/jama.2020.5046