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A cross-sectional survey of Australian and New Zealand public opinion on methods totriage intensive care patients in an influenza pandemic.

Identifieur interne : 000445 ( PubMed/Checkpoint ); précédent : 000444; suivant : 000446

A cross-sectional survey of Australian and New Zealand public opinion on methods totriage intensive care patients in an influenza pandemic.

Auteurs : Winston Cheung [Australie] ; John Myburgh [Australie] ; Shay Mcguinness [Nouvelle-Zélande] ; Debra Chalmers [Nouvelle-Zélande] ; Rachael Parke [Nouvelle-Zélande] ; Fiona Blyth [Australie] ; Ian Seppelt [Australie] ; Michael Parr [Australie] ; Claire Hooker [Australie] ; Nikki Blackwell [Australie] ; Shannon Demonte [Australie] ; Kalpesh Gandhi [Australie] ; Mark Kol [Australie] ; Ian Kerridge [Australie] ; Priya Nair [Australie] ; Nicholas M. Saunders [Royaume-Uni] ; Manoj K. Saxena [Australie] ; Govindasamy Thanakrishnan [Australie] ; Vasi Naganathan [Australie]

Source :

RBID : pubmed:28866976

Descripteurs français

English descriptors

Abstract

An influenza pandemic has the potential to overwhelm intensive care resources, but the views of the general public on how resources should be allocated in such a scenario were unknown. We aimed to determine Australian and New Zealand public opinion on how intensive care unit beds should be allocated during an influenza pandemic.

PubMed: 28866976


Affiliations:


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pubmed:28866976

Le document en format XML

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<term>Intensive Care Units</term>
<term>Male</term>
<term>Middle Aged</term>
<term>New Zealand</term>
<term>Pandemics</term>
<term>Public Opinion</term>
<term>Surveys and Questionnaires</term>
<term>Triage</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude envers la santé</term>
<term>Australie</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Maladie grave</term>
<term>Mâle</term>
<term>Nouvelle-Zélande</term>
<term>Opinion publique</term>
<term>Pandémies</term>
<term>Soins de réanimation</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Triage</term>
<term>Unités de soins intensifs</term>
<term>Études transversales</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Attitude to Health</term>
<term>Australia</term>
<term>Critical Care</term>
<term>Critical Illness</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Intensive Care Units</term>
<term>Male</term>
<term>Middle Aged</term>
<term>New Zealand</term>
<term>Pandemics</term>
<term>Public Opinion</term>
<term>Surveys and Questionnaires</term>
<term>Triage</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude envers la santé</term>
<term>Australie</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Maladie grave</term>
<term>Mâle</term>
<term>Nouvelle-Zélande</term>
<term>Opinion publique</term>
<term>Pandémies</term>
<term>Soins de réanimation</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Triage</term>
<term>Unités de soins intensifs</term>
<term>Études transversales</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">An influenza pandemic has the potential to overwhelm intensive care resources, but the views of the general public on how resources should be allocated in such a scenario were unknown. We aimed to determine Australian and New Zealand public opinion on how intensive care unit beds should be allocated during an influenza pandemic.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">28866976</PMID>
<DateCompleted>
<Year>2017</Year>
<Month>10</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>10</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1441-2772</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>19</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2017</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine</Title>
<ISOAbbreviation>Crit Care Resusc</ISOAbbreviation>
</Journal>
<ArticleTitle>A cross-sectional survey of Australian and New Zealand public opinion on methods totriage intensive care patients in an influenza pandemic.</ArticleTitle>
<Pagination>
<MedlinePgn>254-265</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="BACKGROUND AND OBJECTIVE" NlmCategory="OBJECTIVE">An influenza pandemic has the potential to overwhelm intensive care resources, but the views of the general public on how resources should be allocated in such a scenario were unknown. We aimed to determine Australian and New Zealand public opinion on how intensive care unit beds should be allocated during an influenza pandemic.</AbstractText>
<AbstractText Label="DESIGN, SETTING, AND PARTICIPANTS" NlmCategory="METHODS">A postal questionnaire was sent to 4000 randomly selected registered voters; 2000 people each from the Australian Electoral Commission and New Zealand Electoral Commission rolls.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURE" NlmCategory="METHODS">The respondents' preferred method to triage ICU patients in an influenza pandemic. Respondents chose from six methods: use a "first in, first served" approach; allow a senior doctor to decide; use pre-determined health department criteria; use random selection; use the patient's ability to pay; use the importance of the patient to decide. Respondents also rated each of the triage methods for fairness.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Australian respondents preferred that patients be triaged to the ICU either by a senior doctor (43.2%) or by pre-determined health department criteria (38.7%). New Zealand respondents preferred that triage be performed by a senior doctor (45.9%). Respondents from both countries perceived triage by a senior doctor and by pre-determined health department criteria to be fair, and the other four methods of triage to be unfair.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In an influenza pandemic, when ICU resources would be overwhelmed, survey respondents preferred that ICU triage be performed by a senior doctor, but also perceived the use of pre-determined triage criteria to be fair.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Cheung</LastName>
<ForeName>Winston</ForeName>
<Initials>W</Initials>
<AffiliationInfo>
<Affiliation>Intensive Care Unit, Concord Repatriation General Hospital, Sydney, NSW, Australia. winston.cheung@sswahs.nsw.gov.au.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Myburgh</LastName>
<ForeName>John</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Critical Care and Trauma Division, The George Institute for Global Health, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>McGuinness</LastName>
<ForeName>Shay</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Cardiothoracic and Vascular Intensive Care Unit, Auckland City Hospital, Auckland, New Zealand.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Chalmers</LastName>
<ForeName>Debra</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>Intensive Care Unit, Hawke's Bay Fallen Soldiers' Memorial Hospital, Hastings, New Zealand.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Parke</LastName>
<ForeName>Rachael</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Cardiothoracic and Vascular Intensive Care Unit, Auckland City Hospital, Auckland, New Zealand.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Blyth</LastName>
<ForeName>Fiona</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Sydney Medical School, Concord, University of Sydney, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Seppelt</LastName>
<ForeName>Ian</ForeName>
<Initials>I</Initials>
<AffiliationInfo>
<Affiliation>Department of Intensive Care, Nepean Hospital, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Parr</LastName>
<ForeName>Michael</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>University of New South Wales, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hooker</LastName>
<ForeName>Claire</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Blackwell</LastName>
<ForeName>Nikki</ForeName>
<Initials>N</Initials>
<AffiliationInfo>
<Affiliation>University of Queensland, Brisbane, QLD, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>DeMonte</LastName>
<ForeName>Shannon</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Prince Charles Hospital, Brisbane, QLD, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gandhi</LastName>
<ForeName>Kalpesh</ForeName>
<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>Department of Intensive Care, Blacktown Hospital, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kol</LastName>
<ForeName>Mark</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Intensive Care Unit, Concord Repatriation General Hospital, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kerridge</LastName>
<ForeName>Ian</ForeName>
<Initials>I</Initials>
<AffiliationInfo>
<Affiliation>Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Nair</LastName>
<ForeName>Priya</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>St. Vincent's Hospital, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Saunders</LastName>
<ForeName>Nicholas M</ForeName>
<Initials>NM</Initials>
<AffiliationInfo>
<Affiliation>Norfolk and Norwich University Hospital National Health Service Foundation Trust, Norfolk, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Saxena</LastName>
<ForeName>Manoj K</ForeName>
<Initials>MK</Initials>
<AffiliationInfo>
<Affiliation>Department of Intensive Care Medicine, St. George Hospital, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Thanakrishnan</LastName>
<ForeName>Govindasamy</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Intensive Care Unit, Concord Repatriation General Hospital, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Naganathan</LastName>
<ForeName>Vasi</ForeName>
<Initials>V</Initials>
<AffiliationInfo>
<Affiliation>Sydney Medical School, Concord, University of Sydney, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<CollectiveName>Influenza Pandemic ICU Triage 3 study investigators</CollectiveName>
</Author>
<Author ValidYN="Y">
<CollectiveName>Australian and New Zealand Intensive Care Society Clinical Trials Group</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo>
<Country>Australia</Country>
<MedlineTA>Crit Care Resusc</MedlineTA>
<NlmUniqueID>100888170</NlmUniqueID>
<ISSNLinking>1441-2772</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001294" MajorTopicYN="Y">Attitude to Health</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001315" MajorTopicYN="N">Australia</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003422" MajorTopicYN="N">Critical Care</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016638" MajorTopicYN="Y">Critical Illness</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007362" MajorTopicYN="N">Intensive Care Units</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009520" MajorTopicYN="N">New Zealand</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011639" MajorTopicYN="Y">Public Opinion</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014218" MajorTopicYN="Y">Triage</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="entrez">
<Year>2017</Year>
<Month>9</Month>
<Day>5</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2017</Year>
<Month>9</Month>
<Day>5</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2017</Year>
<Month>10</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">28866976</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>Nouvelle-Zélande</li>
<li>Royaume-Uni</li>
</country>
<region>
<li>Nouvelle-Galles du Sud</li>
</region>
<settlement>
<li>Sydney</li>
</settlement>
<orgName>
<li>Université de Sydney</li>
</orgName>
</list>
<tree>
<country name="Australie">
<noRegion>
<name sortKey="Cheung, Winston" sort="Cheung, Winston" uniqKey="Cheung W" first="Winston" last="Cheung">Winston Cheung</name>
</noRegion>
<name sortKey="Blackwell, Nikki" sort="Blackwell, Nikki" uniqKey="Blackwell N" first="Nikki" last="Blackwell">Nikki Blackwell</name>
<name sortKey="Blyth, Fiona" sort="Blyth, Fiona" uniqKey="Blyth F" first="Fiona" last="Blyth">Fiona Blyth</name>
<name sortKey="Demonte, Shannon" sort="Demonte, Shannon" uniqKey="Demonte S" first="Shannon" last="Demonte">Shannon Demonte</name>
<name sortKey="Gandhi, Kalpesh" sort="Gandhi, Kalpesh" uniqKey="Gandhi K" first="Kalpesh" last="Gandhi">Kalpesh Gandhi</name>
<name sortKey="Hooker, Claire" sort="Hooker, Claire" uniqKey="Hooker C" first="Claire" last="Hooker">Claire Hooker</name>
<name sortKey="Kerridge, Ian" sort="Kerridge, Ian" uniqKey="Kerridge I" first="Ian" last="Kerridge">Ian Kerridge</name>
<name sortKey="Kol, Mark" sort="Kol, Mark" uniqKey="Kol M" first="Mark" last="Kol">Mark Kol</name>
<name sortKey="Myburgh, John" sort="Myburgh, John" uniqKey="Myburgh J" first="John" last="Myburgh">John Myburgh</name>
<name sortKey="Naganathan, Vasi" sort="Naganathan, Vasi" uniqKey="Naganathan V" first="Vasi" last="Naganathan">Vasi Naganathan</name>
<name sortKey="Nair, Priya" sort="Nair, Priya" uniqKey="Nair P" first="Priya" last="Nair">Priya Nair</name>
<name sortKey="Parr, Michael" sort="Parr, Michael" uniqKey="Parr M" first="Michael" last="Parr">Michael Parr</name>
<name sortKey="Saxena, Manoj K" sort="Saxena, Manoj K" uniqKey="Saxena M" first="Manoj K" last="Saxena">Manoj K. Saxena</name>
<name sortKey="Seppelt, Ian" sort="Seppelt, Ian" uniqKey="Seppelt I" first="Ian" last="Seppelt">Ian Seppelt</name>
<name sortKey="Thanakrishnan, Govindasamy" sort="Thanakrishnan, Govindasamy" uniqKey="Thanakrishnan G" first="Govindasamy" last="Thanakrishnan">Govindasamy Thanakrishnan</name>
</country>
<country name="Nouvelle-Zélande">
<noRegion>
<name sortKey="Mcguinness, Shay" sort="Mcguinness, Shay" uniqKey="Mcguinness S" first="Shay" last="Mcguinness">Shay Mcguinness</name>
</noRegion>
<name sortKey="Chalmers, Debra" sort="Chalmers, Debra" uniqKey="Chalmers D" first="Debra" last="Chalmers">Debra Chalmers</name>
<name sortKey="Parke, Rachael" sort="Parke, Rachael" uniqKey="Parke R" first="Rachael" last="Parke">Rachael Parke</name>
</country>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="Saunders, Nicholas M" sort="Saunders, Nicholas M" uniqKey="Saunders N" first="Nicholas M" last="Saunders">Nicholas M. Saunders</name>
</noRegion>
</country>
</tree>
</affiliations>
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