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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 : 000379 ( PubMed/Corpus ); précédent : 000378; suivant : 000380

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

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

Source :

RBID : pubmed:28866976

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

Links to Exploration step

pubmed:28866976

Le document en format XML

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<name sortKey="Blackwell, Nikki" sort="Blackwell, Nikki" uniqKey="Blackwell N" first="Nikki" last="Blackwell">Nikki Blackwell</name>
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<nlm:affiliation>University of Queensland, Brisbane, QLD, Australia.</nlm:affiliation>
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<name sortKey="Demonte, Shannon" sort="Demonte, Shannon" uniqKey="Demonte S" first="Shannon" last="Demonte">Shannon Demonte</name>
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<nlm:affiliation>Prince Charles Hospital, Brisbane, QLD, Australia.</nlm:affiliation>
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<nlm:affiliation>Department of Intensive Care, Blacktown Hospital, Sydney, NSW, Australia.</nlm:affiliation>
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<name sortKey="Kol, Mark" sort="Kol, Mark" uniqKey="Kol M" first="Mark" last="Kol">Mark Kol</name>
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<name sortKey="Kerridge, Ian" sort="Kerridge, Ian" uniqKey="Kerridge I" first="Ian" last="Kerridge">Ian Kerridge</name>
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<nlm:affiliation>Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, NSW, Australia.</nlm:affiliation>
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<name sortKey="Nair, Priya" sort="Nair, Priya" uniqKey="Nair P" first="Priya" last="Nair">Priya Nair</name>
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<nlm:affiliation>St. Vincent's Hospital, Sydney, NSW, Australia.</nlm:affiliation>
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<name sortKey="Saunders, Nicholas M" sort="Saunders, Nicholas M" uniqKey="Saunders N" first="Nicholas M" last="Saunders">Nicholas M. Saunders</name>
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<nlm:affiliation>Norfolk and Norwich University Hospital National Health Service Foundation Trust, Norfolk, United Kingdom.</nlm:affiliation>
</affiliation>
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<name sortKey="Saxena, Manoj K" sort="Saxena, Manoj K" uniqKey="Saxena M" first="Manoj K" last="Saxena">Manoj K. Saxena</name>
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<nlm:affiliation>Department of Intensive Care Medicine, St. George Hospital, Sydney, NSW, Australia.</nlm:affiliation>
</affiliation>
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<name sortKey="Thanakrishnan, Govindasamy" sort="Thanakrishnan, Govindasamy" uniqKey="Thanakrishnan G" first="Govindasamy" last="Thanakrishnan">Govindasamy Thanakrishnan</name>
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<nlm:affiliation>Intensive Care Unit, Concord Repatriation General Hospital, Sydney, NSW, Australia.</nlm:affiliation>
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<name sortKey="Naganathan, Vasi" sort="Naganathan, Vasi" uniqKey="Naganathan V" first="Vasi" last="Naganathan">Vasi Naganathan</name>
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<nlm:affiliation>Sydney Medical School, Concord, University of Sydney, Sydney, NSW, Australia.</nlm:affiliation>
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<title level="j">Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine</title>
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<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>Influenza, Human (epidemiology)</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" qualifier="epidemiology" xml:lang="en">
<term>Influenza, Human</term>
</keywords>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Attitude to Health</term>
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<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>
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<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>
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<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>
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<Title>Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine</Title>
<ISOAbbreviation>Crit Care Resusc</ISOAbbreviation>
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<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>
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<LastName>Myburgh</LastName>
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</AffiliationInfo>
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<ForeName>Shay</ForeName>
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</AffiliationInfo>
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</AffiliationInfo>
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<Affiliation>University of New South Wales, Sydney, NSW, Australia.</Affiliation>
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<Affiliation>Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, NSW, Australia.</Affiliation>
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<ForeName>Nikki</ForeName>
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<AffiliationInfo>
<Affiliation>University of Queensland, Brisbane, QLD, Australia.</Affiliation>
</AffiliationInfo>
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<LastName>DeMonte</LastName>
<ForeName>Shannon</ForeName>
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<AffiliationInfo>
<Affiliation>Prince Charles Hospital, Brisbane, QLD, Australia.</Affiliation>
</AffiliationInfo>
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<LastName>Gandhi</LastName>
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<Affiliation>Department of Intensive Care, Blacktown Hospital, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
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<LastName>Kol</LastName>
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<Affiliation>Intensive Care Unit, Concord Repatriation General Hospital, Sydney, NSW, Australia.</Affiliation>
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<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>
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<LastName>Nair</LastName>
<ForeName>Priya</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>St. Vincent's Hospital, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
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<LastName>Saunders</LastName>
<ForeName>Nicholas M</ForeName>
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<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>
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{{Explor lien
   |wiki=    Sante
   |area=    PandemieGrippaleV1
   |flux=    PubMed
   |étape=   Corpus
   |type=    RBID
   |clé=     pubmed:28866976
   |texte=   A cross-sectional survey of Australian and New Zealand public opinion on methods totriage intensive care patients in an influenza pandemic.
}}

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