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Triage of Scarce Critical Care Resources in COVID-19 An Implementation Guide for Regional Allocation: An Expert Panel Report of the Task Force for Mass Critical Care and the American College of Chest Physicians.

Identifieur interne : 000034 ( Main/Exploration ); précédent : 000033; suivant : 000035

Triage of Scarce Critical Care Resources in COVID-19 An Implementation Guide for Regional Allocation: An Expert Panel Report of the Task Force for Mass Critical Care and the American College of Chest Physicians.

Auteurs : Ryan C. Maves [États-Unis] ; James Downar [Canada] ; Jeffrey R. Dichter [États-Unis] ; John L. Hick [États-Unis] ; Asha Devereaux [États-Unis] ; James A. Geiling [États-Unis] ; Niranjan Kissoon [Canada] ; Nathaniel Hupert [États-Unis] ; Alexander S. Niven [États-Unis] ; Mary A. King [États-Unis] ; Lewis L. Rubinson [États-Unis] ; Dan Hanfling [États-Unis] ; James G. Hodge [États-Unis] ; Mary Faith Marshall [États-Unis] ; Katherine Fischkoff [États-Unis] ; Laura E. Evans [États-Unis] ; Mark R. Tonelli [États-Unis] ; Randy S. Wax [Canada] ; Gilbert Seda [États-Unis] ; John S. Parrish [États-Unis] ; Robert D. Truog [États-Unis] ; Charles L. Sprung [Israël] ; Michael D. Christian [Royaume-Uni]

Source :

RBID : pubmed:32289312

Descripteurs français

English descriptors

Abstract

Public health emergencies have the potential to place enormous strain on health systems. The current pandemic of the novel 2019 coronavirus disease has required hospitals in numerous countries to expand their surge capacity to meet the needs of patients with critical illness. When even surge capacity is exceeded, however, principles of critical care triage may be needed as a means to allocate scarce resources, such as mechanical ventilators or key medications. The goal of a triage system is to direct limited resources towards patients most likely to benefit from them. Implementing a triage system requires careful coordination between clinicians, health systems, local and regional governments, and the public, with a goal of transparency to maintain trust. We discuss the principles of tertiary triage and methods for implementing such a system, emphasizing that these systems should serve only as a last resort. Even under triage, we must uphold our obligation to care for all patients as best possible under difficult circumstances.

DOI: 10.1016/j.chest.2020.03.063
PubMed: 32289312
PubMed Central: PMC7151463


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<name sortKey="Seda, Gilbert" sort="Seda, Gilbert" uniqKey="Seda G" first="Gilbert" last="Seda">Gilbert Seda</name>
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<name sortKey="Sprung, Charles L" sort="Sprung, Charles L" uniqKey="Sprung C" first="Charles L" last="Sprung">Charles L. Sprung</name>
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<name sortKey="Christian, Michael D" sort="Christian, Michael D" uniqKey="Christian M" first="Michael D" last="Christian">Michael D. Christian</name>
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<nlm:affiliation>Morristown Medical Center, Morristown, NJ.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Hanfling, Dan" sort="Hanfling, Dan" uniqKey="Hanfling D" first="Dan" last="Hanfling">Dan Hanfling</name>
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<nlm:affiliation>Inova Fairfax Hospital, Falls Church, VA.</nlm:affiliation>
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<region type="state">Virginie</region>
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<name sortKey="Hodge, James G" sort="Hodge, James G" uniqKey="Hodge J" first="James G" last="Hodge">James G. Hodge</name>
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<nlm:affiliation>Arizona State University, Tempe, AZ.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Arizona</region>
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<wicri:cityArea>Arizona State University, Tempe</wicri:cityArea>
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<name sortKey="Marshall, Mary Faith" sort="Marshall, Mary Faith" uniqKey="Marshall M" first="Mary Faith" last="Marshall">Mary Faith Marshall</name>
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<nlm:affiliation>University of Virginia, Charlottesville, VA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Virginie</region>
</placeName>
<wicri:cityArea>University of Virginia, Charlottesville</wicri:cityArea>
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<name sortKey="Fischkoff, Katherine" sort="Fischkoff, Katherine" uniqKey="Fischkoff K" first="Katherine" last="Fischkoff">Katherine Fischkoff</name>
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<nlm:affiliation>Columbia University, New York, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Columbia University, New York</wicri:cityArea>
</affiliation>
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<name sortKey="Evans, Laura E" sort="Evans, Laura E" uniqKey="Evans L" first="Laura E" last="Evans">Laura E. Evans</name>
<affiliation wicri:level="2">
<nlm:affiliation>University of Washington, Seattle, WA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>University of Washington, Seattle</wicri:cityArea>
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<name sortKey="Tonelli, Mark R" sort="Tonelli, Mark R" uniqKey="Tonelli M" first="Mark R" last="Tonelli">Mark R. Tonelli</name>
<affiliation wicri:level="2">
<nlm:affiliation>University of Washington, Seattle, WA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>University of Washington, Seattle</wicri:cityArea>
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<name sortKey="Wax, Randy S" sort="Wax, Randy S" uniqKey="Wax R" first="Randy S" last="Wax">Randy S. Wax</name>
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<nlm:affiliation>Queen's University, Kingston, ON, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Queen's University, Kingston, ON</wicri:regionArea>
<wicri:noRegion>ON</wicri:noRegion>
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<name sortKey="Sprung, Charles L" sort="Sprung, Charles L" uniqKey="Sprung C" first="Charles L" last="Sprung">Charles L. Sprung</name>
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<term>COVID-19 (MeSH)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (therapy)</term>
<term>Critical Care (methods)</term>
<term>Humans (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (therapy)</term>
<term>Public Health (ethics)</term>
<term>Public Health (methods)</term>
<term>Public Health (standards)</term>
<term>Resource Allocation (organization & administration)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Surge Capacity (ethics)</term>
<term>Surge Capacity (organization & administration)</term>
<term>Triage (organization & administration)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Allocation des ressources (organisation et administration)</term>
<term>Betacoronavirus (isolement et purification)</term>
<term>Capacité de gestion de crise (organisation et administration)</term>
<term>Capacité de gestion de crise (éthique)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (thérapie)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (thérapie)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Santé publique (méthodes)</term>
<term>Santé publique (normes)</term>
<term>Santé publique (éthique)</term>
<term>Soins de réanimation (méthodes)</term>
<term>Triage (organisation et administration)</term>
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<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
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<term>Public Health</term>
<term>Surge Capacity</term>
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<term>Betacoronavirus</term>
</keywords>
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<term>Betacoronavirus</term>
</keywords>
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<term>Critical Care</term>
<term>Public Health</term>
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<term>Soins de réanimation</term>
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<term>Santé publique</term>
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<term>Allocation des ressources</term>
<term>Capacité de gestion de crise</term>
<term>Triage</term>
</keywords>
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<term>Resource Allocation</term>
<term>Surge Capacity</term>
<term>Triage</term>
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<term>Public Health</term>
</keywords>
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<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
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<term>Humans</term>
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<div type="abstract" xml:lang="en">Public health emergencies have the potential to place enormous strain on health systems. The current pandemic of the novel 2019 coronavirus disease has required hospitals in numerous countries to expand their surge capacity to meet the needs of patients with critical illness. When even surge capacity is exceeded, however, principles of critical care triage may be needed as a means to allocate scarce resources, such as mechanical ventilators or key medications. The goal of a triage system is to direct limited resources towards patients most likely to benefit from them. Implementing a triage system requires careful coordination between clinicians, health systems, local and regional governments, and the public, with a goal of transparency to maintain trust. We discuss the principles of tertiary triage and methods for implementing such a system, emphasizing that these systems should serve only as a last resort. Even under triage, we must uphold our obligation to care for all patients as best possible under difficult circumstances.</div>
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<Year>2020</Year>
<Month>07</Month>
<Day>20</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>12</Month>
<Day>10</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1931-3543</ISSN>
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<Volume>158</Volume>
<Issue>1</Issue>
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<Year>2020</Year>
<Month>07</Month>
</PubDate>
</JournalIssue>
<Title>Chest</Title>
<ISOAbbreviation>Chest</ISOAbbreviation>
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<ArticleTitle>Triage of Scarce Critical Care Resources in COVID-19 An Implementation Guide for Regional Allocation: An Expert Panel Report of the Task Force for Mass Critical Care and the American College of Chest Physicians.</ArticleTitle>
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<AbstractText>Public health emergencies have the potential to place enormous strain on health systems. The current pandemic of the novel 2019 coronavirus disease has required hospitals in numerous countries to expand their surge capacity to meet the needs of patients with critical illness. When even surge capacity is exceeded, however, principles of critical care triage may be needed as a means to allocate scarce resources, such as mechanical ventilators or key medications. The goal of a triage system is to direct limited resources towards patients most likely to benefit from them. Implementing a triage system requires careful coordination between clinicians, health systems, local and regional governments, and the public, with a goal of transparency to maintain trust. We discuss the principles of tertiary triage and methods for implementing such a system, emphasizing that these systems should serve only as a last resort. Even under triage, we must uphold our obligation to care for all patients as best possible under difficult circumstances.</AbstractText>
<CopyrightInformation>Copyright © 2020. Published by Elsevier Inc.</CopyrightInformation>
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<LastName>Maves</LastName>
<ForeName>Ryan C</ForeName>
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</AffiliationInfo>
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<Affiliation>University of Ottawa, Ottawa, ON, Canada.</Affiliation>
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</AffiliationInfo>
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<name sortKey="Kissoon, Niranjan" sort="Kissoon, Niranjan" uniqKey="Kissoon N" first="Niranjan" last="Kissoon">Niranjan Kissoon</name>
<name sortKey="Wax, Randy S" sort="Wax, Randy S" uniqKey="Wax R" first="Randy S" last="Wax">Randy S. Wax</name>
</country>
<country name="Israël">
<noRegion>
<name sortKey="Sprung, Charles L" sort="Sprung, Charles L" uniqKey="Sprung C" first="Charles L" last="Sprung">Charles L. Sprung</name>
</noRegion>
</country>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Christian, Michael D" sort="Christian, Michael D" uniqKey="Christian M" first="Michael D" last="Christian">Michael D. Christian</name>
</region>
</country>
</tree>
</affiliations>
</record>

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