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Vol. 150 No. 4546 (2020)

Strong second COVID-19 wave calls for a second look at ICU triage guidelines

Cite this as:
Swiss Med Wkly. 2020;150:w20407


  1. Swiss Academy Of Medical Sciences. COVID-19 pandemic: triage for intensive-care treatment under resource scarcity. Swiss Med Wkly. 2020;150:w20229.
  2. Azoulay É, Beloucif S, Guidet B, Pateron D, Vivien B, Le Dorze M. Admission decisions to intensive care units in the context of the major COVID-19 outbreak: local guidance from the COVID-19 Paris-region area. Crit Care. 2020;24(1):293. doi:.
  3. National Institute for Health and Care Excellence (NICE). COVID -19 rapid guideline: Critical care. 2020. Available from:
  4. The Hastings Center. Ethical Framework for Health Care Institutions Responding to Novel Coronavirus SARS-CoV-2 (COVID-19). Guidelines for Institutional Ethics Services Responding to COVID-19. Managing Uncertainty, Safeguarding Communities, Guiding Practice. 2020 March 16. Available from:
  5. Österreichische Gesellschaft für Anaesthesiologie. Reanimation und Intensivmedizin (ÖGARI). Allokation intensivmedizinischer Ressourcen aus Anlass der Covid-19-Pandemie. Klinisch-ethische Empfehlungen für Beginn, Durchführung und Beendigung von Intensivtherapie bei Covid-19-PatientInnen. Statement der Arbeitsgruppe Ethik der ÖGARI vom 2020 March 3. Available from:
  6. DIVI. Entscheidungen über die Zuteilung von Ressourcen in der Notfall- und der Intensivmedizin im Kontext der COVID-19-Pandemie. 2020 March 3. Available from:
  7. Truog RD, Mitchell C, Daley GQ. The toughest triage – allocating ventilators in a pandemic. N Engl J Med. 2020;382(21):1973–5. doi:.
  8. Emanuel EJ, Persad G, Upshur R, Thome B, Parker M, Glickman A, et al. Fair allocation of scarce medical resources in the time of Covid-19. N Engl J Med. 2020;382(21):2049–55. doi:.
  9. Vincent JL, Creteur J. Ethical aspects of the COVID-19 crisis: How to deal with an overwhelming shortage of acute beds. Eur Heart J Acute Cardiovasc Care. 2020;9(3):248–52. doi:.
  10. Jöbges S, Vinay R, Luyckx VA, Biller-Andorno N. Recommendations on COVID-19 triage: international comparison and ethical analysis. Bioethics. 2020;bioe.12805. doi:.
  11. Shaw JA, Sethi N, Block BL. Five things every clinician should know about AI ethics in intensive care [editorial]. Intensive Care Med. 2020. doi:.
  12. Horwitz LI, Jones SA, Cerfolio RJ, Francois F, Greco J, Rudy B, et al. Trends in COVID-19 risk-adjusted mortality rates. J Hosp Med. 2020;(2020-10-23 ONLINE FIRST). Published online 2020 October 21. doi:.
  13. Dennis JM, McGovern AP, Vollmer SJ, Mateen BA. Improving survival of critical care patients with coronavirus disease 2019 in England. A national cohort study, March to June 2020. Crit Care Med. 2020;Publish Ahead of Print. Published online 2020 October 26. doi:.
  14. Swiss Academy of Medical Sciences. COVID-19 pandemic: triage for intensive-care treatment under resource scarcity (3rd, updated version). Swiss Med Wkly. 2020;150:w20401. doi:.
  15. Hewitt J, Carter B, Vilches-Moraga A, Quinn TJ, Braude P, Verduri A, et al.; COPE Study Collaborators. The effect of frailty on survival in patients with COVID-19 (COPE): a multicentre, European, observational cohort study. Lancet Public Health. 2020;5(8):e444–51. doi:.
  16. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373–83. doi:.
  17. Hartog CS, Spies CD, Michl S, Janssens U. Advance Care Planning in Zeiten der Corona-Pandemie – eine Chance für die Patientenautonomie in der Akutsituation [Advance care planning during the coronavirus pandemic—A chance for patient autonomy in acute situations]. Med Klin Intensivmed Notf Med. 2020;115(7):571–2. Article in German. doi:.
  18. Blumenthal D, Fowler EJ, Abrams M, Collins SR. Covid-19 – implications for the health care system. N Engl J Med. 2020;383(15):1483–8. doi:.

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