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Special article

Vol. 151 No. 0102 (2021)

COVID-19 pandemic: triage for intensive-care treatment under resource scarcity (revised version 3.1, 17 December 2020)

  • Swiss Medical Weekly
Cite this as:
Swiss Med Wkly. 2021;151:w20458
Published
15.01.2021

References

  1. Please note: The latest literature on SARS-CoV-2 is made available on the website of the Swiss Society of Intensive Care Medicine (SSICM) at https://www.sgi-ssmi.ch/de/.
  2. Bartlett RH, Ogino MT, Brodie D, McMullan DM, Lorusso R, MacLaren G, et al. Initial ELSO Guidance Document: ECMO for COVID-19 Patients with Severe Cardiopulmonary Failure. ASAIO J. 2020;66(5):472–4. doi:.https://doi.org/10.1097/MAT.0000000000001173
  3. Bouadma L, Lescure FX, Lucet JC, Yazdanpanah Y, Timsit JF. Severe SARS-CoV-2 infections: practical considerations and management strategy for intensivists. Intensive Care Med. 2020;46(4):579–82. doi:.https://doi.org/10.1007/s00134-020-05967-x
  4. Bundesamt für Gesundheit (BAG). Influenza-Pandemieplan Schweiz. Strategien und Massnahmen zur Vorbereitung auf eine Influenza-Pandemie, 5. Auflage 2018, Kap. 6.1. sowie insb. Teil II.I «Ethische Fragen des Influenza-Pandemieplan Schweiz 2006», Stellungnahme der Nationalen Ethikkommission NEK-CNE Nr. 12/2006. www.bag.admin.ch/dam/bag/de/dokumente/mt/k-und-i/hygiene-pandemiefall/influenza-pandemieplan-ch.pdf.download.pdf/bag-pandemieplan-influenza-ch.pdf
  5. Cheung WK, Myburgh J, Seppelt IM, Parr MJ, Blackwell N, Demonte S, et al.; Influenza Pandemic ICU Triage Study Investigators. A multicentre evaluation of two intensive care unit triage protocols for use in an influenza pandemic. Med J Aust. 2012;197(3):178–81. doi:.https://doi.org/10.5694/mja11.10926
  6. Christian MD, Hawryluck L, Wax RS, Cook T, Lazar NM, Herridge MS, et al. Development of a triage protocol for critical care during an influenza pandemic. CMAJ. 2006;175(11):1377–81. doi:.https://doi.org/10.1503/cmaj.060911
  7. Flaatten H, De Lange DW, Morandi A, Andersen FH, Artigas A, Bertolini G, et al.; VIP1 study group. The impact of frailty on ICU and 30-day mortality and the level of care in very elderly patients (≥ 80 years). Intensive Care Med. 2017;43(12):1820–8. doi:.https://doi.org/10.1007/s00134-017-4940-8
  8. 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. www.thehastingscenter.org/wp-content/uploads/HastingsCenterCovidFramework2020.pdf
  9. 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:.https://doi.org/10.1016/S2468-2667(20)30146-8
  10. Jöbges S, Vinay R, Luyckx VA, Biller-Andorno N. Recommendations on COVID-19 triage: international comparison and ethical analysis. Bioethics. 2020;34(9):948–59. Published online 2020 September 25. doi:.https://doi.org/10.1111/bioe.12805
  11. Knight SR, Ho A, Pius R, Buchan I, Carson G, Drake TM, et al.; ISARIC4C investigators. Risk stratification of patients admitted to hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol: development and validation of the 4C Mortality Score. BMJ. 2020;370:m3339. Published online 2020 September 9. doi:.https://doi.org/10.1136/bmj.m3339
  12. Li QX, Zhao XJ, Fan HY, Li XN, Wang DL, Wang XJ, et al. Application Values of Six Scoring Systems in the Prognosis of Stroke Patients. Front Neurol. 2020;10:1416. Published online 2020 January 30. doi:.https://doi.org/10.3389/fneur.2019.01416
  13. Liao X, Wang B, Kang Y. Novel coronavirus infection during the 2019-2020 epidemic: preparing intensive care units-the experience in Sichuan Province, China. Intensive Care Med. 2020;46(2):357–60. doi:.https://doi.org/10.1007/s00134-020-05954-2
  14. MacLaren G, Fisher D, Brodie D. Preparing for the Most Critically Ill Patients With COVID-19: The Potential Role of Extracorporeal Membrane Oxygenation. JAMA. 2020;323(13):1245–6. doi:.https://doi.org/10.1001/jama.2020.2342
  15. Murthy S, Gomersall CD, Fowler RA. Care for Critically Ill Patients With COVID-19. JAMA. 2020;323(15):1499–500. Available at: https://jamanetwork.com/journals/jama/fullarticle/2762996. Published online 2020 March 11. doi:.https://doi.org/10.1001/jama.2020.3633
  16. Muscedere J, Waters B, Varambally A, Bagshaw SM, Boyd JG, Maslove D, et al. The impact of frailty on intensive care unit outcomes: a systematic review and meta-analysis. Intensive Care Med. 2017;43(8):1105–22. doi:.https://doi.org/10.1007/s00134-017-4867-0
  17. Ñamendys-Silva SA. Respiratory support for patients with COVID-19 infection. Lancet. 2020;8(4):e18. Published online 2020 March 5. doi:. https://doi.org/10.1016/S2213-2600(20)30110-7
  18. 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 17. www.oegari.at/web_files/cms_daten/covid-19_ressourcenallokation_gari-statement_v1.7_final_2020-03-17.pdf
  19. Persad G, Wertheimer A, Emanuel EJ. Principles for allocation of scarce medical interventions. Lancet. 2009;373(9661):423–31. doi:.https://doi.org/10.1016/S0140-6736(09)60137-9
  20. Rockwood K, Theou O. Using the Clinical Frailty Scale in Allocating Scarce Health Care Resources. Can Geriatr J. 2020;23(3):254–9. doi:.https://doi.org/10.5770/cgj.23.463
  21. Surkan M, Rajabali N, Bagshaw SM, Wang X, Rolfson D. Interrater Reliability of the Clinical Frailty Scale by Geriatrician and Intensivist in Patients Admitted to the Intensive Care Unit. Can Geriatr J. 2020;23(3):223–9. doi:.https://doi.org/10.5770/cgj.23.398
  22. Wu C, Chen X, Cai Y, Xia J, Zhou X, Xu S, et al. Risk Factors Associated With Acute Respiratory Distress Syndrome and Death in Patients With Coronavirus Disease 2019 Pneumonia in Wuhan, China. JAMA Intern Med. 2020;180(7):934–43. Available at: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2763184. doi:.https://doi.org/10.1001/jamainternmed.2020.0994
  23. Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med. 2020;8(5):475–81. Published online 2020 February 24. doi:.https://doi.org/10.1016/S2213-2600(20)30079-5
  24. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054–62. doi:.https://doi.org/10.1016/S0140-6736(20)30566-3