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dc.contributor.author
Jöbges, Susanne
dc.contributor.author
Vinay, Rasita
dc.contributor.author
Luyckx, Valerie A.
dc.contributor.author
Biller-Andorno, Nikola
dc.date.accessioned
2021-03-08T11:43:42Z
dc.date.available
2021-01-26T17:29:34Z
dc.date.available
2021-03-08T11:43:42Z
dc.date.issued
2020-11
dc.identifier.issn
0269-9702
dc.identifier.issn
1467-8519
dc.identifier.other
10.1111/bioe.12805
en_US
dc.identifier.uri
http://hdl.handle.net/20.500.11850/465765
dc.identifier.doi
10.3929/ethz-b-000465765
dc.description.abstract
On March 11, 2020 the World Health Organization classified COVID‐19, caused by Sars‐CoV‐2, as a pandemic. Although not much was known about the new virus, the first outbreaks in China and Italy showed that potentially a large number of people worldwide could fall critically ill in a short period of time. A shortage of ventilators and intensive care resources was expected in many countries, leading to concerns about restrictions of medical care and preventable deaths. In order to be prepared for this challenging situation, national triage guidance has been developed or adapted from former influenza pandemic guidelines in an increasing number of countries over the past few months. In this article, we provide a comparative analysis of triage recommendations from selected national and international professional societies, including Australia/New Zealand, Belgium, Canada, Germany, Great Britain, Italy, Pakistan, South Africa, Switzerland, the United States, and the International Society of Critical Care Medicine. We describe areas of consensus, including the importance of prognosis, patient will, transparency of the decision‐making process, and psychosocial support for staff, as well as the role of justice and benefit maximization as core principles. We then probe areas of disagreement, such as the role of survival versus outcome, long‐term versus short‐term prognosis, the use of age and comorbidities as triage criteria, priority groups and potential tiebreakers such as ‘lottery’ or ‘first come, first served’. Having explored a number of tensions in current guidance, we conclude with a suggestion for framework conditions that are clear, consistent and implementable. This analysis is intended to advance the ongoing debate regarding the fair allocation of limited resources and may be relevant for future policy‐making.
en_US
dc.format
application/pdf
en_US
dc.language.iso
en
en_US
dc.publisher
Wiley
en_US
dc.rights.uri
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject
comparison
en_US
dc.subject
COVID‐19
en_US
dc.subject
ethics
en_US
dc.subject
guidelines
en_US
dc.subject
public health
en_US
dc.subject
triage
en_US
dc.title
Recommendations on COVID‐19 triage: international comparison and ethical analysis
en_US
dc.type
Journal Article
dc.rights.license
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
dc.date.published
2020-09-25
ethz.journal.title
Bioethics
ethz.journal.volume
34
en_US
ethz.journal.issue
9
en_US
ethz.journal.abbreviated
Bioethics
ethz.pages.start
948
en_US
ethz.pages.end
959
en_US
ethz.version.deposit
publishedVersion
en_US
ethz.publication.place
Oxford
en_US
ethz.publication.status
published
en_US
ethz.leitzahl
ETH Zürich::00002 - ETH Zürich::00003 - Schulleitung und Dienste::00022 - Bereich VP Forschung / Domain VP Research::02803 - Collegium Helveticum / Collegium Helveticum
en_US
ethz.leitzahl.certified
ETH Zürich::00002 - ETH Zürich::00003 - Schulleitung und Dienste::00022 - Bereich VP Forschung / Domain VP Research::02803 - Collegium Helveticum / Collegium Helveticum
en_US
ethz.date.deposited
2021-01-26T17:29:42Z
ethz.source
FORM
ethz.eth
yes
en_US
ethz.availability
Open access
en_US
ethz.rosetta.installDate
2021-03-08T11:44:04Z
ethz.rosetta.lastUpdated
2022-03-29T05:40:06Z
ethz.rosetta.versionExported
true
ethz.COinS
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