Impact of nonclinical factors on intensive care unit admission decisions: a vignette-based randomized trial (V-TRIAGE).

ABSTRACT:

Objective

To assess the impact of intensive care unit bed availability, distractors and choice framing on intensive care unit admission decisions.

Methods

This study was a randomized factorial trial using patient-based vignettes. The vignettes were deemed archetypical for intensive care unit admission or refusal, as judged by a group of experts. Intensive care unit physicians were randomized to 1) an increased distraction (intervention) or a control group, 2) an intensive care unit bed scarcity or nonscarcity (availability) setting, and 3) a multiple-choice or omission (status quo) vignette scenario. The primary outcome was the proportion of appropriate intensive care unit allocations, defined as concordance with the allocation decision made by the group of experts.

Resul

SUBMITTER: Ramos JGR 

PROVIDER: S-EPMC8275078 | biostudies-literature | 2021 Apr-Jun

REPOSITORIES: biostudies-literature