Preparing for the Worst-Case Scenario in a Pandemic: Intensivists Simulate Prioritization and Triage of Scarce ICU Resources.

ABSTRACT:

Objectives

Simulation and evaluation of a prioritization protocol at a German university hospital using a convergent parallel mixed methods design.

Design

Prospective single-center cohort study with a quantitative analysis of ICU patients and qualitative content analysis of two focus groups with intensivists.

Setting

Five ICUs of internal medicine and anesthesiology at a German university hospital.

Patients

Adult critically ill ICU patients ( n = 53).

Interventions

After training the attending senior ICU physicians ( n = 13) in rationing, an impending ICU congestion was simulated. All ICU patients were rated according to their likelihood to survive their acute illness (good-moderate-unfavorable). From each ICU, the two patients with the most unfavorable

SUBMITTER: Knochel K 

PROVIDER: S-EPMC9668365 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature