Erschienen in:
01.02.2013 | Editorial
Critical care resource allocation: trying to PREEDICCT outcomes without a crystal ball
verfasst von:
Michael D Christian, Robert Fowler, Matthew P Muller, Charles Gomersall, Charles L Sprung, Nathaniel Hupert, David Fisman, Andrew Tillyard, David Zygun, John C Marshal, PREEDICCT Study Group
Erschienen in:
Critical Care
|
Ausgabe 1/2013
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Excerpt
Despite pandemic influenza's long reign atop the list of potential medical catastrophes, the first protocol designed to support critical care triage in a pandemic was published only in 2006 [
1]. Additional protocols followed, in attempts to address the goal of developing standardized, transparent and equitable tools for allocating critical care resources to those patients most likely to benefit [
2‐
7]. Most of these protocols used the Sequential Organ Failure Assessment score as the quantitative underpinning for triage decision-making due to its ease of use. These protocols have been shown to generally direct resources to those most likely to benefit [
8], in addition to making resources available for surge patients [
9]. However, the Sequential Organ Failure Assessment score does not always differentiate well between survivors and nonsurvivors of critical illness for some patient populations [
10,
11]. …
