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Fair allocation of scarce medical resources during COVID-19 pandemic: ethical considerations.新冠疫情期间稀缺医疗资源的公平分配：伦理考量
Einstein (Sao Paulo). 2020 Apr 30;18:eAE5775. doi: 10.31744/einstein_journal/2020AE5775.
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Implementing shared ventilation must be scientific and ethical, or it risks harm.实施共享通风必须科学且符合伦理道德，否则可能会造成危害。
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[Ethical decision-making framework for the allocation of scarce mechanical ventilators during the COVID-19 crisis].[新冠疫情危机期间稀缺机械通气设备分配的伦理决策框架]
Harefuah. 2020 Apr;159(4):235-239.
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Reallocating ventilators during the coronavirus disease 2019 pandemic: Is it ethical?在2019冠状病毒病大流行期间重新分配呼吸机：这符合伦理道德吗？
Surgery. 2020 Sep;168(3):388-391. doi: 10.1016/j.surg.2020.04.044. Epub 2020 May 8.
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Facing Covid-19 in Italy - Ethics, Logistics, and Therapeutics on the Epidemic's Front Line.意大利应对新冠疫情——疫情前线的伦理、后勤与治疗
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[Editor's Note: COVID-19 and Bioethics].[编者按：2019冠状病毒病与生物伦理学]
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Comorbidity in context: Part 2. Ethicolegal considerations around HIV and tuberculosis during the COVID-19 pandemic in South Africa.背景下的合并症：第2部分。南非新冠疫情期间围绕艾滋病毒和结核病的伦理法律考量。
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Rev Bras Ter Intensiva. 2022 Jan-Mar;34(1):107-115. doi: 10.5935/0103-507X.20220005-pt.
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CMAJ Open. 2022 Feb 8;10(1):E90-E99. doi: 10.9778/cmajo.20210243. Print 2022 Jan-Mar.
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J Pain Symptom Manage. 2022 May;63(5):680-688. doi: 10.1016/j.jpainsymman.2022.01.004. Epub 2022 Jan 10.
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Ethical factors determining ECMO allocation during the COVID-19 pandemic.伦理因素在 COVID-19 大流行期间决定 ECMO 的分配。
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Emerging from the COVID-19 pandemic: the numbers and lessons that will stay with us forever.走出新冠疫情：那些将永远伴随我们的数字和教训。
Einstein (Sao Paulo). 2021 Feb 26;19:eED6207. doi: 10.31744/einstein_journal/2021ED6207.
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A multipurpose machine learning approach to predict COVID-19 negative prognosis in São Paulo, Brazil.一种多用途机器学习方法，用于预测巴西圣保罗的 COVID-19 不良预后。
Sci Rep. 2021 Feb 8;11(1):3343. doi: 10.1038/s41598-021-82885-y.
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Clinics (Sao Paulo). 2021 Jan 20;76:e2191. doi: 10.6061/clinics/2021/e2191. eCollection 2021.
9
Anticipating the Need for Healthcare Resources Following the Escalation of the COVID-19 Outbreak in the Republic of Kazakhstan.哈萨克斯坦共和国新冠疫情升级后对医疗资源需求的预测
J Prev Med Public Health. 2020 Nov;53(6):387-396. doi: 10.3961/jpmph.20.395. Epub 2020 Oct 5.
10
The principle of salvage in the context of COVID-19.COVID-19 背景下的抢救原则。
Nurs Inq. 2021 Jan;28(1):e12389. doi: 10.1111/nin.12389. Epub 2020 Nov 22.

本文引用的文献

1
[Clinical ethics recommendations for the allocation of intensive care treatments, in exceptional, resource-limited circumstances.].[在特殊的、资源有限的情况下，关于重症监护治疗分配的临床伦理建议。]
Recenti Prog Med. 2020 Apr;111(4):207-211. doi: 10.1701/3347.33183.
2
A Framework for Rationing Ventilators and Critical Care Beds During the COVID-19 Pandemic.新冠疫情期间呼吸机及重症监护床位分配框架
JAMA. 2020 May 12;323(18):1773-1774. doi: 10.1001/jama.2020.5046.
3
Fair Allocation of Scarce Medical Resources in the Time of Covid-19.新冠疫情期间稀缺医疗资源的公平分配
N Engl J Med. 2020 May 21;382(21):2049-2055. doi: 10.1056/NEJMsb2005114. Epub 2020 Mar 23.
4
The Toughest Triage - Allocating Ventilators in a Pandemic.最艰难的分诊——在大流行中分配呼吸机
N Engl J Med. 2020 May 21;382(21):1973-1975. doi: 10.1056/NEJMp2005689. Epub 2020 Mar 23.
5
Facing Covid-19 in Italy - Ethics, Logistics, and Therapeutics on the Epidemic's Front Line.意大利应对新冠疫情——疫情前线的伦理、后勤与治疗
N Engl J Med. 2020 May 14;382(20):1873-1875. doi: 10.1056/NEJMp2005492. Epub 2020 Mar 18.
6
Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study.中国武汉成人 COVID-19 住院患者的临床病程和死亡危险因素：一项回顾性队列研究。
Lancet. 2020 Mar 28;395(10229):1054-1062. doi: 10.1016/S0140-6736(20)30566-3. Epub 2020 Mar 11.
7
The impact of frailty on intensive care unit outcomes: a systematic review and meta-analysis.衰弱对重症监护病房结局的影响：一项系统评价和荟萃分析。
Intensive Care Med. 2017 Aug;43(8):1105-1122. doi: 10.1007/s00134-017-4867-0. Epub 2017 Jul 4.
8
Prevalence and impact of frailty on mortality in elderly ICU patients: a prospective, multicenter, observational study.老年 ICU 患者衰弱的流行率及其对死亡率的影响：一项前瞻性、多中心、观察性研究。
Intensive Care Med. 2014 May;40(5):674-82. doi: 10.1007/s00134-014-3253-4. Epub 2014 Mar 21.
9
Palliating a pandemic: "all patients must be cared for".缓解大流行：“所有患者都必须得到照顾”。
J Pain Symptom Manage. 2010 Feb;39(2):291-5. doi: 10.1016/j.jpainsymman.2009.11.241.
10
Who should receive life support during a public health emergency? Using ethical principles to improve allocation decisions.在突发公共卫生事件期间，谁应接受生命支持？运用伦理原则改善分配决策。
Ann Intern Med. 2009 Jan 20;150(2):132-8. doi: 10.7326/0003-4819-150-2-200901200-00011.

Fair allocation of scarce medical resources during COVID-19 pandemic: ethical considerations.

作者信息

Satomi Erika, Souza Polianna Mara Rodrigues de, Thomé Beatriz da Costa, Reingenheim Claudio, Werebe Eduardo, Troster Eduardo Juan, Scarin Farah Christina de La Cruz, Bacha Hélio Arthur, Grunspun Henrique, Ferraz Leonardo José Rolim, Bueno Marco Aurelio Scarpinella, Barros Filho Mario Thadeu Leme de, Borges Pedro Custódio de Mello

机构信息

Hospital Israelita Albert Einstein , São Paulo , SP , Brazil.

Universidade Federal de São Paulo , São Paulo , SP , Brazil.

出版信息

Einstein (Sao Paulo). 2020 Apr 30;18:eAE5775. doi: 10.31744/einstein_journal/2020AE5775.

DOI:10.31744/einstein_journal/2020AE5775
PMID:32374801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7186000/
Abstract
摘要