新冠疫情期间的医疗分诊：医学和伦理负担。

Medical Triage During the COVID-19 Pandemic: A Medical and Ethical Burden.

机构信息

Doctoral Student at the Johann-Wolfgang Goethe University of Frankfurt, Germany.

Head of the Clinic for Anaesthesiology, Intensive Care Medicine, and Pain Therapy and the Outpatient Palliative Care Team at the Main Taunus Clinics in Bad Soden, Germany.

出版信息

J Clin Ethics. 2021 Spring;32(1):73-76.

PMID:33656459

Abstract

During the COVID-19 pandemic, the number of patients who require intensive care treatment may outnumber the number of intensive care beds, even in industrialized nations. Consequently, triage may become necessary. In Italy, France, and Spain, age has been used as a leading parameter to decide who is admitted to the intensive care unit, and who receives palliative care. Although age is an objective and easy-to-use parameter, it is ethically not ideal to withdraw ventilator therapy from elderly people who suffer from COVID-19. We have developed a simple and easy-to-use scoring system to allow for triage that is based upon scientific outcome data and, at the same time, fulfills ethical standards.

摘要

在 COVID-19 大流行期间，需要重症治疗的患者数量可能超过重症监护病床的数量，即使在工业化国家也是如此。因此，可能需要进行分诊。在意大利、法国和西班牙，年龄已被用作决定谁入住重症监护病房以及谁接受姑息治疗的主要参数。虽然年龄是一个客观且易于使用的参数，但从患有 COVID-19 的老年人身上撤下呼吸机治疗在伦理上并不理想。我们开发了一种简单易用的评分系统，用于根据科学结果数据进行分诊，同时符合伦理标准。