Department of Philosophy, Stockholm University, Stockholm, Sweden.
Department of Politics, Media and Philosophy, La Trobe University, Melbourne, Victoria, Australia.
Bioethics. 2024 Feb;38(2):95-106. doi: 10.1111/bioe.13242. Epub 2023 Nov 22.
This paper provides a general framework for conceptualizing triage for intensive care unit admissions in public health emergencies such as the COVID-19 pandemic. It applies this framework to some of the guidelines issued during the pandemic and addresses some controversial issues, including the role of age, the use of lives or life years, and the relevance of quality of life considerations. The paper defends a view on which triage protocols for public health emergencies should aim to maximize the number of life years saved, may take into account age as a proxy, and should ignore quality of life considerations.
本文为在诸如 COVID-19 大流行等公共卫生紧急情况下对 ICU 入院进行分类提供了一个通用框架。它将该框架应用于大流行期间发布的一些指南，并解决了一些有争议的问题，包括年龄的作用、使用生命或生命年，以及生活质量考虑的相关性。本文捍卫了一种观点，即公共卫生紧急情况的分类协议应旨在最大限度地增加挽救的生命年数，可以考虑年龄作为替代指标，并且应该忽略生活质量方面的考虑。
