GuidelineIntensive care medicine2010
Chapter 7. Critical care triage. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.
Guideline in Intensive care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The underrepresentation of palliative care in global guidelines for responding to infectious disease outbreaks: a systematic narrative review.International health · 2022Pooled it
- Practices in Triage and Transfer of Critically Ill Patients: A Qualitative Systematic Review of Selection Criteria.Critical care medicine · 2020Pooled it
- Allocation of Scarce Resources in a Pandemic: A Systematic Review of US State Crisis Standards of Care Documents.Disaster medicine and public health preparedness · 2020Pooled it
- Guideline
- Contingency Plan for the Intensive Care Services for the COVID-19 pandemic.Enfermeria intensivaGuideline
- [Medical decision-making in clinical disaster medicine and in healthcare crises : Applying ethics and law in resource allocation].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Adjustment of medical standards in disaster, crises and war: a scoping review of the literature.BMJ public health · 2024Article
- Critical care and pandemic preparedness and response.British journal of anaesthesia · 2023Review
- Improved performance of an intensive care unit after changing the admission triage model.Scientific reports · 2023Article
- Senior-COVID-Rea Cohort Study: A Geriatric Prediction Model of 30-day Mortality in Patients Aged over 60 Years in ICU for Severe COVID-19.Aging and disease · 2022Article
- Prognosis of COVID-19 pneumonia can be early predicted combining Age-adjusted Charlson Comorbidity Index, CRB score and baseline oxygen saturation.Scientific reports · 2022Article
- Physicians' Acceptance of Triage Guidelines in the Context of the COVID-19 Pandemic: A Qualitative Study.Frontiers in public health · 2021Article
- Allocation of intensive care resources during an infectious disease outbreak: a rapid review to inform practice.BMC medicine · 2020Review
- Triage protocol for allocation of critical health resources during Covid-19 pandemic and public health emergencies. A narrative review.Acta bio-medica : Atenei Parmensis · 2020Review
- COVID-19: instruments for the allocation of mechanical ventilators-a narrative review.Critical care (London, England) · 2020Review
- Adult ICU Triage During the Coronavirus Disease 2019 Pandemic: Who Will Live and Who Will Die? Recommendations to Improve Survival.Critical care medicine · 2020Article
- COVID-19: A critical care perspective informed by lessons learnt from other viral epidemics.Anaesthesia, critical care & pain medicine · 2020Article
- Classic cases revisited: Of hurricanes, cyanide and moral courage.Journal of the Intensive Care Society · 2020Article
- Triage.Critical care clinics · 2019Review
- The Critical Care Society of Southern Africa Consensus Statement on ICU Triage and Rationing (ConICTri).The Southern African journal of critical care : the official journal of the Critical Care Society · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
purposeTo provide recommendations and standard operating procedures for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on critical care triage.
methodsBased on a literature review and expert opinion, a Delphi process was used to define the essential topics including critical care triage.
resultsKey recommendations include: (1) establish an Incident Management System with Emergency Executive Control Groups at facility, local, regional/state or national levels to exercise authority and direction over resources; (2) developing fair and equitable policies may require restricting ICU services to patients most likely to benefit; (3) usual treatments and standards of practice may be impossible to deliver; (4) ICU care and treatments may have to be withheld from patients likely to die even with ICU care and withdrawn after a trial in patients who do not improve or deteriorate; (5) triage criteria should be objective, ethical, transparent, applied equitably and be publically disclosed; (6) trigger triage protocols for pandemic influenza only when critical care resources across a broad geographic area are or will be overwhelmed despite all reasonable efforts to extend resources or obtain additional resources; (7) triage of patients for ICU should be based on those who are likely to benefit most or a 'first come, first served' basis; (8) a triage officer should apply inclusion and exclusion criteria to determine patient qualification for ICU admission.
conclusionsJudicious planning and adoption of protocols for critical care triage are necessary to optimize outcomes during a pandemic.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.