Evidence map›Paper›PMID 32196387›Full record

ArticleHealth security

Strategies to Inform Allocation of Stockpiled Ventilators to Healthcare Facilities During a Pandemic.

Lisa M Koonin, Satish Pillai, Emily B Kahn, Danielle Moulia, Anita Patel

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health security. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
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  19. Article
  20. Assessing the Disruption Impact on Healthcare Delivery.Journal of primary care & community health
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 2 countries.

Lisa M KooninLisa M. Koonin, DrPH, MN, MPH, is with Health Preparedness Partners, LLC, a subcontractor of General Dynamics Information Technology (GDIT); Danielle Moulia, MPH, is a Public Health Scientist with General Dynamics Information Technology (GDIT); and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; all in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases (NCIRD), Centers for Disease Control and Prevention (CDC), Atlanta, GA. Satish Pillai, MD, MPH, MS, is CDR, US Public Health Service, and Deputy Director, Division of Preparedness and Emerging Infections; and Emily B. Kahn, PhD, MPH, MA, is Senior Epidemiologist/Modeler, Division of Preparedness and Emerging Infections; both in the National Center for Emerging and Zoonotic Infectious Diseases, CDC, Atlanta. The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the US Centers for Disease Control and Prevention.
Satish PillaiLisa M. Koonin, DrPH, MN, MPH, is with Health Preparedness Partners, LLC, a subcontractor of General Dynamics Information Technology (GDIT); Danielle Moulia, MPH, is a Public Health Scientist with General Dynamics Information Technology (GDIT); and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; all in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases (NCIRD), Centers for Disease Control and Prevention (CDC), Atlanta, GA. Satish Pillai, MD, MPH, MS, is CDR, US Public Health Service, and Deputy Director, Division of Preparedness and Emerging Infections; and Emily B. Kahn, PhD, MPH, MA, is Senior Epidemiologist/Modeler, Division of Preparedness and Emerging Infections; both in the National Center for Emerging and Zoonotic Infectious Diseases, CDC, Atlanta. The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the US Centers for Disease Control and Prevention.
Emily B KahnLisa M. Koonin, DrPH, MN, MPH, is with Health Preparedness Partners, LLC, a subcontractor of General Dynamics Information Technology (GDIT); Danielle Moulia, MPH, is a Public Health Scientist with General Dynamics Information Technology (GDIT); and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; all in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases (NCIRD), Centers for Disease Control and Prevention (CDC), Atlanta, GA. Satish Pillai, MD, MPH, MS, is CDR, US Public Health Service, and Deputy Director, Division of Preparedness and Emerging Infections; and Emily B. Kahn, PhD, MPH, MA, is Senior Epidemiologist/Modeler, Division of Preparedness and Emerging Infections; both in the National Center for Emerging and Zoonotic Infectious Diseases, CDC, Atlanta. The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the US Centers for Disease Control and Prevention.
Danielle MouliaLisa M. Koonin, DrPH, MN, MPH, is with Health Preparedness Partners, LLC, a subcontractor of General Dynamics Information Technology (GDIT); Danielle Moulia, MPH, is a Public Health Scientist with General Dynamics Information Technology (GDIT); and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; all in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases (NCIRD), Centers for Disease Control and Prevention (CDC), Atlanta, GA. Satish Pillai, MD, MPH, MS, is CDR, US Public Health Service, and Deputy Director, Division of Preparedness and Emerging Infections; and Emily B. Kahn, PhD, MPH, MA, is Senior Epidemiologist/Modeler, Division of Preparedness and Emerging Infections; both in the National Center for Emerging and Zoonotic Infectious Diseases, CDC, Atlanta. The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the US Centers for Disease Control and Prevention.
Anita PatelLisa M. Koonin, DrPH, MN, MPH, is with Health Preparedness Partners, LLC, a subcontractor of General Dynamics Information Technology (GDIT); Danielle Moulia, MPH, is a Public Health Scientist with General Dynamics Information Technology (GDIT); and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; all in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases (NCIRD), Centers for Disease Control and Prevention (CDC), Atlanta, GA. Satish Pillai, MD, MPH, MS, is CDR, US Public Health Service, and Deputy Director, Division of Preparedness and Emerging Infections; and Emily B. Kahn, PhD, MPH, MA, is Senior Epidemiologist/Modeler, Division of Preparedness and Emerging Infections; both in the National Center for Emerging and Zoonotic Infectious Diseases, CDC, Atlanta. The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the US Centers for Disease Control and Prevention.
General Dynamics (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During a severe pandemic, especially one causing respiratory illness, many people may require mechanical ventilation. Depending on the extent of the outbreak, there may be insufficient capacity to provide ventilator support to all of those in need. As part of a larger conceptual framework for determining need for and allocation of ventilators during a public health emergency, this article focuses on the strategies to assist state and local planners to allocate stockpiled ventilators to healthcare facilities during a pandemic, accounting for critical factors in facilities' ability to make use of additional ventilators. These strategies include actions both in the pre-pandemic and intra-pandemic stages. As a part of pandemic preparedness, public health officials should identify and query healthcare facilities in their jurisdiction that currently care for critically ill patients on mechanical ventilation to determine existing inventory of these devices and facilities' ability to absorb additional ventilators. Facilities must have sufficient staff, space, equipment, and supplies to utilize allocated ventilators adequately. At the time of an event, jurisdictions will need to verify and update information on facilities' capacity prior to making allocation decisions. Allocation of scarce life-saving resources during a pandemic should consider ethical principles to inform state and local plans for allocation of ventilators. In addition to ethical principles, decisions should be informed by assessment of need, determination of facilities' ability to use additional ventilators, and facilities' capacity to ensure access to ventilators for vulnerable populations (eg, rural, inner city, and uninsured and underinsured individuals) or high-risk populations that may be more susceptible to illness.

Indexed as

Disaster PlanningEmergenciesPandemicsResource AllocationDecision MakingDisease OutbreaksHealth FacilitiesHumansPublic HealthVentilators, MechanicalAllocationCOVID-19PandemicPublic health preparedness/responseVentilator

Identifiers

PMID32196387
PMCPMC7194315
OpenAlexW3010960419

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.