Evidence map›Paper›PMID 32556826›Full record

ReviewAnnals of intensive care2020

Ethical dilemmas due to the Covid-19 pandemic.

René Robert, Nancy Kentish-Barnes, Alexandre Boyer, Alexandra Laurent, Elie Azoulay, Jean Reignier

Open access · goldAbstract readReview
In one paragraph

Review in Annals of intensive care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 7 pooled it
52.1field-weighted citation impact, top 1% 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

116 citing papers in PubMed, 7 syntheses or guidelines pooled it, 316 citations in OpenAlex.

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  5. The Impact of Epidemics and Pandemics on the Mental Health of Healthcare Workers: A Systematic Review.International journal of environmental research and public health · 2021
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56 more citing papers are in PubMed but not listed here.

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

6 authors at 5 institutions in 2 countries.

René RobertUniversité de Poitiers, Poitiers, France. rene.robert@chu-poitiers.fr.ORCID http://orcid.org/0000-0001-5989-5409
Nancy Kentish-BarnesService de Réanimation Médicale, APHP, CHU Saint-Louis, Paris, France.
Alexandre BoyerUniversité de Bordeaux, Bordeaux, France.
Alexandra LaurentLaboratoire psy-DREPI, Université de Bourgogne Franche-Comté, 7458, Dijon, France.
Elie AzoulayService de Réanimation Médicale, APHP, CHU Saint-Louis, Paris, France.
Jean ReignierUniversité de Nantes, Nantes, France.
Assistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Universitaire de Nantes · FRInserm · FRUniversité de Bordeaux · FRUniversité de Bourgogne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The devastating pandemic that has stricken the worldwide population induced an unprecedented influx of patients in ICUs, raising ethical concerns not only surrounding triage and withdrawal of life support decisions, but also regarding family visits and quality of end-of-life support. These ingredients are liable to shake up our ethical principles, sharpen our ethical dilemmas, and lead to situations of major caregiver sufferings. Proposals have been made to rationalize triage policies in conjunction with ethical justifications. However, whatever the angle of approach, imbalance between utilitarian and individual ethics leads to unsolvable discomforts that caregivers will need to overcome. With this in mind, we aimed to point out some critical ethical choices with which ICU caregivers have been confronted during the Covid-19 pandemic and to underline their limits. The formalized strategies integrating the relevant tools of ethical reflection were disseminated without deviating from usual practices, leaving to intensivists the ultimate choice of decision.

Indexed as

BurnoutCovid-19End-of-lifeEthicsFamily-centered careICUPandemicTriageWithdrawal of life support

Identifiers

PMID32556826
PMCPMC7298921
OpenAlexW3036857762

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.