ReviewMedizinische Klinik, Intensivmedizin und Notfallmedizin2020
[Decisions on the allocation of intensive care resources in the context of the COVID-19 pandemic : Clinical and ethical recommendations of DIVI, DGINA, DGAI, DGIIN, DGNI, DGP, DGP and AEM. German version].
Review in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis 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
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Recommendations for treatment of critically ill patients with COVID-19 : Version 3 S1 guideline.Der Anaesthesist · 2021Guideline
- [Triage in crisis situations-a very delicate topic].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Article
- [What lessons can be learned from the debate on the German Triage Act?]Unfallchirurgie (Heidelberg, Germany) · 2026Article
- [First come, first failed : The rise and fall of Germany's Triage law].Die Anaesthesiologie · 2025Article
- [Medical decision-making in clinical disaster medicine and in healthcare crises : Applying ethics and law in resource allocation].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Article
- Evaluation of score-based tertiary triage policies during the COVID-19 pandemic: simulation study with real-world intensive care data.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- [Intensive care and emergency medicine overuse and sustainability].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Review
- Medical Resource Management in Emergency Hierarchical Diagnosis and Treatment Systems: A Research Framework.Healthcare (Basel, Switzerland) · 2024Article
- [ECMO support during the first two waves of the corona pandemic-a survey of high case volume centers in Germany].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Article
- [German "Triage Act"-Regulation with fatal consequences].Die Anaesthesiologie · 2023Review
- Triage in Times of COVID-19: A Moral Dilemma.Journal of health and social behavior · 2022Article
- A beginner's view of end of life care on German intensive care units.BMC anesthesiology · 2022Article
- Article
- ["Prioritization and triage" in the context of cardiovascular diseases : Rational organization of safe care during and outside the corona pandemic].Der Internist · 2021Review
- ["Prioritization and triage" in the context of cardiovascular diseases : Rational organization of safe care during and outside the corona pandemic].Der Internist · 2021Review
- [Recommendations for ethical decision making regarding hospital visitation during the COVID-19 pandemic].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Review
- [Allocation of limited resources in intensive and emergency medical care].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Review
- [The Tübingen Model "Ethics Consultants on the Ward": a pilot project to establish decentralized structures of clinical ethics consultation at a university hospital].Ethik in der Medizin : Organ der Akademie fur Ethik in der Medizin · 2021Article
- The Functional Trajectory in Frail Compared With Non-frail Critically Ill Patients During the Hospital Stay.Frontiers in medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In view of the globally evolving Coronavirus Disease (COVID-19) pandemic, German hospitals rapidly expanded their intensive care capacities. However, it is possible that even with an optimal use of the increased resources, these will not suffice for all patients in need. Therefore, recommendations for the allocation of intensive care resources in the context of the COVID-19 pandemic have been developed by a multidisciplinary authors group with support of eight scientific medical societies. The recommendations for procedures and criteria for prioritisations in case of resource scarcity are based on scientific evidence, ethico-legal considerations and practical experience. Medical decisions must always be based on the need and the treatment preferences of the individual patient. In addition to this patient-centred approach, prioritisations in case of resource scarcity require a supra-individual perspective. In such situations, prioritisations should be based on the criterion of clinical prospect of success in order to minimize the number of preventable deaths due to resource scarcity and to avoid discrimination based on age, disabilities or social factors. Assessment of the clinical prospect of success should take into account the severity of the current illness, severe comorbidities and the patient's general health status prior to the current illness.
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