ArticleThe Lancet. Respiratory medicine2021
Allocating scarce intensive care resources during the COVID-19 pandemic: practical challenges to theoretical frameworks.
Article in The Lancet. Respiratory medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05216523 ("Review of Barotrauma in Admitted Covid-19 Cases - A Single Center Retrospective Study From March 2020 Till April 2021."), which is not on this map. Cited by 68 papers, 2 of them syntheses that pooled it.
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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.
"Review of Barotrauma in Admitted Covid-19 Cases - A Single Center Retrospective Study From March 2020 Till April 2021."
Who cites it
68 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Severity and associated factors of moral injury in healthcare workers during the coronavirus pandemic: a comprehensive meta-analysis.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Early diagnostic value of home video-based machine learning in autism spectrum disorder: a meta-analysis.European journal of pediatrics · 2024Pooled it
- Voices of patients' relatives to support weaning from mechanical ventilation: a randomized trial.Brain communications · 2025Trial
- Continuous imputation of blood gas and metabolic panel laboratory values in the intensive care unit using machine learning.Journal of clinical monitoring and computing · 2026Article
- Resource allocation decisions faced by health care providers during the COVID-19 pandemic in a community intensive care unit in Ontario, Canada: a qualitative study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026Article
- Pancreatitis-associated mortality in the United States: A population-based analysis of trends and disparities, 1999 to 2023.Medicine · 2026Article
- Impact of COVID-19 lived experiences on future influenza pandemic worry: a cross-sectional survey in China.BMC public health · 2025Article
- Opportunities Offered by Telemedicine in the Care of Patients Affected by Fractures and Critical Issues: A Narrative Review.Journal of clinical medicine · 2025Review
- Minnesota Hospitals' Plans for Implementing Statewide Guidance on Allocation of Scarce Critical Care Resources During the COVID-19 Pandemic.Mayo Clinic proceedings. Innovations, quality & outcomes · 2024Article
- Policy Proposals for Mitigating Intensive Care Unit Strain: Insights from the COVID-19 Pandemic.Annals of the American Thoracic Society · 2024Article
- Article
- Use of Extracorporeal Membrane Oxygenation for Patients with Coronavirus Disease 2019 Infection.Advances in surgery · 2024Review
- The Indian Society of Critical Care Medicine Position Statement on the Management of Sepsis in Resource-limited Settings.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024Article
- An elastic net regression model for predicting the risk of ICU admission and death for hospitalized patients with COVID-19.Scientific reports · 2024Article
- Setting Up a Just and Fair ICU Triage Process during a Pandemic: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Frailty in Critically Ill Patients with COVID-19: The Lessons Learned.Advances in experimental medicine and biology · 2024Review
- The status quo of short video as sources of health information on gastroesophageal reflux disease in China: a cross-sectional study.Frontiers in public health · 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
- Deep learning for deterioration prediction of COVID-19 patients based on time-series of three vital signs.Scientific reports · 2023Article
- The Use of Extracorporeal Membrane Oxygenation for COVID-19: Lessons Learned.Clinics in chest medicine · 2023Review
8 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The COVID-19 pandemic strained health-care systems throughout the world. For some, available medical resources could not meet the increased demand and rationing was ultimately required. Hospitals and governments often sought to establish triage committees to assist with allocation decisions. However, for institutions operating under crisis standards of care (during times when standards of care must be substantially lowered in the setting of crisis), relying on these committees for rationing decisions was impractical-circumstances were changing too rapidly, occurring in too many diverse locations within hospitals, and the available information for decision making was notably scarce. Furthermore, a utilitarian approach to decision making based on an analysis of outcomes is problematic due to uncertainty regarding outcomes of different therapeutic options. We propose that triage committees could be involved in providing policies and guidance for clinicians to help ensure equity in the application of rationing under crisis standards of care. An approach guided by egalitarian principles, integrated with utilitarian principles, can support physicians at the bedside when they must ration scarce resources.
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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.