ArticleFrontiers in medicine2021
Priorities Towards Fair Allocation of Ventilators During COVID-19 Pandemic: A Delphi Study.
Article in Frontiers in medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Evaluation of healthcare-related factors influencing mental health of Taiwanese citizens among different age groups.Scientific reports · 2024Article
- Exploring the clinical benefit of ventilation therapy across various patient groups with COVID-19 using real-world data.Scientific reports · 2023Article
- Community preferences for the allocation of scarce healthcare resources during the COVID-19 pandemic: a review of the literature.Public health · 2022Review
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCOVID-19 pandemic has resulted in severe shortage in vital resources, including invasive mechanical ventilators. The current imbalance between demand and supply of mechanical ventilators has called for investigations on the fair allocation of mechanical ventilators.
objectiveTo determine the priorities of the medical experts towards the fair allocation of ventilators during the COVID-19 pandemic.
methodsThis study was conducted from May 28 to Aug 20, 2020. The questionnaire was sent to 50 medical specialists as the Delphi panel. Participants were asked to rate each prioritising factor: "-1" for low priority, "+1" for high priority, and "Zero" for equal priority.
resultsAmong 38 experts who responded to the email, the responses of 35 were analysed. 31 (88.6%) participants recommended that pregnant women be considered high priority in allocating ventilators, 27 (77.1%) mothers of children <5 years, 26 (74.3%) patients under 80-years, and 23 (65.7%) front-line-healthcare-workers. In contrast, 28 (80.0) participants recommended that patients who are terminally ill should be considered as a low priority, 27 (77.1%) patients with active-malignancy, 25 (71.4%) neurodegenerative diseases, and 16 (45.7%) patients aged >80. The panel did not reach a consensus regarding the role of patients' laboratory profiles, underlying diseases, or drug abuse in the prioritisation of ventilators.
conclusionsThe panel considered pregnant mothers, mothers of children under 5 years, age groups younger than 80, and front-line healthcare workers to have high priority in allocating mechanical ventilators.
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