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Preparing for the Worst-Case Scenario in a Pandemic: Intensivists Simulate Prioritization and Triage of Scarce ICU Resources\* by Kathrin Knochel; Katharina Adaktylos-Surber; Eva-Maria Schmolke; Lukas J. Meier; Katja Kuehlmeyer; Kurt Ulm; Alena Buyx; Gerhard Schneider; Markus Heim is a Medicine article available to read on EtoBox.

What is Preparing for the Worst-Case Scenario in a Pandemic: Intensivists Simulate Prioritization and Triage of Scarce ICU Resources\* about?

## OBJECTIVES: Simulation and evaluation of a prioritization protocol at a German university hospital using a convergent parallel mixed methods design. ## DESIGN: Prospective single-center cohort study with a quantitative analysis of ICU patients and qualitative content analysis of two focus groups with intensivists. ## SETTING: Five ICUs of internal medicine and anesthesiology at a German university hospital. ## PATIENTS: Adult critically ill ICU patients (__n__ = 53). ## INTERVENTIONS: After training the attending senior ICU physicians (__n__ = 13) in rationing, an impending ICU congestion was simulated. All ICU patients were rated according to their likelihood to survive their acute illness (good-moderate-unfavorable). From each ICU, the two patients with the most unfavorable prognosis (__n__ = 10) were evaluated by five prioritization teams for triage. ## MEASUREMENTS AND MAIN RESULTS: Patients nominated for prioritization visit (__n__ = 10) had higher Sequential Organ Failure Assessment scores and already a longer stay at the hospital and on the ICU compared with the other patients. The order within this worst prognosis group was not congruent between the five teams. However,

Who reads Preparing for the Worst-Case Scenario in a Pandemic: Intensivists Simulate Prioritization and Triage of Scarce ICU Resources\*?

Author

Kathrin Knochel; Katharina Adaktylos-Surber; Eva-Maria Schmolke; Lukas J. Meier; Katja Kuehlmeyer; Kurt Ulm; Alena Buyx; Gerhard Schneider; Markus Heim

Published

2022

Language

EN

Field

Medicine (Health Sciences)