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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.
Marckmann, Georg; Neitzke, Gerald; Schildmann, Jan; Michalsen, Andrej; Dutzmann, Jochen; Hartog, Christiane; Jöbges, Susanne; Knochel, Kathrin; Michels, Guido; Pin, Martin; Riessen, Reimer; Rogge, Annette; Taupitz, Jochen; Janssens, Uwe.
  • Marckmann G; Institute of Ethics, History, and Theory of Medicine, Ludwig-Maximilians-University Munich, Munich, Germany.
  • Neitzke G; Institute for History, Ethics and Philosophy of Medicine, Hannover Medical School, Hannover, Germany.
  • Schildmann J; Institute for the History and Ethics of Medicine, Interdisciplinary Center for Health Sciences, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.
  • Michalsen A; Clinic for Anaesthesiology, Intensive Care, Emergency Care and Analgesic Therapy, Hospital Tettnang, Tettnang, Germany.
  • Dutzmann J; Medical University and Polyclinic for Internal Medicine III, University Hospital Halle (Saale), Halle (Saale), Germany.
  • Hartog C; Clinic for Anaesthesiology and Intensive Care, Charité Medical School Berlin, Berlin, Germany.
  • Jöbges S; Hospital Bavaria Kreischa, Kreischa, Germany.
  • Knochel K; Institute for Biomedical Ethics and History of Medicine, University Zürich, Zürich, Switzerland.
  • Michels G; Paediatric Clinic and Paediatric Polyclinic Dr. von Haunerschen Kinderspital, University Hospital Munich, Munich, Germany.
  • Pin M; Department for Acute and Emergency Medicine, St. Antonius Hospital Eschweiler, Eschweiler, Germany.
  • Riessen R; Central Interdisciplinary Emergency Department, Florence-Nightingale-Hospital Kaiserswerther Diakonie, Düsseldorf, Germany.
  • Rogge A; Medical Intensive Care Unit 93, Department for Internal Medicine, University Hospital Tübingen, Tübingen, Germany.
  • Taupitz J; Division Ethics of Medicine, Christian-Albrechts-University Kiel, Kiel, Germany.
  • Janssens U; Legal Research Department, University Mannheim, Mannheim, Germany.
Med Klin Intensivmed Notfmed ; 115(Suppl 3): 115-122, 2020 Dec.
Article in English | MEDLINE | ID: covidwho-1029344
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 group of authors with the support of eight scientific medical societies. The recommendations for procedures and criteria for prioritisations in case of resource scarcity are based on scientific evidence, ethicolegal 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 supraindividual 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. The 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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Full text: Available Collection: International databases Database: MEDLINE Main subject: Coronavirus / COVID-19 Type of study: Prognostic study Limits: Humans Language: English Journal: Med Klin Intensivmed Notfmed Year: 2020 Document Type: Article Affiliation country: S00063-020-00709-9

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Coronavirus / COVID-19 Type of study: Prognostic study Limits: Humans Language: English Journal: Med Klin Intensivmed Notfmed Year: 2020 Document Type: Article Affiliation country: S00063-020-00709-9