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Ethical triage during the COVID-19 pandemic: a toolkit for neurosurgical resource allocation.
Hulsbergen, Alexander F C; Eijkholt, Marleen M; Balak, Naci; Brennum, Jannick; Bolger, Ciarán; Bohrer, Anna-Margarete; Feldman, Zeev; Holsgrove, Daniel; Kitchen, Neil; Mathiesen, Tiit I; Moojen, Wouter A; Samprón, Nicolás; Sames, Martin; Sandvik, Ulrika; Tisell, Magnus; Broekman, Marike L D.
  • Hulsbergen AFC; Ethics Committee of the European Association of Neurosurgical Societies, Brussels, Belgium. a.f.c.hulsbergen@students.uu.nl.
  • Eijkholt MM; Departments of Neurosurgery, Haaglanden Medical Center and Leiden University Medical Center, Lijnbaan 32, 2512, VA, The Hague, The Netherlands. a.f.c.hulsbergen@students.uu.nl.
  • Balak N; Ethics Committee of the European Association of Neurosurgical Societies, Brussels, Belgium.
  • Brennum J; Unit Ethics and Health Care, Leiden University Medical Center, Leiden, The Netherlands.
  • Bolger C; Ethics Committee of the European Association of Neurosurgical Societies, Brussels, Belgium.
  • Bohrer AM; Ethics Committee of the European Association of Neurosurgical Societies, Brussels, Belgium.
  • Feldman Z; Ethics Committee of the European Association of Neurosurgical Societies, Brussels, Belgium.
  • Holsgrove D; Department of Clinical Neuroscience, Beaumont Hospital, Dublin, Ireland.
  • Kitchen N; Ethics Committee of the European Association of Neurosurgical Societies, Brussels, Belgium.
  • Mathiesen TI; Ethics Committee of the European Association of Neurosurgical Societies, Brussels, Belgium.
  • Moojen WA; Ethics Committee of the European Association of Neurosurgical Societies, Brussels, Belgium.
  • Samprón N; Ethics Committee of the European Association of Neurosurgical Societies, Brussels, Belgium.
  • Sames M; Ethics Committee of the European Association of Neurosurgical Societies, Brussels, Belgium.
  • Sandvik U; Department of Neurosurgery, Copenhagen University Hospital Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark.
  • Tisell M; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
  • Broekman MLD; Department of Clinical Neuroscience, Section for Neurosurgery, Karolinska Intitutet, Stockholm, Sweden.
Acta Neurochir (Wien) ; 162(7): 1485-1490, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-260343
ABSTRACT

BACKGROUND:

The COVID-19 pandemic confronts healthcare workers, including neurosurgeons, with difficult choices regarding which patients to treat.

METHODS:

In order to assist ethical triage, this article gives an overview of the main considerations and ethical principles relevant when allocating resources in times of scarcity.

RESULTS:

We discuss a framework employing four principles prioritizing the worst off, maximizing benefits, treating patients equally, and promoting instrumental value. We furthermore discuss the role of age and comorbidity in triage and highlight some principles that may seem intuitive but should not form a basis for triage.

CONCLUSIONS:

This overview is presented on behalf of the European Association of Neurosurgical Societies and can be used as a toolkit for neurosurgeons faced with ethical dilemmas when triaging patients in times of scarcity.
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Full text: Available Collection: International databases Database: MEDLINE Language: English Journal: Acta Neurochir (Wien) Year: 2020 Document Type: Article Affiliation country: S00701-020-04375-w

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Full text: Available Collection: International databases Database: MEDLINE Language: English Journal: Acta Neurochir (Wien) Year: 2020 Document Type: Article Affiliation country: S00701-020-04375-w