About: Triage during the COVID-19 epidemic in Spain: better and worse ethical arguments

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Triage during the COVID-19 epidemic in Spain: better and worse ethical arguments
Creator	Gella, Pablo Herreros, Benjamin Real De Asua, Diego
Source	Medline; PMC
abstract	The COVID-19 pandemic has generated an imbalance between the clinical needs of the population and the effective availability of advanced life support (ALS) resources. Triage protocols have thus become necessary. Triage decisions in situations of scarce resources were not extraordinary in the pre-COVID-19 era; these protocols abounded in the context of organ transplantation. However, this prior experience was not considered during the COVID-19 outbreak in Spain. Lacking national guidance or public coordination, each hospital has been forced to put forth independent and autonomous triage protocols, most of which were, nonetheless, based on common ethical principles and clinical criteria. However, controversial, non-clinical criteria have also been defended by Spanish scientific societies and public institutions, including setting an age cut-off value for unilaterally withholding ALS, using ‘social utility’ criteria, prioritising healthcare professionals or using ‘first come, first served’ policies. This paper describes the most common triage criteria used in the Spanish context during the COVID-19 epidemic. We will highlight our missed opportunities by comparing these criteria to those used in organ transplantation protocols. The problems posed by subjective, non-clinical criteria will also be discussed. We hope that this critical review might be of use to countries at earlier stages of the epidemic while we learn from our mistakes.
has issue date	2020-05-18(xsd:dateTime)
bibo:doi	10.1136/medethics-2020-106352
bibo:pmid	32424063
has license	no-cc
sha1sum (hex)	a7ad8425fe0573d04eca4ea33051b8923a1bde1a
schema:url	https://doi.org/10.1136/medethics-2020-106352
resource representing a document's title	Triage during the COVID-19 epidemic in Spain: better and worse ethical arguments
has PubMed Central identifier	PMC7242823
has PubMed identifier	32424063
schema:publication	J Med Ethics
resource representing a document's body	covid:a7ad8425fe0573d04eca4ea33051b8923a1bde1a#body_text
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