Open AccessEvaluation of Organ Dysfunction Scores for Allocation of Scarce Resources in Critically Ill Children and Adults During a Healthcare Crisis*
Author(s) -
L. Nelson Sanchez-Pinto,
William F. Parker,
Anoop Mayampurath,
Sabrina Derrington,
Kelly Michelson
Publication year - 2020
Publication title -
critical care medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.002
H-Index - 271
eISSN - 1530-0293
pISSN - 0090-3493
DOI - 10.1097/ccm.0000000000004774
Subject(s) - medicine , organ dysfunction , observational study , intensive care medicine , psychological intervention , context (archaeology) , population , critically ill , pediatrics , emergency medicine , environmental health , psychiatry , paleontology , biology , sepsis
When healthcare systems are overwhelmed, accurate assessments of patients' predicted mortality risks are needed to ensure effective allocation of scarce resources. Organ dysfunction scores can serve this essential role, but their evaluation in this context has been limited so far. In this study, we sought to assess the performance of three organ dysfunction scores in both critically ill adults and children at clinically relevant mortality thresholds and timeframes for resource allocation and compare it with two published prioritization schemas.