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Document Type
Rapid Review
Review Code
CAC061801 RR
Question Submitted
June 18, 2020
Date Completed
July 13, 2020
Status
3. Completed
Research Team
Clinical/Acute Care
Document Type
Rapid Review
Review Code
CAC061801 RR
Question Submitted
June 18, 2020
Date Completed
July 13, 2020
Status
3. Completed
Research Team
Clinical/Acute Care
Key Findings
There are currently no validated pediatric triaging scored for COVID
Several US states have pandemic plans, and some pediatric specific for triage and scarce resource allocation
A number of pandemic plans include the use of PELOD-2 either in isolation or in combination with a mortality prognosis (survival > 1 year, death within 5 years despite successful treatment, death within 1 year despite successful treatment for ICU triage
While some states do not have pediatric-specific triage criteria, they do list young age as a prioritization category
Several sources discuss the ethics of scarce resource allocation and pediatric hospitals
Most recommend using a prioritization scale to save the most lives with the least resources vs. “first come, first serve” methods
Category
Healthcare Services
Administration
Subject
Pediatrics
Triage
Acute Care
Population
All Pediatrics
Priority Level
Level 5 completed within 2 weeks
Cite As
Badea, A; Groot, G; Howell-Spooner, B; Dalidowicz, M. What are the pediatric triage protocols implemented during the COVID-19 pandemic, other pandemics, or in other resource-scarce situations? 2020 Jul 13; Document no.: CAC061801 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 23 p. (CEST rapid review report)
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Document Type
Rapid Review
Review Code
CAC061802 RR
Question Submitted
June 18, 2020
Date Completed
July 21, 2020
Status
3. Completed
Research Team
Clinical/Acute Care
Document Type
Rapid Review
Review Code
CAC061802 RR
Question Submitted
June 18, 2020
Date Completed
July 21, 2020
Status
3. Completed
Research Team
Clinical/Acute Care
Key Findings
· Key principles for the development of triage scoring systems are 1. Urgency 2. Survival 3. Likelihood of rapid benefit · Triage algorithms should be transparent and accessible, developed by teams with multiple perspectives/expertise · When all factors are equal, allocation should proceed by random/lottery assignment · Must balance egalitarian and utilitarian ideologies – providing equitable access while also providing the greatest benefit to the greatest number of people
Category
Healthcare Services
Administration
Subject
Ethics
Pediatrics
Triage
Acute Care
Population
All Pediatrics
Priority Level
Level 5 completed within 2 weeks
Cite As
Badea, A; Radu, L; Hansen, G; Dalidowicz, M; Howell-Spooner, B. What are the ethical principles that underlie pediatric triage protocols? 2020 Jul 21; Document no.: CAC061802 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 24 p. (CEST rapid review report)
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