The Pandemic Allocation of Ventilators Model Penalizes Infants with Bronchopulmonary Dysplasia

During the COVID-19 pandemic, institutions developed ventilator allocation models. In one proposed model, neonates compete with adults for ventilators using a scoring system. Points are given for conditions that increase one- and five-year (y) mortality. For example, comparable points were added for...

Full description

Saved in:
Bibliographic Details
Published in:Children (Basel) 2023-08, Vol.10 (8), p.1404
Main Authors: Sundaram, Anupama, Fanaroff, Jonathan M, Wilson-Costello, Deanne, Alberts, Melissa, Shiswawala, Naini, Stern, Noam, Ryan, Rita M
Format: Article
Language:English
Subjects:
Adults
Age
Analysis
Bronchopulmonary dysplasia
Competition
COVID-19
Critical care
Epidemics
Health aspects
Hospitals
Infants (Newborn)
Lung diseases
Mortality
Neonatology
Newborn babies
Pandemics
Pediatrics
Premature babies
Premature birth
resource allocation
Respiratory failure
triage
Ventilators
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:During the COVID-19 pandemic, institutions developed ventilator allocation models. In one proposed model, neonates compete with adults for ventilators using a scoring system. Points are given for conditions that increase one- and five-year (y) mortality. For example, comparable points were added for adult conditions with mortality of 71.3% and for neonates with moderate or severe bronchopulmonary dysplasia (mod/sBPD). We hypothesized that this model overestimates mortality in neonates with BPD and would penalize these infants unfairly. There was little information available on 1 y and 5 y mortality risk for mod/sBPD. To evaluate this allocation protocol, a retrospective chart review was performed on infants born ≥22 weeks and weighing
ISSN:2227-9067
2227-9067
DOI:10.3390/children10081404