Accepted for Publication: December 26, 2021.
Published: March 15, 2022. doi:10.1001/jamanetworkopen.2022.1744
Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2022 Riviello ED et al. JAMA Network Open.
Corresponding Author: Elisabeth D. Riviello, MD, MPH, Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA 02215 (email@example.com).
Author Contributions: Ms Dechen and Dr O’Donoghue had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Mr Sontag and Dr Stevens share senior authorship.
Concept and design: Riviello, Hayes, Mosenthal, Talmor, Sontag, Stevens.
Acquisition, analysis, or interpretation of data: All authors.
Drafting of the manuscript: Riviello, Dechen, O’Donoghue, Cocchi, Talmor, Sontag, Stevens.
Critical revision of the manuscript for important intellectual content: Riviello, Dechen, O’Donoghue, Cocchi, Hayes, Molina, Moraco, Mosenthal, Rosenblatt, Walsh, Stevens.
Statistical analysis: Dechen, O’Donoghue, Stevens.
Administrative, technical, or material support: Dechen, Cocchi, Hayes, Molina, Mosenthal, Talmor, Sontag, Stevens.
Supervision: Riviello, Mosenthal.
Conflict of Interest Disclosures: None reported.
Funding/Support: Dr Stevens was supported by grant number K08HS024288 from the Agency for Healthcare Research and Quality.
Role of the Funder/Sponsor: The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Disclaimer: The content is solely the responsibility of the authors and does not represent the official views of the Agency for Healthcare Research and Quality.
Additional Contributions: We would like to thank Emilie Downing, BS, Director of Market Analytics and Intelligence at Beth Israel Lahey Health, who refined the data collection tool and performed initial analyses for the hospital system Crisis Standards of Care team. We would also like to thank Karla Pollick, MHA, Administrative Director for the Center for Healthcare Delivery Science at Beth Israel Deaconess Medical Center, who provided project management and institutional review board coordination for the study. We would also like to thank Kimberly Clark Ross, BA, Associate Director, Philanthropy Vendor Systems and Compliance at Beth Israel Lahey Health, for her role in coordinating the Crisis Standards of Care leadership team and data collection team. These individuals were not compensated for their time beyond their usual salaries.
EC , Sanky
C , Appel
JM . Crisis standards of care in the USA: a systematic review and implications for equity amidst COVID-19. J Racial Ethn Health Disparities
. 2021;8(4):824-836.PubMedGoogle ScholarCrossref
RC , Downar
J , Dichter
et al; ACCP Task Force for Mass Critical Care. Triage of scarce critical care resources in COVID-19 an implementation guide for regional allocation: an expert panel report of the Task Force for Mass Critical Care and the American College of Chest Physicians. Chest
. 2020;158(1):212-225. doi:10.1016/j.chest.2020.03.063PubMedGoogle ScholarCrossref
CL , Joynt
GM , Christian
MD , Truog
RD , Rello
J , Nates
JL . Adult ICU triage during the coronavirus disease 2019 pandemic: who will live and who will die? recommendations to improve survival. Crit Care Med
. 2020;48(8):1196-1202. doi:10.1097/CCM.0000000000004410PubMedGoogle ScholarCrossref
AHM , Gibb
TS , McGuire
et al; Task Force of the Association of Bioethics Program Directors. Ventilator triage policies during the COVID-19 pandemic at US hospitals associated with members of the Association of Bioethics Program Directors. Ann Intern Med
. 2020;173(3):188-194. doi:10.7326/M20-1738PubMedGoogle ScholarCrossref
HB , Holt
GE , Rezk
et al. Assessment of disparities associated with a crisis standards of care resource allocation algorithm for patients in 2 US hospitals during the COVID-19 pandemic. JAMA Netw Open
. 2021;4(3):e214149. doi:10.1001/jamanetworkopen.2021.4149PubMedGoogle Scholar
K . Prevalence of comorbidities and risks associated with COVID-19 among Black and Hispanic populations in New York City: an examination of the 2018 New York City Community Health Survey. J Racial Ethn Health Disparities
. 2021;8(4):863-869.PubMedGoogle ScholarCrossref
WD , Han
X , Peek
ME , Charan Ashana
D , Parker
WF . Accuracy of the Sequential Organ Failure Assessment score for in-hospital mortality by race and relevance to crisis standards of care. JAMA Netw Open
. 2021;4(6):e2113891. doi:10.1001/jamanetworkopen.2021.13891PubMedGoogle Scholar
JL , Moreno
R , Takala
et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure: on behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. Intensive Care Med
. 1996;22(7):707-710. doi:10.1007/BF01709751PubMedGoogle ScholarCrossref
H , Roberts
DE , Eneanya
ND . Rationing, racism and justice: advancing the debate around ‘colourblind’ COVID-19 ventilator allocation. J Med Ethics
. 2022;48(2):126-130.PubMedGoogle ScholarCrossref
A , Mueller
A , Sutherland
et al. Predicting mortality in adults with suspected infection in a Rwandan hospital: an evaluation of the adapted MEWS, qSOFA and UVA scores. BMJ Open
. 2021;11(2):e040361. doi:10.1136/bmjopen-2020-040361PubMedGoogle Scholar
IX . How to Be an Antiracist. One World; 2019.