Medical Triage in a Time of Scarce Resources: a Randomized Controlled Study.
试验速览
- 阶段
- 不适用
- 入组人数
- 500
- 试验地点
- 2
- 主要终点
- IH-OUS score
研究概览
简要总结
The XPHI-COVID-2 randomized study aims to investigate the moral choices in a context of scarce resources.
The participants are asked to complete the questionnaire of the Oxford Utilitarianism Scale and are exposed to medical triage dilemmas.
Participants are randomized between a group with reading of ethical guidelines and a group without reading of ethical guidelines, before they are asked to complete the questionnaire and being exposed to triage dilemmas.
详细描述
It is hypothesized that recalling ethical values before resolving dilemmas could modify the ability to adopt a utilitarian approach in resolving ethical dilemmas.
To verify this hypothesis, the score on the Impartial Harm subscale of the Oxford Utilitarianism Scale (IH-OUS) will be compared between a group with reading of ethical guidelines and a group without reading of ethical guidelines, before they are asked to complete the questionnaire and being exposed to triage dilemmas.
Number of subjects needed for the phase of study evaluating intensivists, anesthesiologists and emergency physicians : 580 - based on preliminary data, assuming 70% complete response rate of the survey and a standard deviation of 5
Secondary outcomes will be considered :
- Beneficence Harm subscale of the Oxford Utilitarianism Scale (IB-OUS)
- Values prioritized to resolve ethical dilemmas : impartial of benefits, prioritization of the young age, saving life years, saving most lives, equality of treatment, prioritization of the worst off, loyalty duty, principle of non-discrimination, prospective and retrospective instrumental value.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Caregivers
- •Noncaregivers from general population
排除标准
- •Withdrawal of agreement
结局指标
主要结局
IH-OUS score
时间窗: At the end of the inclusion period
Score on the Impartial Harm subscale of the Oxford Utilitarianism Scale (IH-OUS) : minimum value is 4 points and maximum value is 28 points. The higher the value is, the more the participant's choices endorse the principle of causing harm to bring the greater good.
次要结局
- Utilitarian score(At the end of the inclusion period)
- IB-OUS score(At the end of the inclusion period)
- Oxford utilitarianism scale(At the end of the inclusion period)
- Impartial of benefits(At the end of the inclusion period)
- Prioritization of the young age(At the end of the inclusion period)
- Equality of treatment(At the end of the inclusion period)
- Prioritization of the worst off(At the end of the inclusion period)
- Duty of loyalty(At the end of the inclusion period)
- Principle of non-discrimination (based on age, disability, socio-economic characteristics, gender, etc.)(At the end of the inclusion period)
- Saving life years(At the end of the inclusion period)
- Saving most lives(At the end of the inclusion period)
- Prospective instrumental value(At the end of the inclusion period)
- Retrospective instrumental value(At the end of the inclusion period)