Skip to main content
. 2022 Jul 25;7(2):23814683221113573. doi: 10.1177/23814683221113573

Table 1.

Triage Metrics Considered, Together with a Summary of Their Rationale and Some of the Controversies They Generated

Triage Metric Rationale Controversies
Prognosis Prioritize patients who have better odds to survive treatment or better odds to survive on a longer term Short-term prognosis is consensual, but controversies arise when considering long-term survival, which can be affected by comorbidities unrelated to the probability of surviving treatment, especially when these comorbidities are more frequent in patients from disadvantaged backgrounds.
Quality of life Prioritize patients without comorbidities that may affect quality of life after surviving the disease Deprioritizing patients with impaired physical ability, dementia, cerebral damage, or yet other conditions could breach the ethics of nondiscrimination.
Age Maximize saved life-years (or opportunities to experience life stages) among patients with a similar prognosis Deprioritizing older patients solely because of their age may breach the ethics of nondiscrimination, especially when an age cutoff is defined as an exclusion criterion.
Social value (past) Prioritize health care workers who contracted the disease in the line of duty Many guidelines prohibit the use of social value, only to make an exception for health care workers, which may seem unfair to other key workers.
Social value (future) Prioritize health care workers to preserve their ability to fight the disease in the future It is not always clear whether health care workers can be back to work in a realistic time frame and whether the logic should be extended to other key workers.