Evaluation of Informed Consent for Withholding and Withdrawal of Life Support in Korean Intensive Care Units / 대한중환자의학회지
Korean Journal of Critical Care Medicine
;
: 73-81, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-71287
ABSTRACT
BACKGROUND:
The goal of this study was to analyze the process and characteristics of withholding or withdrawal of life support (WLS) in Korean intensive care units (ICUs).METHODS:
This was a single-centered retrospective analysis of patients who died in the ICUs of a tertiary hospital in Korea from January to December 2012. WLS informed consents and clinical data were analyzed.RESULTS:
Of 285 deaths during the study period, informed consents for WLS were obtained from 228 patients (80.0%). All WLS decisions were made by family members after the patient's loss of decision-making capacity. Decisions were made most frequently by the patient's son (50.6%). Patients in the WLS group were older than those in the non-WLS group, and older age was associated with the WLS decision. Thirty-seven patients (16.2%) died within one hour of WLS approval, and 182 patients (79.8%) died on the day of WLS approval. The most frequently withheld life support modality was chest compression (100%), followed by defibrillation (95.9%) and pacemaker insertion (63.3%).CONCLUSIONS:
Aggressive and invasive life support measures were those most frequently withheld or withdrawn by decision-makers in Korean ICUs. The most common proxy was the son, rather than the spouse.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Tórax
/
Estudios Retrospectivos
/
Esposos
/
Apoderado
/
Privación de Tratamiento
/
Centros de Atención Terciaria
/
Consentimiento Informado
/
Unidades de Cuidados Intensivos
/
Corea (Geográfico)
/
Cuidados para Prolongación de la Vida
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Korean Journal of Critical Care Medicine
Año:
2015
Tipo del documento:
Artículo
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