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.
Article
em En
| WPRIM
| ID: wpr-71287
Biblioteca responsável:
WPRO
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Aggressive and invasive life support measures were those most frequently withheld or withdrawn by decision-makers in Korean ICUs.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.Palavras-chave
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Índice:
WPRIM
Assunto principal:
Tórax
/
Estudos Retrospectivos
/
Cônjuges
/
Procurador
/
Suspensão de Tratamento
/
Centros de Atenção Terciária
/
Consentimento Livre e Esclarecido
/
Unidades de Terapia Intensiva
/
Coreia (Geográfico)
/
Cuidados para Prolongar a Vida
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
Korean Journal of Critical Care Medicine
Ano de publicação:
2015
Tipo de documento:
Article