[Rational therapeutic decisions in intensive care patients]. / Rationale Therapieentscheidungen bei Intensivpatienten.
Dtsch Med Wochenschr
; 145(20): 1470-1475, 2020 Oct.
Artículo
en Alemán
| MEDLINE | ID: covidwho-834945
ABSTRACT
Decisions about the initiation, continuation and termination of life-supporting treatments are a permanent challenge in intensive care units (ICUs). Decisions should be based on patient preferences and the medical indication. The medical indication is mainly the result of an assessment of the patient's prognosis and the applicable therapeutic options. Factors influencing the short term prognosis are mostly the severity of the acute leading disease, the number and severity of other organ failures and the response to initial treatment. Long term prognosis is dominated by the severity and number of comorbidities, age and the resulting frailty. Because in many patients all these informations are not available at the time of admission, in these cases a time-limited trial is often justified to gather all this information before a decision is made. These principles of decision making can also applied to situations in which ICU-capacities are limited (e.âg. COVID-19 pandemic).
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Cuidados Críticos
/
Toma de Decisiones Clínicas
Tipo de estudio:
Estudio pronóstico
/
Ensayo controlado aleatorizado
Límite:
Humanos
Idioma:
Alemán
Revista:
Dtsch Med Wochenschr
Año:
2020
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS