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Dying in the Intensive Care Unit (ICU): A Retrospective Descriptive Analysis of Deaths in the ICU in a Communal Tertiary Hospital in Germany
المؤلفون المشاركون
Weigand, Markus Alexander
Ay, Esma
Röhrig, Rainer
Gruss, Marco
المصدر
Anesthesiology Research and Practice
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-10، 10ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-03-01
دولة النشر
مصر
عدد الصفحات
10
التخصصات الرئيسية
الملخص EN
Background.
Modern intensive care methods led to an increased survival of critically ill patients over the last decades.
But an unreflected application of modern intensive care measures might lead to prolonged treatment for incurable diseases, and an inadaequate or too aggressive therapy can prolong the dying process of patients.
In this study, we analysed end-of-life decisions regarding withholding and withdrawal of intensive care measures in a German intensive care unit (ICU) of a communal tertiary hospital.
Methods.
Patient datasets of all adult patients dying in an ICU or an intermediate care unit (IMC) in a tertiary communal hospital (Klinikum Hanau, Germany) between 01.01.2011 and 31.12.2012 were analysed for withholding and withdrawal of intensive care measures.
Results.
During the two-year period, 1317 adult patients died in Klinikum Hanau.
Of these, 489 (37%) died either in an ICU/IMC unit.
The majority of those deceased patients (n = 427, 87%) was 60 years or older.
In 306 (62%) of 489 patients, at least one life-sustaining measure was withheld or withdrawn.
In 297 (61%) of 489 patients dying in ICU/IMC, any type of therapy was withheld, and in 139 patients (28%), any type of therapy was withdrawn.
Mostly, cardiopulmonary resuscitation (n = 222), invasive (n = 121) and noninvasive (n = 40) ventilation followed by renal replacement therapy (n = 71) and catecholamine therapy (n = 66) were withheld.
More invasive measures as ventilation or renal replacement therapy were withdrawn in 18 and 22 patients only.
After withholding/withdrawal of therapy, most patients died within two days.
More than 20% of patients dying in ICU/IMC did not have an analgesic medication.
Conclusions.
About one-third of patients dying in the hospital died in ICU/IMC.
At least one life-sustaining therapy was limited/withdrawn in more than 60% of those patients.
Withholding of a therapy was more common than active therapy withdrawal.
Ventilation and renal replacement therapy were withdrawn in less than 5% of patients, respectively.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ay, Esma& Weigand, Markus Alexander& Röhrig, Rainer& Gruss, Marco. 2020. Dying in the Intensive Care Unit (ICU): A Retrospective Descriptive Analysis of Deaths in the ICU in a Communal Tertiary Hospital in Germany. Anesthesiology Research and Practice،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1130526
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ay, Esma…[et al.]. Dying in the Intensive Care Unit (ICU): A Retrospective Descriptive Analysis of Deaths in the ICU in a Communal Tertiary Hospital in Germany. Anesthesiology Research and Practice No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1130526
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ay, Esma& Weigand, Markus Alexander& Röhrig, Rainer& Gruss, Marco. Dying in the Intensive Care Unit (ICU): A Retrospective Descriptive Analysis of Deaths in the ICU in a Communal Tertiary Hospital in Germany. Anesthesiology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1130526
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1130526
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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