Confronted With Death
Factors Affecting End of Life Decisions in the Intensive Care Unit
Bibliographic Data
| ID | 13629398 |
|---|---|
| Authors | Syed Sabih Ul Hassan (0000-0001-8443-134X, Aga Khan University, corresponding author), Wajid Ali (0000-0002-2056-9398, Aga Khan University), Hamza Khan (0009-0000-0284-6382, Aga Khan University), Ahsan Raza Raja (0000-0003-2619-9962, Aga Khan University), Murtuza Hassan (0000-0002-6557-115X, Aga Khan University), Ghazal Haque (0000-0002-0024-780X, Aga Khan University), Farwa Ayub (0009-0008-9004-8716, Aga Khan University), Muhammad Atif Waqar (0000-0001-6908-6760, Aga Khan University Hospital), Asad Latif (0000-0002-1298-1198, Aga Khan University, corresponding author) |
| Year | 2023 |
| Volume | 92 |
| Issue | 3 |
| Pages | 1207-1222 |
| Publication date | 2023-08-26 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | OMEGA - Journal of Death and Dying (JOURNAL) |
| Journal identifiers | ISSN: 0030-2228 • E-ISSN: 1541-3764 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/00302228231198360 |
| PMID | 37632273 |
| OpenAlex | W4386188092 |
| Language | EN |
| References cited | 29 |
To determine how often care is limited at the end of life and the factors that are associated with this decision, we reviewed the medical records of all patients that passed away in the intensive care units (ICU) of Aga Khan University. We found that a majority of patients had Do-Not-Resuscitate orders in place at the time of death. Our analysis yielded 6 variables that were associated with the decision to limit care. These are patient age, sex, duration of mechanical ventilation, Glasgow Coma Scale (GCS) ≤8 at any point during ICU stay, GCS ≤8 in the first 24 hours following ICU admission, and mean arterial pressure <65 mm of Hg while on vasopressors in the first 24 hours following ICU admission. These variables require further study and should be carefully considered during end of life discussions to allow for optimal management at the end of life
Anesthesia · Coma (optics · Do not resuscitate · End-of-life care · Glasgow Coma Scale · Intensive care · Intensive care medicine · Intensive care unit · Life support · Mechanical ventilation · Medical emergency · Palliative care · Emergency Medicine · Family and Patient Care in Intensive Care Units · Intensive Care Unit Cognitive Disorders · Medicine · Nursing · Palliative Care and End-of-Life Issues
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Prevalence and attributable health burden of chronic respiratory diseases, 1990–2017
Five insights from the Global Burden of Disease Study 2019
Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019
| Citation velocity | historical |
|---|---|
| Highly cited | No |