1-year outcomes of patients admitted to critical care with treatment limitations: A dual-centre observational study.

IF 2.1 Q3 CRITICAL CARE MEDICINE Journal of the Intensive Care Society Pub Date : 2023-08-01 Epub Date: 2022-06-16 DOI:10.1177/17511437221108900
Masseh Yakubi, Annie Devlin, Richard Venn, Luke Hodgson
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Abstract

Intensivists are increasingly involved in the care of frail patients as our population ages. Careful person-orientated, individualised decision-making, weighing benefits and harms of critical care are required in such situations. Few studies have reported outcomes of patients with treatment limitations. This dual-centre observational study reports outcomes of 3781 patients (2018-20). At least one treatment limitation was set at admission in 13% (n = 486). Of this group 55% survived to hospital discharge, of whom 69% were discharged home; 39% remained alive at 1 year. These findings provide objective data to support clinicians, patients and relatives in shared decision-making. Future multi-centre work could explore how best to identify those most likely to benefit from critical care.

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有治疗限制的重症监护患者的1年疗效:一项双中心观察性研究。
随着人口老龄化,重症监护人员越来越多地参与到对虚弱患者的护理中。在这种情况下,需要谨慎的以人为本、个性化的决策,权衡重症监护的利弊。很少有研究报告有治疗限制的患者的结果。这项双中心观察性研究报告了3781名患者(2018-20年)的结果。入院时至少有一个治疗限制为13%(n=486)。在这一组中,55%的患者存活到医院出院,其中69%的患者出院回家;39%在1年时仍然存活。这些发现为临床医生、患者和亲属的共同决策提供了客观的数据支持。未来的多中心工作可以探索如何最好地识别那些最有可能从重症监护中受益的人。
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来源期刊
Journal of the Intensive Care Society
Journal of the Intensive Care Society Nursing-Critical Care Nursing
CiteScore
4.40
自引率
0.00%
发文量
45
期刊介绍: The Journal of the Intensive Care Society (JICS) is an international, peer-reviewed journal that strives to disseminate clinically and scientifically relevant peer-reviewed research, evaluation, experience and opinion to all staff working in the field of intensive care medicine. Our aim is to inform clinicians on the provision of best practice and provide direction for innovative scientific research in what is one of the broadest and most multi-disciplinary healthcare specialties. While original articles and systematic reviews lie at the heart of the Journal, we also value and recognise the need for opinion articles, case reports and correspondence to guide clinically and scientifically important areas in which conclusive evidence is lacking. The style of the Journal is based on its founding mission statement to ‘instruct, inform and entertain by encompassing the best aspects of both tabloid and broadsheet''.
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