作者
DD Benoit, Hanne Irene Jensen, Johan Malmgren, Victoria Metaxa, Anna K Reyners, Michael Darmon, Katerina Rusinova, Daniel Talmor, Anne-Pascale Meert, Laura Cancelliere, Lāszló Zubek, Paolo Maia, A Michalsen, Stijn Vanheule, EJO Kompanje, Johan Decruyenaere, Stefaan Vandenberghe, Stijn Vansteelandt, Bram Gadeyne, Bo Van den Bulcke, Elie Azoulay, RD Piers
发表日期
2018/7
期刊
Intensive care medicine
卷号
44
页码范围
1039-1049
出版商
Springer Berlin Heidelberg
简介
Purpose
Whether the quality of the ethical climate in the intensive care unit (ICU) improves the identification of patients receiving excessive care and affects patient outcomes is unknown.
Methods
In this prospective observational study, perceptions of excessive care (PECs) by clinicians working in 68 ICUs in Europe and the USA were collected daily during a 28-day period. The quality of the ethical climate in the ICUs was assessed via a validated questionnaire. We compared the combined endpoint (death, not at home or poor quality of life at 1 year) of patients with PECs and the time from PECs until written treatment-limitation decisions (TLDs) and death across the four climates defined via cluster analysis.
Results
Of the 4747 eligible clinicians, 2992 (63%) evaluated the ethical climate in their ICU. Of the 321 and 623 …
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DD Benoit, HI Jensen, J Malmgren, V Metaxa… - Intensive care medicine, 2018