Background Patients with a severe acute brain injury admitted to the intensive care unit often
have a poor neurological prognosis. In these situations, a clinician is responsible for …

Objective To determine whether groups of surrogates for patients with severe acute brain
injury (SABI) with poor prognosis can be identified based on their prioritization of goals-of …

Background Surrogate decision-makers (“surrogates”) and physicians of incapacitated
patients have different views of prognosis and how it should be communicated, but this has …

Objectives: To determine whether ICU surrogates with “insecure” psychologic attachment
orientations are more prone to requesting tracheostomy and gastrostomy (ie, life-sustaining …

Objectives: In the early phase of severe acute brain injury (SABI), surrogate decision-makers
must make treatment decisions in the face of prognostic uncertainty. Evidence-based …

Background and Objectives Breakdowns in clinician-family communication in neurologic
intensive care units (neuroICUs) are common, particularly for goals-of-care decisions to …

BACKGROUND: Most deaths in critically ill patients with severe traumatic brain injury are
associated with a decision to withdraw life-sustaining treatments. We aimed to identify the …

Many patients hospitalized after severe acute brain injury are comatose and require life-
sustaining therapies. Some of these patients make favorable recoveries with continued …

Background Prognostic uncertainty is frequently cited as a barrier to communication
between physicians and patients and is particularly burdensome for surrogate decision …

Critically ill patients are often unable to make decisions about life-sustaining treatments and
surrogate decisionmakers are relied upon. However, it is unclear how accurately the …