Refusal to ICU admission based on futility
نویسندگان
چکیده
Methods Observational study in the time interval from July 2013 to December 2014 (18 months). We prospectively registered all patients refused to admission in our unit, then we analyze the clinical refusal report used in our hospital. From these reports we extracted several variables: demographical (age, sex), origin (emergency room, hospital), clinical (comorbidity), functional situation (based on Stein and Langfitt modified scale), diagnosis, reason of refusal (“too good”, “too bad”, futility, lack of beds, patient refusal), if it was definitive or conditional, if the patient was admitted in ICU afterwards (in the same episode of previous request), and the status at hospital discharge. We realized a descriptive (by frequencies) and multivariable analysis of the factors related to futility refusal.
منابع مشابه
[Life-sustaining treatment limitation criteria upon admission to the intensive care unit: results of a Spanish national multicenter survey].
OBJECTIVE To determine the life-sustaining treatment limitation (LSTL) predisposition upon patient admission to the intensive care unit (ICU), the criteria upon which such predisposition is based, and whether these decisions are related to structural factors of the surveyed hospitals. DESIGN A descriptive multicenter study was made in 2010, involving the conduction of a survey in 90 hospitals...
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BACKGROUND AND OBJECTIVES Information on the outcomes of patients who were refused to the ICU is limited. The aims of this study were to compare the clinical characteristics of patients who were admitted with those of patients who were refused to the ICU and to identify clinical parameters associated with triage procedures. METHODS Observational prospective cohort study. The following data we...
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