Ethical Considerations in Neuroprognostication Following Acute Brain Injury.
Semin Neurol
; 43(5): 758-767, 2023 10.
Article
en En
| MEDLINE
| ID: mdl-37802121
ABSTRACT
Neuroprognostication following acute brain injury (ABI) is a complex process that involves integrating vast amounts of information to predict a patient's likely trajectory of neurologic recovery. In this setting, critically evaluating salient ethical questions is imperative, and the implications often inform high-stakes conversations about the continuation, limitation, or withdrawal of life-sustaining therapy. While neuroprognostication is central to these clinical "life-or-death" decisions, the ethical underpinnings of neuroprognostication itself have been underexplored for patients with ABI. In this article, we discuss the ethical challenges of individualized neuroprognostication including parsing and communicating its inherent uncertainty to surrogate decision-makers. We also explore the population-based ethical considerations that arise in the context of heterogenous prognostication practices. Finally, we examine the emergence of artificial intelligence-aided neuroprognostication, proposing an ethical framework relevant to both modern and longstanding prognostic tools.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Lesiones Encefálicas
/
Inteligencia Artificial
Tipo de estudio:
Prognostic_studies
Aspecto:
Ethics
Límite:
Humans
Idioma:
En
Revista:
Semin Neurol
Año:
2023
Tipo del documento:
Article