[Interdisciplinary ethics consultation on the surgical intensive care unit]. / Das interdisziplinäre Ethikkonsil auf der operativen Intensivstation.
Zentralbl Chir
; 133(3): 285-91, 2008 Jun.
Article
em De
| MEDLINE
| ID: mdl-18563695
ABSTRACT
BACKGROUND:
An interdisciplinary ethics consultation (EC) on the intensive care unit (ICU) can be requested by the clinical team as a result of a subjective assessment of the patient's situation. The aim of this study was to objectify the initiation of EC by means of the SOFA score and to examine its impact on the clinical course. PATIENTS ANDMETHODS:
Over a two-year period, all patients receiving an EC on the ICU were recorded. Age, hospital stay and mortality were compared with ICU patients who did not receive EC. SOFA score values of EC patients at the time of admission to the ICU and the time of EC were compared. Furthermore, the effect of different EC decisions (maximisation/limitation of treatment) on hospital stay and mortality were defined.RESULTS:
EC was carried out in 52 of a total of 764 patients (6.8 %). Age (76.6 years; range 40-99), hospital stay (20.5 days; range 5-286) and ICU mortality (92.3 %) were significantly higher in EC patients compared to patients without EC (68.3 years; range 10-100; p
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Assistência Terminal
/
Direito a Morrer
/
Comissão de Ética
/
Comunicação Interdisciplinar
/
Unidades de Terapia Intensiva
Tipo de estudo:
Prognostic_studies
Aspecto:
Ethics
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
De
Revista:
Zentralbl Chir
Ano de publicação:
2008
Tipo de documento:
Article