PDF(Pubmed)
Abstract：
UNASSIGNED: There is little evidence on the factors influencing the decision to withdraw or continue life-sustaining treatment in the setting of severe traumatic brain injury in Japanese institutions. We investigated the factors associated with the withdrawal or withholding of life-sustaining treatment (WLST) for severe traumatic brain injury at a single Japanese institution.
UNASSIGNED: A total of 161 patients with severe traumatic brain injury were retrospectively reviewed. Patient characteristics and injury types were compared between patients with and without the WLST.
UNASSIGNED: Of the 161 patients, 87 (54%) died and 52 (32%) decided to undergo WLST. In 98% of the WLST cases, the decision was made within 24 h of admission. The mean duration between WLST and death was 2 days. The predicted probabilities for mortality and unfavorable outcomes were highest in patients with WLST within 24 h. Patients with WLST were older and had a higher frequency of falls on the ground, ischemic heart disease, and acute subdural hemorrhage than those without WLST.
UNASSIGNED: The decisions of almost all WLST cases were made within 24 h of admission for severe traumatic brain injury in a Japanese institution because of Japanese patients\' religious and cultural backgrounds.
UNASSIGNED: A total of 161 patients with severe traumatic brain injury were retrospectively reviewed. Patient characteristics and injury types were compared between patients with and without the WLST.
UNASSIGNED: Of the 161 patients, 87 (54%) died and 52 (32%) decided to undergo WLST. In 98% of the WLST cases, the decision was made within 24 h of admission. The mean duration between WLST and death was 2 days. The predicted probabilities for mortality and unfavorable outcomes were highest in patients with WLST within 24 h. Patients with WLST were older and had a higher frequency of falls on the ground, ischemic heart disease, and acute subdural hemorrhage than those without WLST.
UNASSIGNED: The decisions of almost all WLST cases were made within 24 h of admission for severe traumatic brain injury in a Japanese institution because of Japanese patients\' religious and cultural backgrounds.
摘要：
UNASSIGNED：在日本机构发生严重创伤性脑损伤的情况下，几乎没有证据表明影响决定退出或继续维持生命治疗的因素。我们调查了与在一家日本机构中退出或拒绝接受严重创伤性脑损伤的维持生命治疗（WLST）相关的因素。
UNASSIGNED：回顾性分析了161例重型颅脑损伤患者。比较有和没有WLST的患者的患者特征和损伤类型。
未经批准：在161名患者中，87人（54％）死亡，52人（32％）决定接受WLST。在98%的WLST病例中，决定是在入院后24小时内作出的。WLST和死亡之间的平均持续时间为2天。WLST患者24h内死亡和不良结局的预测概率最高。WLST患者年龄较大，跌倒频率较高，缺血性心脏病,和急性硬膜下出血比没有WLST。
UNASSIGNED：由于日本患者的宗教和文化背景，几乎所有WLST病例的决定都是在日本机构因严重创伤性脑损伤入院后24小时内做出的。
UNASSIGNED：回顾性分析了161例重型颅脑损伤患者。比较有和没有WLST的患者的患者特征和损伤类型。
未经批准：在161名患者中，87人（54％）死亡，52人（32％）决定接受WLST。在98%的WLST病例中，决定是在入院后24小时内作出的。WLST和死亡之间的平均持续时间为2天。WLST患者24h内死亡和不良结局的预测概率最高。WLST患者年龄较大，跌倒频率较高，缺血性心脏病,和急性硬膜下出血比没有WLST。
UNASSIGNED：由于日本患者的宗教和文化背景，几乎所有WLST病例的决定都是在日本机构因严重创伤性脑损伤入院后24小时内做出的。
