{Reference Type}: Journal Article
{Title}: Factors associated with limitation of life support: Post-ICU mortality case study of a tertiary hospital.
{Author}: López González UA;Bautista Rentero D;Crespo Gómez M;Cárcamo Ibarra P;Míguez Santiyán AM;
{Journal}: Rev Esp Anestesiol Reanim (Engl Ed)
{Volume}: 71
{Issue}: 5
{Year}: 2024 May 9
暂无{DOI}: 10.1016/j.redare.2024.02.007
{Abstract}: BACKGROUND: Life-sustaining treatment limitation (LSV) is the medical act of withdrawing or not initiating measures that are considered futile in a patient's specific situation. LSV in critically ill patients remains a difficult topic to study, due to the multitude of factors that condition it.
OBJECTIVE: To determine factors related to LSV in ICU in cases of post-ICU in-hospital mortality, as well as factors associated with survival after discharge from ICU.
METHODS: Retrospective longitudinal study.
UNASSIGNED: Intensive care unit of a tertiary hospital.
METHODS: People who died in the hospitalization ward after ICU treatment between January 2014 and December 2019.
METHODS: None. This is an observational study.
METHODS: Age, sex, probability of death, type of admission, LSV in ICU, oncological disease, dependence, invasive mechanical ventilation, emergency hemodialysis, transfusion of blood products, nosocomial infection (NI), pre-ICU, intra-ICU and post-ICU stays.
RESULTS: Of 114 patients who died outside the ICU, 49 had LSV registered in the ICU (42.98%). Age and stay prior to ICU admission were positively associated with LSV (OR 1,03 and 1,08, respectively). Patients without LSV had a higher post-ICU stay, while it was lower for male patients.
CONCLUSIONS: Our results support that LSV established within the ICU can avoid complications commonly associated with unnecessary prolongation of stay, such as NI.