지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 73 - 81 (9page)
이용수
초록· 키워드
오류제보하기
Background: The goal of this study was to analyze the process and characteristics of withholding or withdrawal of life support (WLS) in Korean intensive care units (ICUs).
Methods: This was a single-centered retrospective analysis of patients who died in the ICUs of a tertiary hospital in Korea from January to December 2012. WLS informed consents and clinical data were analyzed.
Results: Of 285 deaths during the study period, informed consents for WLS were obtained from 228 patients (80.0%). All WLS decisions were made by family members after the patient’s loss of decision-making capacity. Decisions were made most frequently by the patient’s son (50.6%). Patients in the WLS group were older than those in the non-WLS group, and older age was associated with the WLS decision. Thirty-seven patients (16.2%) died within one hour of WLS approval, and 182 patients (79.8%) died on the day of WLS approval. The most frequently withheld life support modality was chest compression (100%), followed by defibrillation (95.9%) and pacemaker insertion (63.3%).
Conclusions: Aggressive and invasive life support measures were those most frequently withheld or withdrawn by decision-makers in Korean ICUs. The most common proxy was the son, rather than the spouse.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Jensen HI / 2013 / Challenges in end-of-life decisions in the intensive care unit: an ethical perspective / J Bioeth Inq 10:93~101
문재영 / 2013 / 중환자실 임종기 돌봄 / 대한중환자의학회지 28(3):163~172
Ivo K / 2012 / A survey of the perspectives of patients who are seriously ill regarding end-of-life decisions in some medical institutions of Korea, China and Japan / J Med Ethics 38:310~316
Ryu HG / 2013 / Survey of controversial issues of end-of-life treatment decisions in Korea: similarities and discrepancies between healthcare professionals and the general public / Crit Care 17:R221
Jo KH / 2013 / Factors affecting shared decision making at end of life in Korean adults / Holist Nurs Pract 27:329~335
문재영 / 2013 / 중환자실 임종기 돌봄 / 대한중환자의학회지 28(3):163~172
Ivo K / 2012 / A survey of the perspectives of patients who are seriously ill regarding end-of-life decisions in some medical institutions of Korea, China and Japan / J Med Ethics 38:310~316
Ryu HG / 2013 / Survey of controversial issues of end-of-life treatment decisions in Korea: similarities and discrepancies between healthcare professionals and the general public / Crit Care 17:R221
Jo KH / 2013 / Factors affecting shared decision making at end of life in Korean adults / Holist Nurs Pract 27:329~335
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