ICU sedation, delirium & recovery

A window of opportunity for ICU end‐of‐life care—A retrospective multicenter cohort study

Acta Anaesthesiol ScandPublished Retrospective cohort study

Authors' conclusion

This study shows that there is a window of opportunity for EOL care, particularly for patients who are weaned from mechanical ventilation.

Study context

Population
Adults (≥18 years) admitted to Danish intensive care units (ICUs) in 2020 with ICU stay >96 h who died in ICU or within 7 days after ICU dischargeconsecutive patients, chart review
Participants
250 adults
Exposure
Abrupt discontinuation vs gradual withdrawal of mechanical ventilation
  • Abrupt discontinuationn = 171
  • Gradual withdrawaln = 63
Outcome
Documentation of a diagnosis of dying and time from it to death (window of opportunity for end-of-life (EOL) care)
Methodological detailsmulticentre, chart review
  • Multicentre
  • Chart review

Main finding

As reported in the abstract

Diagnosis of dying documented

Charts documenting that the patient was dying

223

89%

Observational data: associations, not effects.

Further findings

Time to death

Time from recorded diagnosis of dying to death

Original publication

A window of opportunity for ICU end‐of‐life care—A retrospective multicenter cohort study. Acta Anaesthesiol Scand. Published 3 August 2024. doi:10.1111/aas.14507

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