Respiratory failure & ventilation

Evaluating the Association Between Patient Priorities and ICU Care Delivery in Adults Receiving Mechanical Ventilation

ChestPublished Secondary analysis of a prospective observational study

Authors' conclusion

This study did not find strong relationships between surrogate-reported treatment priorities and ICU care delivery.

Study context

Population
Mechanically ventilated patients in an adult medical ICU, with surrogate decision-makers reporting treatment priorities at enrollmentof 393 eligible
Participants
217 participants
Comparison
Maximize comfort vs Middle ground
  • Maximize survivaln = 75reference
  • Middle groundn = 105
  • Maximize comfortn = 37
Primary endpoint
Association of surrogate-reported treatment priorities with ICU care delivery and outcomes
Methodological detailssingle adult medical ICU
  • Single adult medical ICU

Primary result

As reported in the abstract

Hospital mortality

P = 0.619

Further findings

Outcomeβ (95% CI)P value
Hospital LOSMaximize comfort vs Maximize survival−0.43 (−0.78 to −0.09)P < 0.014
  • Hospital LOS: linear regression adjusted for age, race, Charlson Comorbidity Index score

Original publication

Evaluating the Association Between Patient Priorities and ICU Care Delivery in Adults Receiving Mechanical Ventilation. Chest. Published 5 March 2026. doi:10.1016/j.chest.2026.01.028

Composed by AI from the published abstract and checked against it. How Briefs are made →

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