ICU sedation, delirium & recovery
Factors associated with treatment limitations in two Swedish intensive care units: Prevalence and patient involvement
Authors' conclusion
TLs were common in two Swedish ICUs but a substantial number of patients and next-of-kin were not involved in the decision-making process or informed of the decision. Women were more often than men engaged in the decision to establish a TL.
Study context
- Population
- Patients admitted to the intensive care units (ICUs) of two Swedish regional hospitals in 2019 (excluding postanaesthesia care <24 h)3,090 admitted
- Participants
- 1,019 patients
- Outcome
- Prevalence of treatment limitations (TLs)
Methodological detailstwo-centre, registry and chart review
- Two-centre
- Registry and chart review
Main finding
As reported in the abstract
Prevalence of TLs
Patients with one or several treatment limitations (TLs)
26.5%
Observational data: associations, not effects.
Further findings
| Outcome | Estimate | |
|---|---|---|
| Factors independently associated with receiving a TL (multivariable logistic analysis)Age | OR 1.04 per one year increase (95% CI 1.02–1.05) | |
| Factors independently associated with receiving a TL (multivariable logistic analysis)SAPS3-score | OR 1.08 per one unit increase (95% CI 1.06–1.09) | |
| Factors independently associated with receiving a TL (multivariable logistic analysis)ICU LOS | OR 1.11 per one day increase (95% CI 1.05–1.17) | |
| 0.512Odds ratio (log scale) |
Involvement in the decision process, by sex
P < 0.05
Patient autonomy stated as motivation for the TL, by sex
P < 0.05
Patient involvement and information
- Patients involved in the decision-making process
- 17%
- Cases in which neither the patient nor next-of-kin were informed
- >30%
Original publication
Factors associated with treatment limitations in two Swedish intensive care units: Prevalence and patient involvement. Acta Anaesthesiol Scand. Published 4 January 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →