ICU sedation, delirium & recovery

Intractable conflicts over end-of-life decisions: A descriptive and ethical analysis of French case-law

Anaesth Crit Care Pain MedPublished Retrospective national observational study

Study context

Population
Cases of emergency recourse to the judge over life-sustaining treatment (LST) limitation decisions in France, 2005–2022
Participants
76 court cases
Outcome
Outcome of judicial investigation of contested LST limitation decisions
Methodological detailsdescriptive and qualitative analysis
  • Descriptive and qualitative analysis

Main finding

As reported in the abstract

Outcome of court cases

Medical decision upheld

29 cases

38%

Medical decision over-ruled

20 cases

26%

Settled out of court

13 cases

17%

Patient died before end of investigation

14 patients

18%

Observational data: associations, not effects.

Further findings

Characteristics of contested decisions

Decisions to withdraw treatment
78%
Patients with neurological injury
76%
Number of cases increasing over the years

Judicial assessment and qualitative analysis

Judge assessed compliance with legal decision-making process, then inappropriateness of treatments using medical and non-medical criteria
Opposing moral values and principles of family members and physicians

Original publication

Intractable conflicts over end-of-life decisions: A descriptive and ethical analysis of French case-law. Anaesth Crit Care Pain Med. Published 31 December 2024. doi:10.1016/j.accpm.2024.101463

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

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