ICU sedation, delirium & recovery

Translation of patients’ advance directives in intensive care units: are we there yet?

J Intensive CarePublished Systematic review

Authors' conclusion

Although ADs may improve intensive- and end-of-life care, insufficient knowledge, lack of awareness, poor communication between healthcare providers and patients or surrogates, lack of standardization of directives, as well as ethical and legal concerns challenge their implementation.

Study context

Population
Patients in intensive care units (ICUs) and healthcare professionals; studies on implementation and translation of advance directives (AD)
Participants
149,413 patients · 17 studies
Outcome
Implementation and translation of ADs in ICUs
Methodological detailsprospective and retrospective studies, PubMed and Medline, published until 2022
  • Prospective and retrospective studies
  • PubMed and Medline
  • Published until 2022

Pooled result

As reported in the abstract

Highest AD prevalence, prospective study in North America
49%
AD prevalence, Central Europe
13%
AD prevalence, Asia
4%
AD prevalence, Australia and New Zealand
4%
AD prevalence, Latin America
3%
AD prevalence, Northern and Southern Europe
2.6%
Healthcare workers not regularly checking for ADs (1 survey)
91%

Original publication

Translation of patients’ advance directives in intensive care units: are we there yet? J Intensive Care. Published 15 November 2023. doi:10.1186/s40560-023-00705-z

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

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