Potentially Inappropriate Treatments in Intensive Care Units (INAPPT-ICU): Point Prevalence Study
| Autor: | Elif Erdoğan Öngel, Hülya Sungurtekin, Dilek Memiş, Demet Tok Aydın, Hilal Ayoğlu, Ferruh Ayoğlu, Işıl Özkoçak Turan, Çetin Kaymak, Dilek Özcengiz, Mustafa Kemal Bayar, Yalım Dikmen |
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| Jazyk: | English<br />Turkish |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Türk Yoğun Bakim Derneği Dergisi, Vol 20, Iss Suppl 1, Pp 117-125 (2022) |
| Druh dokumentu: | article |
| ISSN: | 2146-6416 2147-267X |
| DOI: | 10.4274/tybd.galenos.2022.26918 |
| Popis: | Objective: Technological advances increased prolonged life expectancy of the terminal patients, who had end-stage diseases. End-of-life care in intensive care units (ICU) has increased with the rise in admissions of terminal patients to ICU. Our aims in this study were to determine the prevalence of terminal patients, and to find the reasons for potentially inappropriate treatments in ICUs. Materials and Methods: It was nationwide, multicenter, point prevalence and observational study. All adult patients, who stayed more than 48 h in the ICU, were enrolled. All patients were recorded on an electronic case record form, consisting of data on patient demographics, treatments, family participation and mini survey for physicians. The study was conducted on October 15, 2018 with a follow-up for 30 days. Results: Of 1127 patients 286 (25%) ICU patients were diagnosed as terminal patients by ICU physicians depending on primary physician statement. Terminal patients relatives requests and physicians legal concerns reduced end-of-life care quality. Terminal patients had significantly increased usage of mechanical ventilation, inotropic drugs, and poor end-of-life care quality (p |
| Databáze: | Directory of Open Access Journals |
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