- Basic science and research
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Lung Ultrasound in the Critically Ill
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Jin Sun Cho
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Korean J Crit Care Med. 2017;32(4):356-358. Published online November 30, 2017
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DOI: https://doi.org/10.4266/kjccm.2017.00556
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- Ethics
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Evaluation of Informed Consent for Withholding and Withdrawal of Life Support in Korean Intensive Care Units
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Jin Ha Park, Shin Ok Koh, Jin Sun Cho, Sungwon Na
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Korean J Crit Care Med. 2015;30(2):73-81. Published online May 31, 2015
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DOI: https://doi.org/10.4266/kjccm.2015.30.2.73
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Abstract
PDFSupplementary Material
- Background
The goal of this study was to analyze the process and characteristics of withholding or withdrawal of life support (WLS) in Korean intensive care units (ICUs). Methods: This was a single-centered retrospective analysis of patients who died in the ICUs of a tertiary hospital in Korea from January to December 2012. WLS informed consents and clinical data were analyzed. Results: Of 285 deaths during the study period, informed consents for WLS were obtained from 228 patients (80.0%). All WLS decisions were made by family members after the patient’s loss of decision-making capacity. Decisions were made most frequently by the patient’s son (50.6%). Patients in the WLS group were older than those in the non-WLS group, and older age was associated with the WLS decision. Thirty-seven patients (16.2%) died within one hour of WLS approval, and 182 patients (79.8%) died on the day of WLS approval. The most frequently withheld life support modality was chest compression (100%), followed by defibrillation (95.9%) and pacemaker insertion (63.3%). Conclusions: Aggressive and invasive life support measures were those most frequently withheld or withdrawn by decision-makers in Korean ICUs. The most common proxy was the son, rather than the spouse.
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Citations
Citations to this article as recorded by
- Decision-making regarding withdrawal of life-sustaining treatment and the role of intensivists in the intensive care unit: a single-center study
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