End-of-Life Practices in an Intensive Care Unit of a Private Hospital in Mexico

被引:0
作者
Miranda-Ackerman, Roberto Carlos [1 ]
Ruiz-Ochoa, Paulina [1 ]
Lopez-Ramirez, Daniela [1 ]
Quevedo-Barrientos, Juan Fernando [1 ]
Plascencia-Rendon, Mariana [1 ]
Landeros-Torres, Jose Luis [1 ]
Astorga-Cervantes, Karen Fernanda [1 ]
Gonzalez-Uribe, Alejandra [1 ]
Cortes-Flores, Ana Olivia [1 ]
Zuloaga-Fernandez-del-Valle, Carlos Jose [1 ]
Morgan-Villela, Gilberto [1 ]
Barbosa-Camacho, Francisco Jose [2 ]
Fuentes-Orozco, Clotilde [3 ]
Brancaccio-Perez, Irma Valeria [4 ]
Gonzalez-Ojeda, Alejandro [5 ]
机构
[1] Hosp San Javier, Guadalajara, Mexico
[2] Univ Guadalajara, Hosp Civil Guadalajara Fray Antonio Alcalde, Dept Psychiat, Guadalajara, Mexico
[3] Hosp Especialidades Ctr Med La Raza, Ctr Med Nacl Occidente, Biomed Res Unit 02, Guadalajara, Jalisco, Mexico
[4] Hosp Civil Juan I Menchaca, Dept Anesthesiol, Guadalajara, Mexico
[5] Univ Colima, Fac Med, Ave Univ 333, Colima 28040, Col, Mexico
来源
PALLIATIVE MEDICINE REPORTS | 2024年 / 5卷 / 01期
关键词
End-of-life practices; critical care medicine; ICU; withdrawal treatment; withholding treatment; cardiopulmonary resuscitation; active shortening of the dying process;
D O I
10.1089/pmr.2024.0023
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Many factors, such as religion, geography, and customs, influence end-of-life practices. This variability exists even between different physicians. Objective: To observe and describe the end-of-life actions of patients in the intensive care unit (ICU) and document the variables that might influence decision-making at the end of life. Materials and Methods: This is a cross-sectional study performed in the ICU patients of a private hospital from March 2017 to March 2022. We used the Philips Tasy Electronic Medical Record database of clinical records; 298 patients were included in the study during these five years (2017-2022). The data analysis was done with the statistical package SPSS version 23 for Windows. Results: A total of 297 patients were included in this study, of which more than half were men. About 60% of our sample had private health insurance, whereas the remaining paid out of pocket. Most patients had withholding treatment, followed by failed cardiopulmonary resuscitation, withdrawal treatment, and brain death, and none of the patients had acceleration of the dying process. The main cause of admission to the ICU in our center was respiratory complications. Most of our samples were Catholics. Conclusions: Decision-making at the end of life is a complex process. Active participation of the patient, when possible, the patient's family, doctors, and nurses, can give different perspectives and a more compassionate and individualized approach to end-of-life care.
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收藏
页码:359 / 364
页数:6
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