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new obstacles to improving the quality of end-of-life care in icu新的障碍改善临终关怀在icu的质量
Bocharov and Kahn Critical Care 2012, 16:304
/content/16/1/304
J O U R N A L C LU B C R I T I Q U E
New obstacles to improving the quality of
end-of-life care in ICU
1,2 1-3
Maxim V Bocharov and Jeremy M Kahn*
University of Pittsburgh Department of Critical Care Medicine: Evidence-Based Medicine Journal Club, edited by Sachin Yende
Expanded abstract change in family satisfaction (P = 0.66) or nurse-QODD
Citation (P = 0.81). h ere was a non-signifi cant increase in ICU
Curtis JR, Nielsen EL, Treece PD, Downey L, Dotolo D, days before death after the intervention (hazard ratio =
Shannon SE, Back AL, Rubenfeld GD, Engelberg RA: 0.9; P = 0.07). Among patients undergoing withdrawal of
Eff ect of a quality-improvement intervention on end-of- mechanical ventilation, there was no change in time from
life care in the intensive care unit: a randomized trial. Am admission to withdrawal (hazard ratio = 1.0; P = 0.81).
J Respir Crit Care Med 2011 Feb 1;183(3):348-55. Epub
2010 Sep10.PMID Conclusions
A multifaceted quality improvement intervention was
Background asso ciated with no improvement in quality of dying
Because of high mortality, end-of-life care is an important among ICU decedents, as well as no reduction in
component of intensive care. resource utilization prior to the withdrawal of life sus-
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