Abstract
Advances in medical science and health care have gradually changed the nature of dying. Death no longer is likely to be the sudden result of infection or injury, but instead occurs slowly, in old age, and at the end of a period of life-limiting or chronic illness. This shift has created new challenges for critical care medicine. In this chapter, we provide a brief overview about critical care utilization at the end-of-life and the most important challenges we face. We discuss these challenges from an American and European perspective, as end-of-life decisions vary substantially between these two continents.
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References
Dunlop RJ, Davies RJ, Hockley JM (1989) Preferred versus actual place of death: A hospital palliative care support team experience. Palliat Med 3: 197–201
Townsend J, Frank AO, Fermont D, et al (1990) Terminal cancer care and patients' preference for place of death: a prospective study. BMJ 301: 415–417
Fried TR, van Doorn C, O'Leary JR, Tinetti ME, Drickamer MA (1999) Older persons' preferences for site of terminal care. Ann Intern Med 131: 109–112
Hays JC, Galanos AN, Palmer TA, McQuoid DR, Flint EP (2001) Preference for place of death in a continuing care retirement community. Gerontologist 41: 123–128
Weitzen S, Teno JM, Fennell M, Mor V (2003) Factors associated with site of death: a national study of where people die. Med Care 41: 323–335
Gomes B, Higginson IJ (2008) Where people die (1974—2030): past trends) future projections and implications for care. Palliat Med 22: 33–41
Cohen J, Bilsen J, Fischer S) et al (2007) End-of-life decision-making in Belgium, Denmark) Sweden and Switzerland: does place of death make a difference? J Epidemiol Community Health 61: 1062–1068
Wunsch H, Linde-Zwirble WT, Harrison DA, Barnato AE, Rowan K, Angus DC (2009) Use of intensive care services during terminal hospitalizations in England and the United States. Am J Respir Crit Care Med 180: 875–880
Wunsch H, Angus DC, Harrison DA) et al (2008) Variation in critical care services across North America and Western Europe. Crit Care Med 36: 2787–2793
Angus DC, Barnato AE, Linde-Zwirble WT) et al (2004) Use of intensive care at the end of life in the United States: an epidemiologic study. Crit Care Med 32: 638–643
Lubitz JD, Riley GF (1993) Trends in Medicare payments in the last year of life. N Engl J Med 328: 1092–1096
Polder JJ, Barendregt JJ, van Oers H (2006) Health care costs in the last year of life—the Dutch experience. Soc Sci Med 63: 1720–1731
Wennberg JE, Fisher ES, Stukel TA, Skinner JS, Sharp SM, Bronner KK (2004) Use of hospitals) physician visits) and hospice care during last six months of life among cohorts loyal to highly respected hospitals in the United States. BMJ 328: 607
Teno JM, Mor V, Ward N et al (2005) Bereaved family member perceptions of quality of endof-life care in U.S. regions with high and low usage of intensive care unit care. J Am Geriatr Soc 53: 1905–1911
Shortell SM, Zimmerman JE, Rousseau DM et al (1994) The performance of intensive care units: does good management make a difference? Med Care 32: 508–525
Cook D, Rocker G, Marshall J et al (2003) Withdrawal of mechanical ventilation in anticipation of death in the intensive care unit. N Engl J Med 349: 1123–1132
Sprung CL, Cohen SL, Sjokvist p) et al (2003) End-of-life practices in European intensive care units: the Ethicus Study. JAMA 290: 790–797
Richter J, Eisemann M, Zgonnikova E (2001) Doctors) authoritarianism in end-of-life treatment decisions. A comparison between Russia) Sweden and Germany. J Med Ethics 27: 186–191
The Society of Critical Care Medicine Ethics Committee (1994) Attitudes of critical care medicine professionals concerning distribution of intensive care resources. Crit Care Med 22: 358–362
Vincent JL (1999) Forgoing life support in western European intensive care units: the results of an ethical questionnaire. Crit Care Med 27: 1626–1633
Task Force of the American College of Critical Care Medicine) Society of Critical Care Medicine (1999) Guidelines for intensive care unit admission, discharge) and triage. Crit Care Med 27: 633–638
The SUPPORT Principal Investigators (1995) A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). JAMA 274: 1591–1598
Prendergast TJ, Luce JM (1997) Increasing incidence of withholding and withdrawal of life support from the critically ill. Am J Respir Crit Care Med 155: 15–20
Ferrand E, Robert R, Ingrand p, Lemaire F (2001) Withholding and withdrawal of life support in intensive-care units in France: a prospective survey. French LATAREA Group. Lancet 357: 9–14
Wright AA, Zhang B, Ray A) et al (2008) Associations between end-of-life discussions) patient mental health) medical care near death) and caregiver bereavement adjustment. JAMA 300: 1665–1673
Esteban A, Gordo F, Solsona JF) et al (2001) Withdrawing and withholding life support in the intensive care unit: a Spanish prospective multi-centre observational study. Intensive Care Med 27: 1744–1749
Heyland DK, Tranmer J, O'Callaghan CJ, Gafni A (2003) The seriously ill hospitalized patient: preferred role in end-of-life decision making? J Crit Care 18: 3–10
Heyland DK, Cook DJ, Rocker GM, et al (2003) Decision-making in the ICU: perspectives of the substitute decision-maker. Intensive Care Med 29: 75–82
Anderson WG, Arnold RM, Angus DC, Bryce CL (2009) Passive decision-making preference is associated with anxiety and depression in relatives of patients in the intensive care unit. J Crit Care 24: 249–254
Heyland DK, Rocker GM, O'Callaghan CJ, Dodek PM, Cook DJ (2003) Dying in the ICU: perspectives of family members. Chest 124: 392–397
White DB, Evans LR, Bautista CA, Luce JM, Lo B (2009) Are physicians' recommendations to limit' life support beneficial or burdensome? Bringing empirical data to the debate. Am J Respir Crit Care Med 180: 320–325
Truog RD, Campbell ML, Curtis JR, et al (2008) Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College of Critical Care Medicine. Crit Care Med 36: 953–963
White DB, Braddock CH, 3rd, Bereknyei S, Curtis JR (2007) Toward shared decision making at the end of life in intensive care units: opportunities for improvement. Arch Intern Med 167: 461–467
White DB, Malvar G, Karr J, Lo B, Curtis JR (2010) Expanding the paradigm of the physician’s role in surrogate decision making: An empirically-derived framework. Crit Care Med (in press)
Yaguchi A, Truog RD, Curtis JR, et al (2005) International differences in end-of-life attitudes in the intensive care unit: results of a survey. Arch Intern Med 165: 1970–1975
Pochard F, Azoulay E, Chevret S, Zittoun R (2001) Toward an ethical consultation in intensive care? Crit Care Med 29: 1489–1490
Azoulay E, Pochard F, Chevret S, et al (2004) Half the family members of intensive care unit patients do not want to share in the decision-making process: a study in 78 French intensive care units. Crit Care Med 32: 1832–1838
Giannini A, Pessina A, Tacchi EM (2003) End-of-life decisions in intensive care units: attitudes of physicians in an Italian urban setting. Intensive Care Med 29: 1902–1910
Azoulay E, Pochard F, Chevret S, et al (2003) Opinions about surrogate designation: a population survey in France. Crit Care Med 31: 1711–1714
Lautrette A, Peigne V, Watts J, Souweine B, Azoulay E (2008) Surrogate decision makers for incompetent ICU patients: a European perspective. Curr Opin Crit Care 14: 714–719
Fassier T, Lautrette A, Ciroldi M, Azoulay E (2005) Care at the end of life in critically ill patients: the European perspective. Curr Opin Crit Care 11: 616–623
Stricker KH, Kimberger 0, Schmidlin K, Zwahlen M, Mohr U, Rothen HU (2009) Family satisfaction in the intensive care unit: what makes the difference? Intensive Care Med (in press)
Abbott KH, Sago JG, Breen CM, Abernethy AP, Tulsky JA (2001) Families looking back: one year after discussion of withdrawal or withholding of life-sustaining support. Crit Care Med 29: 197–201
Azoulay E, Timsit JF, Sprung CL, et al (2009) Prevalence and factors of intensive care unit conflicts: The Conflicus Study. Am J Respir Crit Care Med 180: 853–860
Pochard F, Azoulay E, Chevret S, et al (2001) Symptoms of anxiety and depression in family members of intensive care unit patients: ethical hypothesis regarding decision-making capacity. Crit Care Med 29: 1893–1897
Azoulay E, Pochard F, Kentish-Barnes N, et al (2005) Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am J Respir Crit Care Med 171: 987–994
Poncet MC, Toullic P, Papazian L, et al (2007) Burnout syndrome in critical care nursing staff. Am J Respir Crit Care Med 175: 698–704
Lautrette A, Darmon M, Megarbane B, et al (2007) A communication strategy and brochure for relatives of patients dying in the ICU. N Engl J Med 356: 469–478
Rosenzweig M, Hravnak M, Magdic K, Beach M, Clifton M, Arnold R (2008) Patient communication simulation laboratory for students in an acute care nurse practitioner program. Am J Crit Care 17: 364–372
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Nguyen, YL.C., Mayr, F.B., Angus, D.C. (2010). End-at-lite Care in the ICU: Commonalities and Differences between North America and Europe. In: Vincent, JL. (eds) Intensive Care Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5562-3_52
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DOI: https://doi.org/10.1007/978-1-4419-5562-3_52
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