作者
Jason Phua, Gavin M Joynt, Masaji Nishimura, Yiyun Deng, Sheila Nainan Myatra, Yiong Huak Chan, Nguyen Gia Binh, Cheng Cheng Tan, Mohammad Omar Faruq, Yaseen M Arabi, Bambang Wahjuprajitno, Shih-Feng Liu, Seyed Mohammad Reza Hashemian, Waqar Kashif, Dusit Staworn, Jose Emmanuel Palo, Younsuck Koh, ACME Study Investigators, Asian Critical Care Clinical Trials Group
发表日期
2015/3/1
期刊
JAMA internal medicine
卷号
175
期号
3
页码范围
363-371
出版商
American Medical Association
简介
Importance
Little data exist on end-of-life care practices in intensive care units (ICUs) in Asia.
Objective
To describe physicians’ attitudes toward withholding and withdrawal of life-sustaining treatments in end-of-life care and to evaluate factors associated with observed attitudes.
Design, Setting, and Participants
Self-administered structured and scenario-based survey conducted among 1465 physicians (response rate, 59.6%) who manage patients in ICUs (May-December 2012) at 466 ICUs (response rate, 59.4%) in 16 Asian countries and regions.
Results
For patients with no real chance of recovering a meaningful life, 1029 respondents (70.2%) reported almost always or often withholding whereas 303 (20.7%) reported almost always or often withdrawing life-sustaining treatments; 1092 respondents (74.5%) deemed withholding and withdrawal ethically different. The majority of respondents reported that vasopressors …
学术搜索中的文章
J Phua, GM Joynt, M Nishimura, Y Deng, SN Myatra… - JAMA internal medicine, 2015