Balancing care decisions for gravely ill patients

ROCHESTER, Minn. -- Mayo Clinic researchers studying gravely ill intensive care unit (ICU) patients found that unrealistic family expectations resulted in the increased use of health care resources without a significant improvement in survival rate among these patients.

The February Mayo Clinic Proceedings study is important for patients who have a high likelihood of death in a hospital. Early, accurate identification of these patients when they arrive at the hospital might limit potentially futile, aggressive ICU care to such patients. However, limiting such aggressive care based on inaccurate tools might shorten potentially productive lives, says Keith Berge, M.D., a Mayo Clinic anesthesiologist who was the lead researcher.

In this study, researchers used the Acute Physiology and Chronic Health Evaluation III (APACHE III), a computerized system that is designed to prospectively predict mortality rates in "real time" for ICU patients, to identify a group of patients with a very low predicted likelihood of survival. This group of extremely ill patients was then looked at in more detail.

The researchers compared a group of these patients in which the families had unrealistic expectations of survival with a group of patients whose families' expectations were deemed appropriate. They found that patients whose families had unrealistic expectations used substantially more ICU resources. The median number of days in ICU for all patients was four, while the median number of days in ICU for patients whose families had unrealistic expectations was 11 days. While these patients survived to hospital discharge at a higher rate than others (33 percent versus 17 percent), their survival one year later did not differ much from those without documentation of unrealistic expectations (11 percent versus 6 percent). Nearly all survivors were severely disabled at discharge and at one year.

"Perhaps the best way to avoid vast expenditures of resources on


Page: 1 2 3

Related medicine news :

1. Accountability in Clinical Research: Balancing Risk and Benefit
2. How the stories of ordinary people could give them more say over planning decisions
3. Web-based tool to help clinicians make schizophrenia treatment decisions
4. Fair decisions more important when hospitals face crisis like SARS
5. Concerns about fertility affect treatment decisions in one-third of young breast cancer patients
6. European study highlights frequency of medical end-of-life decisions in terminally ill pts
7. Brain imaging study reveals interplay of thought and emotion in economic decisions
8. Peer pressure matters in young adults smoking decisions
9. Computerized tool predicts sarcoma outcome and improves ability to make better treatment decisions
10. Hormonal treatment improves survival in high-risk prostate cancer patients
11. Study finds that coordinating care of chronically ill patients does not increase liability

Post Your Comments:

(Date:11/24/2015)... GA (PRWEB) , ... November 24, 2015 , ... Dr. ... to now offer laser services to many of his patients. Dr. Afferica now uses ... designed to reduce the amount of time the doctor uses other traditional cutting tools, ...
(Date:11/24/2015)... ... 24, 2015 , ... Young patients with a wide variety of dental needs ... Kedar S. Lele, who are pediatric dentists in Tucson, AZ . Unlike traditional ... 2.0™ system causes minimal discomfort and bleeding to the patient during treatment and the ...
(Date:11/24/2015)... FRANCISCO, CA (PRWEB) , ... November 24, 2015 ... ... half-cup sizes, has launched their Black Friday sale a week early, offering 40% ... continues to transform the intimate apparel industry through both mobile fit technology and ...
(Date:11/24/2015)... ... November 25, 2015 , ... Catalent Pharma Solutions, the ... consumer health and global clinical supply services, today announced that Dr. Christine Milligan, ... East Asia Conference, to be held at the InterContinental Seoul COEX Hotel, Seoul, ...
(Date:11/24/2015)... Chicago, IL (PRWEB) , ... November 24, 2015 ... ... list are national leaders when it comes to several aspects of orthopedic care. ... as joint replacements, orthopedic surgeries and general orthopedic care. , Becker's Hospital ...
Breaking Medicine News(10 mins):
(Date:11/24/2015)... 24, 2015 /PRNewswire/ - ESSA Pharma Inc. ("ESSA" or ... today that the first patient has been enrolled in ... treatment for metastatic castration-resistant prostate cancer ("mCRPC"). ... --> the United States ... 1/2 clinical trial, ESSA intends to demonstrate the safety, ...
(Date:11/24/2015)... 2015 --> --> ... Market by Product Type (Bone Graft, Bine Graft Substitute, Platelet ... Posterior Lumbar Interbody Fusion), End User, and Geography - Global ... valued at $1.90 Billion in 2014 and is expected to ... during the forecast period of 2015 to 2020. ...
(Date:11/24/2015)... 24, 2015 http://www.marketreportsonline.com/226134.html . ... MarketReportsOnline.com adds Latest Guidebook for Chinese Medical Device ... published in November 2015 to the medical devices ... library at http://www.marketreportsonline.com/226134.html . ... growing global economies with a fifth population in ...
Breaking Medicine Technology:
Cached News: