End-of-life practices in traumatic brain injury patients: Report of a questionnaire from the CENTER-TBI study

End-of-life practices in traumatic brain injury patients : Report of a questionnaire from the CENTER-TBI study

van Veen, Ernest (author)

van der Jagt, Mathieu (author)

Citerio, Giuseppe (author)

Stocchetti, Nino (author)

Epker, Jelle L. (author)

Gommers, Diederik (author)

Burdorf, Lex (author)

Menon, David K. (author)

Maas, Andrew I. R. (author)

Lingsma, Hester F. (author)

Kompanje, Erwin J. O. (author)

Brorsson, Camilla (contributor): Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap

Koskinen, Lars-Owe D., Professor, 1955- (contributor): Umeå universitet,Neurovetenskaper

Sundström, Nina (contributor): Umeå universitet,Institutionen för strålningsvetenskaper

(creator_code:org_t)

Elsevier, 2020
2020
English.
In: Journal of critical care. - : Elsevier. - 0883-9441 .- 1557-8615. ; 58, s. 78-88

Related links:: https://doi.org/10.1...; show more...; https://umu.diva-por... (primary) (Raw object); https://doi.org/10.1...; https://urn.kb.se/re...; https://doi.org/10.1...; http://kipublication...; show less...

Abstract Subject headings

Purpose: We aimed to study variation regarding specific end-of-life (EoL) practices in the intensive care unit (ICU) in traumatic brain injury (TBI) patients.Materials and methods: Respondents from 67 hospitals participating in The Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study completed several questionnaires on management of TBI patients.Results: In 60% of the centers, ≤50% of all patients with severe neurological damage dying in the ICU, die after withdrawal of life-sustaining measures (LSM). The decision to withhold/withdraw LSM was made following multidisciplinary consensus in every center. Legal representatives/relatives played a role in the decision-making process in 81% of the centers. In 82% of the centers, age played a role in the decision to withhold/withdraw LSM. Furthermore, palliative therapy was initiated in 79% of the centers after the decision to withdraw LSM was made. Last, withholding/withdrawing LSM was, generally, more often considered after more time had passed, in a patient with TBI, who remained in a very poor prognostic condition.Conclusion: We found variation regarding EoL practices in TBI patients. These results provide insight into variability regarding important issues pertaining to EoL practices in TBI, which can be useful to stimulate discussions on EoL practices, comparative effectiveness research, and, ultimately, development of recommendations.

By the author/editor: van Veen, Ernest; van der Jagt, Ma ...; Citerio, Giusepp ...; Stocchetti, Nino; Epker, Jelle L.; Gommers, Diederi ...; show more...; Burdorf, Lex; Menon, David K.; Maas, Andrew I. ...; Lingsma, Hester ...; Kompanje, Erwin ...; Brorsson, Camill ...; Koskinen, Lars-O ...; Sundström, Nina; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Neurology

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