Life Support Limitations in Mechanically Ventilated Stroke Patients.
critical care
end-of-life care
intracerebral hemorrhage
ischemic stroke
subarachnoid hemorrhage
Journal
Critical care explorations
ISSN: 2639-8028
Titre abrégé: Crit Care Explor
Pays: United States
ID NLM: 101746347
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
entrez:
26
2
2021
pubmed:
27
2
2021
medline:
27
2
2021
Statut:
epublish
Résumé
The determinants of decisions to limit life support (withholding or withdrawal) in ventilated stroke patients have been evaluated mainly for patients with intracranial hemorrhages. We aimed to evaluate the frequency of life support limitations in ventilated ischemic and hemorrhagic stroke patients compared with a nonbrain-injured population and to determine factors associated with such decisions. Multicenter prospective French observational study. Fourteen ICUs of the French OutcomeRea network. From 2005 to 2016, we included stroke patients and nonbrain-injured patients requiring invasive ventilation within 24 hours of ICU admission. None. We identified 373 stroke patients (ischemic, In ventilated stroke patients, decisions to limit life support are more than three times more frequent than in nonbrain-injured patients, with different timing and associated risk factors between ischemic and hemorrhagic strokes.
Identifiants
pubmed: 33634264
doi: 10.1097/CCE.0000000000000341
pmc: PMC7901798
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e0341Informations de copyright
Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine.
Déclaration de conflit d'intérêts
Dr. Thiéry has received honoraria from Gilead-Kite. The remaining authors have disclosed that they do not have any conflicts of interest.
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