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1-year outcomes of patients admitted to critical care with treatment limitations: A dual-centre observational study.

Masseh Yakubi, Annie Devlin,Richard Venn,Luke Hodgson

Journal of the Intensive Care Society(2023)

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Abstract
Intensivists are increasingly involved in the care of frail patients as our population ages. Careful person-orientated, individualised decision-making, weighing benefits and harms of critical care are required in such situations. Few studies have reported outcomes of patients with treatment limitations. This dual-centre observational study reports outcomes of 3781 patients (2018-20). At least one treatment limitation was set at admission in 13% ( = 486). Of this group 55% survived to hospital discharge, of whom 69% were discharged home; 39% remained alive at 1 year. These findings provide objective data to support clinicians, patients and relatives in shared decision-making. Future multi-centre work could explore how best to identify those most likely to benefit from critical care.
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Key words
Treatment limitations, outcomes, critical care, intensive care
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