Prolonging life and delaying death: The role of physicians in the context of limited intensive care resources

Philosophy, Ethics, and Humanities in Medicine

Volumn 4, Issue 1, 2009, Pages

  McDermid, Robert C ^a   Bagshaw, Sean M ^a  

^a UNIVERSITY OF ALBERTA HOSPITAL   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH CARE PLANNING; HOSPITALIZATION; HUMAN; INTENSIVE CARE UNIT; LONG TERM CARE; PHYSICIAN ATTITUDE; TERMINAL CARE;

HEALTH RESOURCES; HUMANS; INTENSIVE CARE UNITS; LIFE SUPPORT CARE; PHYSICIAN'S ROLE; SEVERITY OF ILLNESS INDEX; TERMINAL CARE;

EID: 61349148747     PISSN: None     EISSN: 17475341     Source Type: Journal    
DOI: 10.1186/1747-5341-4-3     Document Type: Article

References (55)

1. Gibney RTN Canadian Critical Care Society: Statement and Service and Admission and Discharge Policy http://www.canadiancriticalcare.org/cccs/ guidelineindex.htm
2. Rivers E Nguyen B Havstad S Ressler J Muzzin A Knoblich B Peterson E Tomlanovich M Early goal-directed therapy in the treatment of severe sepsis and septic shock N Engl J Med 2001, 345:1368-1377 10.1056/ NEJMoa010307 11794169
3. Simchen E Sprung CL Galai N Zitser-Gurevich Y Bar-Lavi Y Gurman G Klein M Lev A Levi L Zveibil F et al Survival of critically ill patients hospitalized in and out of intensive care units under paucity of intensive care unit beds Crit Care Med 2004, 32:1654-1661 10.1097/ 01.CCM.0000133021.22188.35 15286540
4. Simchen E Sprung CL Galai N Zitser-Gurevich Y Bar-Lavi Y Levi L Zveibil F Mandel M Mnatzaganian G Goldschmidt N et al Survival of critically ill patients hospitalized in and out of intensive care Crit Care Med 2007, 35:449-457 10.1097/01.CCM.0000253407.89594.15 17167350
5. Cook D Rocker G Marshall J Sjokvist P Dodek P Griffith L Freitag A Varon J Bradley C Levy M et al Withdrawal of mechanical ventilation in anticipation of death in the intensive care unit N Engl J Med 2003, 349:1123-1132 10.1056/NEJMoa030083 13679526
6. Heyland DK Tranmer J Feldman-Stewart D End-of-life decision making in the seriously ill hospitalized patient: An organizing framework and results of a preliminary study J Palliat Care 2000, 16(Suppl):S31-39 11075531
7. Rocker G Cook D Sjokvist P Weaver B Finfer S McDonald E Marshall J Kirby A Levy M Dodek P et al Clinician predictions of intensive care unit mortality Crit Care Med 2004, 32:1149-1154 10.1097/ 01.CCM.0000126402.51524.52 15190965
8. Burns JP Truog RD Futility: A concept in evolution Chest 2007, 132:1987-1993 10.1378/chest.07-1441 18079232
9. Sinuff T Kahnamoui K Cook DJ Luce JM Levy MM Rationing critical care beds: A systematic review Crit Care Med 2004, 32:1588-1597 10.1097/ 01.CCM.0000130175.38521.9F 15241106
10. Institute of Medicine To Err Is Human: Building a Safer Health System Washington: National Academy Press 1999
11. Batmanian JJ Lam M Matthews C Finckh A Duffy M Wright R Brew BJ Markus R A protocol-driven model for the rapid initiation of stroke thrombolysis in the emergency department Med J Aust 2007, 187:567-570 18021045
12. Kumar A Roberts D Wood KE Light B Parrillo JE Sharma S Suppes R Feinstein D Zanotti S Taiberg L et al Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock Crit Care Med 2006, 34:1589-1596 10.1097/01.CCM.0000217961.75225.E9 16625125
13. Nallamothu B Fox KA Kennelly BM Werf Van de F Gore JM Steg PG Granger CB Dabbous OH Kline-Rogers E Eagle KA Relationship of treatment delays and mortality in patients undergoing fibrinolysis and primary percutaneous coronary intervention. The Global Registry of Acute Coronary Events Heart 2007, 93:1552-1555 10.1136/hrt.2006.112847 17591643
14. Priest L Critically ill patients rushed to U.S. for care The Globe and Mail 2008 http://www.theglobeandmail.com/servlet/story/ RTGAM.20080119.neuro191/BNStory/specialScienceandHealth/home
15. Heyland DK Rocker GM O'Callaghan CJ Dodek PM Cook DJ Dying in the ICU: perspectives of family members Chest 2003, 124:392-397 10.1378/ chest.124.1.392 12853551
16. Sibbald R Downar J Hawryluck L Perceptions of "futile care" among caregivers in intensive care units Cmaj 2007, 177:1201-1208 2043060 17978274
17. Society of Critical Care Medicine Consensus statement of the Society of Critical Care Medicine's Ethics Committee regarding futile and other possibly inadvisable treatments Crit Care Med 1997, 25:887-891 10.1097/ 00003246-199705000-00028 9187612
18. American Thoracic Society Withholding and withdrawing life-sustaining therapy. This Official Statement of the American Thoracic Society was adopted by the ATS Board of Directors, March 1991 Am Rev Respir Dis 1991, 144:726-731 1892317
19. Studdert DM Mello MM Burns JP Puopolo AL Truog RD Brennan TA Conflict in the care of patients with prolonged stay in the ICU: Types, sources and predictors Intensive Care Med 2003, 29:1489-1497 10.1007/ s00134-003-1853-5 12879243
20. Gauthier CC The virtue of moral responsibility and the obligations of patients J Med Philos 2005, 30:153-166 10.1080/03605310590926830 16025850
21. Buckman R Breaking bad news: Why is it still so difficult? Br Med J (Clin Res Ed) 1984, 288:1597-1599 1441225 6426658
22. Buckman R Doctors can improve on way they deliver bad news, MD maintains. Interview by Evelyne Michaels CMAJ 1992, 146:564-566 1488472 1737320
23. Copeland-Fields L Griffin T Jenkins T Buckley M Wise LC Comparison of outcome predictions made by physicians, by nurses, and by using the Mortality Prediction Model Am J Crit Care 2001, 10:313-319 11548564
24. Frick S Uehlinger DE Zuercher Zenklusen RM Medical futility: Predicting outcome of intensive care unit patients by nurses and doctors - a prospective comparative study Crit Care Med 2003, 31:456-461 10.1097/ 01.CCM.0000049945.69373.7C 12576951
25. Embriaco N Papazian L Kentish-Barnes N Pochard F Azoulay E Burnout syndrome among critical care healthcare workers Curr Opin Crit Care 2007, 13:482-488 10.1097/MCC.0b013e3282efd28a 17762223
26. Meltzer LS Huckabay LM Critical care nurses' perceptions of futile care and its effect on burnout Am J Crit Care 2004, 13:202-208 15149054
27. Poncet MC Toullic P Papazian L Kentish-Barnes N Timsit JF Pochard F Chevret S Schlemmer B Azoulay E Burnout syndrome in critical care nursing staff Am J Respir Crit Care Med 2007, 175:698-704 10.1164/ rccm.200606-806OC 17110646
28. Shanawani H Wenrich MD Tonelli MR Curtis JR Meeting physicians' responsibilities in providing end-of-life care Chest 2008, 133:775-786 10.1378/chest.07-2177 18321905
29. Nadkarni V Trigg M Tools for predicting risk of mortality in the ICU setting: Do we need a crystal ball or rose colored glasses? Front Biosci 2001, 6:G43-50 11578970
30. Ferreira FL Bota DP Bross A Melot C Vincent JL Serial evaluation of the SOFA score to predict outcome in critically ill patients Jama 2001, 286:1754-1758 10.1001/jama.286.14.1754 11594901
31. Sinuff T Adhikari NK Cook DJ Schunemann HJ Griffith LE Rocker G Walter SD Mortality predictions in the intensive care unit: Comparing physicians with scoring systems Crit Care Med 2006, 34:878-885 10.1097/ 01.CCM.0000201881.58644.41 16505667
32. Evans LR Boyd EA Malvar G Apatira L Luce JM Lo B White DB Surrogate Decision Makers' Perspectives on Discussing Prognosis in the Face of Uncertainty Am J Respir Crit Care Med 2009, 179:48-53 10.1164/ rccm.200806-969OC 18931332
33. Zier LS Burack JH Micco G Chipman AK Frank JA Luce JM White DB Doubt and belief in physicians' ability to prognosticate during critical illness: the perspective of surrogate decision makers Crit Care Med 2008, 36(8):2341-7 18596630
34. Montuclard L Garrouste-Orgeas M Timsit JF Misset B De Jonghe B Carlet J Outcome, functional autonomy, and quality of life of elderly patients with a long-term intensive care unit stay Crit Care Med 2000, 28:3389-3395 10.1097/00003246-200010000-00002 11057791
35. Wehler M Martus P Geise A Bost A Mueller A Hahn EG Strauss R Changes in quality of life after medical intensive care Intensive Care Med 2001, 27:154-159 10.1007/s001340000769 11280627
36. Hopkins RO Jackson JC Long-term neurocognitive function after critical illness Chest 2006, 130:869-878 10.1378/chest.130.3.869 16963688
37. Dowdy DW Eid MP Sedrakyan A Mendez-Tellez PA Pronovost PJ Herridge MS Needham DM Quality of life in adult survivors of critical illness: A systematic review of the literature Intensive Care Med 2005, 31:611-620 10.1007/s00134-005-2592-6 15803303
38. Ho KM Finn J Knuiman M Webb SA Combining multiple comorbidities with Acute Physiology Score to predict hospital mortality of critically ill patients: A linked data cohort study Anaesthesia 2007, 62:1095-1100 10.1111/j.1365-2044.2007.05231.x 17924888
39. Poses RM McClish DK Smith WR Bekes C Scott WE Prediction of survival of critically ill patients by admission comorbidity J Clin Epidemiol 1996, 49:743-747 10.1016/0895-4356(96)00021-2 8691223
40. Vazquez Mata G Rivera Fernandez R Gonzalez Carmona A Delgado-Rodriguez M Torres Ruiz JM Raya Pugnaire A Aguayo de Hoyos E Factors related to quality of life 12 months after discharge from an intensive care unit Crit Care Med 1992, 20:1257-1262 1521440
41. Fried LP Ferrucci L Darer J Williamson JD Anderson G Untangling the concepts of disability, frailty, and comorbidity: Implications for improved targeting and care J Gerontol A Biol Sci Med Sci 2004, 59:255-263 15031310
42. Lunney JR Lynn J Foley DJ Lipson S Guralnik JM Patterns of functional decline at the end of life Jama 2003, 289:2387-2392 10.1001/ jama.289.18.2387 12746362
43. Fried LP Tangen CM Walston J Newman AB Hirsch C Gottdiener J Seeman T Tracy R Kop WJ Burke G McBurnie MA Frailty in older adults: Evidence for a phenotype J Gerontol A Biol Sci Med Sci 2001, 56:M146-156 11253156
44. Fagiolo U Cossarizza A Scala E Fanales-Belasio E Ortolani C Cozzi E Monti D Franceschi C Paganelli R Increased cytokine production in mononuclear cells of healthy elderly people Eur J Immunol 1993, 23:2375-2378 10.1002/eji.1830230950 8370415
45. Capri M Monti D Salvioli S Lescai F Pierini M Altilia S Sevini F Valensin S Ostan R Bucci L Franceschi C Complexity of anti-immunosenescence strategies in humans Artif Organs 2006, 30:730-742 10.1111/j.1525-1594.2006.00295.x 17026572
46. Franceschi C Capri M Monti D Giunta S Olivieri F Sevini F Panourgia MP Invidia L Celani L Scurti M et al Inflammaging and anti-inflammaging: A systemic perspective on aging and longevity emerged from studies in humans Mech Ageing Dev 2007, 128:92-105 10.1016/j.mad.2006.11.016 17116321
47. Schuurmans H Steverink N Lindenberg S Frieswijk N Slaets JP Old or frail: What tells us more? J Gerontol A Biol Sci Med Sci 2004, 59:M962-965 15472162
48. Mitnitski AB Mogilner AJ MacKnight C Rockwood K The mortality rate as a function of accumulated deficits in a frailty index Mech Ageing Dev 2002, 123:1457-1460 10.1016/S0047-6374(02)00082-9 12425952
49. Rockwood K Mitnitski A MacKnight C Some mathematical models of frailty and their clinical implications Rev Clin Gerontol 2002, 12:109-117 10.1017/S0959259802012236
50. Rockwood K Song X MacKnight C Bergman H Hogan DB McDowell I Mitnitski A A global clinical measure of fitness and frailty in elderly people CMAJ 2005, 173:489-495 1188185 16129869
51. McDonagh JR Elliott TB Engelberg RA Treece PD Shannon SE Rubenfeld GD Patrick DL Curtis JR Family satisfaction with family conferences about end-of-life care in the intensive care unit: Increased proportion of family speech is associated with increased satisfaction Crit Care Med 2004, 32:1484-1488 10.1097/01.CCM.0000127262.16690.65 15241092
52. Selph RB Shiang J Engelberg R Curtis JR White DB Empathy and life support decisions in intensive care units J Gen Intern Med 2008, 23:1311-1317 10.1007/s11606-008-0643-8 18574641
53. Kelley M Limits on patient responsibility J Med Philos 2005, 30:189-206 10.1080/03605310590926858 16025852
54. Cookson R McCabe C Tsuchiya A Public healthcare resource allocation and the Rule of Rescue J Med Ethics 2008, 34:540-544 10.1136/jme.2007.021790 18591290
55. McKie J Richardson J The rule of rescue Soc Sci Med 2003, 56:2407-2419 10.1016/S0277-9536(02)00244-7 12742604