Palliative medicine consultation impacts DNR designation and length of stay for terminal medical MICU patients

Palliative and Supportive Care

Volumn 9, Issue 4, 2011, Pages 401-406

  Lustbader, Dana ^a   Pekmezaris, Renee ^a,b,c   Frankenthaler, Michael ^a   Walia, Rajni ^a   Smith, Frederick ^a   Hussain, Erfan ^a   Napolitano, Barbara ^a,c   Lesser, Martin ^a,c  

^a Northwell Health   (United States)

^b ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

^c FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH   (United States)

Author keywords

Acute physiology and chronic health evaluation; Do not resuscitate; Medical intensive care; Palliative medicine consultation

Indexed keywords

AGED; APACHE; ARTICLE; COMPARATIVE STUDY; COST; FEMALE; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MALE; MORTALITY; PALLIATIVE THERAPY; PATIENT REFERRAL; RESUSCITATION; RETROSPECTIVE STUDY; STATISTICS; TREATMENT OUTCOME;

AGED; APACHE; COSTS AND COST ANALYSIS; FEMALE; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; MEDICAL FUTILITY; PALLIATIVE CARE; REFERRAL AND CONSULTATION; RESUSCITATION ORDERS; RETROSPECTIVE STUDIES;

EID: 82055168914     PISSN: 14789515     EISSN: 14789523     Source Type: Journal    
DOI: 10.1017/S1478951511000423     Document Type: Article

References (16)

1. Angus, D.C., Barnato, A.E., Linde-Zwirble, W.T., et al. (2004). Use of intensive care at the end o life in the United States: An epidemiologic study. Critical Care Medicine, 32, 638-643.
2. Campbell, M.L. (2006). Palliative care consultation in the intensive care unit. Critical Care Medicine, 34, S355-S358.
3. Campbell, M.L. & Guzman, J.A. (2003). Impact of a proactive approach to improve end of life care in the medical ICU. Chest, 123, 266-271.
4. Cook, D., Rocker, G., Marshal, J., et al. (2003).Withdrawal of mechanical ventilation in anticipation of death in the intensive care unit. The New England Journal of Medicine, 349, 1123-1132.
5. Efron, B. & Tibshirani, R.J. (1994). An Introduction to the Bootstrap. New York: Chapman and Hall,
6. Elprern, E.H., Covert, B. & Kleinpell, R. (2005). Moral distress of staff nurses in a medical intensive care unit. American Journal of Critical Care, 14, 523-530.
7. Gruenberg, D.A., Shelton, W., Rose, S.L., et al. (2006). Factors influencing length of stay in the intensive care unit. American Journal of Critical Care, 15, 502-509.
8. Keating, N.L., Landrum, M.B., Rogers, S.O., et al. (2010). Physician factors associated with discussions about end of life care. Cancer, 116, 998-1006.
9. Landry, F.J., Parker, J.M. & Phillips, Y.Y. (1992). Outcome of cardiopulmonary resuscitation in the intensive care setting. Archives of Internal Medicine, 152, 2305-2308.
10. Lautrette, A., Darmon, M., Megarbane, B., et al. (2007). A communication strategy and brochure for relatives of patients dying in the ICU. The New England Journal of Medicine, 356, 469-78.
11. Mularski, R.A., Heine, C.E., Osborne, M.L., et al. (2005). Quality of dying in the ICU: Ratings by family members. Chest, 128, 280-287.
12. Schultz, S.C., Cullinane, D.C., Pasquale, M.D., et al. (1996). Predicting in-hospital mortality during cardiopulmonary resuscitation. Resuscitation, 33, 13-17.
13. Selecky, P., Eliassaon, A.H., Hall, R.I., et al. (2005). Palliative and end of life care for patients with cardiopulmonary diseases. The American College of Chest Physicians Position Statement. Chest, 128, 3599-3610.
14. The Society of Critical Care Medicine Ethics Committee (1992). Attitudes of critical care medicine professionals concerning forgoing life-sustaining treatments. Critical Care Medicine, 20, 320-326.
15. The SUPPORT Principal Investigators. (1995). A controlled trial to improve care for seriously ill hospitalized patients: The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). The Journal of the American Medical Association, 274, 1591-1598.
16. Thelen, M. (2005). End of life decision making in intensive care. Critical Care Nurse, 25, 28-37.