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Evaluation of Informed Consent for Withholding and Withdrawal of Life Support in Korean Intensive Care Units
DC Field | Value | Language |
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dc.contributor.author | 나성원 | - |
dc.contributor.author | 박진하 | - |
dc.contributor.author | 조진선 | - |
dc.date.accessioned | 2016-02-04T11:26:07Z | - |
dc.date.available | 2016-02-04T11:26:07Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 2383-4870 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/140416 | - |
dc.description.abstract | BACKGROUND: The goal of this study was to analyze the process and characteristics of withholding or withdrawal of life support (WLS) in Korean intensive care units (ICUs). METHODS: This was a single-centered retrospective analysis of patients who died in the ICUs of a tertiary hospital in Korea from January to December 2012. WLS informed consents and clinical data were analyzed. RESULTS: Of 285 deaths during the study period, informed consents for WLS were obtained from 228 patients (80.0%). All WLS decisions were made by family members after the patient's loss of decision-making capacity. Decisions were made most frequently by the patient's son (50.6%). Patients in the WLS group were older than those in the non-WLS group, and older age was associated with the WLS decision. Thirty-seven patients (16.2%) died within one hour of WLS approval, and 182 patients (79.8%) died on the day of WLS approval. The most frequently withheld life support modality was chest compression (100%), followed by defibrillation (95.9%) and pacemaker insertion (63.3%). CONCLUSIONS: Aggressive and invasive life support measures were those most frequently withheld or withdrawn by decision-makers in Korean ICUs. The most common proxy was the son, rather than the spouse. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 73~81 | - |
dc.relation.isPartOf | Korean Journal of Critical Care Medicine | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Evaluation of Informed Consent for Withholding and Withdrawal of Life Support in Korean Intensive Care Units | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | Jin Ha Park | - |
dc.contributor.googleauthor | Shin Ok Koh | - |
dc.contributor.googleauthor | Jin Sun Cho | - |
dc.contributor.googleauthor | Sungwon Na | - |
dc.identifier.doi | 10.4266/kjccm.2015.30.2.73 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01232 | - |
dc.contributor.localId | A01704 | - |
dc.contributor.localId | A03914 | - |
dc.relation.journalcode | J01995 | - |
dc.subject.keyword | informed consent | - |
dc.subject.keyword | intensive care units | - |
dc.subject.keyword | life support care | - |
dc.subject.keyword | withholding treatment. | - |
dc.contributor.alternativeName | Na, Sung Won | - |
dc.contributor.alternativeName | Park, Jin Ha | - |
dc.contributor.alternativeName | Cho, Jin Sun | - |
dc.contributor.affiliatedAuthor | Na, Sung Won | - |
dc.contributor.affiliatedAuthor | Park, Jin Ha | - |
dc.contributor.affiliatedAuthor | Cho, Jin Sun | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 30 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 73 | - |
dc.citation.endPage | 81 | - |
dc.identifier.bibliographicCitation | Korean Journal of Critical Care Medicine, Vol.30(2) : 73-81, 2015 | - |
dc.identifier.rimsid | 51996 | - |
dc.type.rims | ART | - |
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