Privat-docent thesis

Non medical factors influencing the admission to intensive care at the end of life

ContributorsEscher, Monica
Defense date2015

Non medical factors may significantly influence medical decisions in situations of great uncertainty. Triage of a seriously ill patient or a frail elderly to intensive care represents one such situation. Uncertainty as to the patient outcome, limited opportunity to involve him in the decision, time-pressured circumstances and scarcity of the health care resource make the task especially complex. Variability in the provision of life-sustaining treatments at the end of life was observed. Non medical factors were associated with the ICU admission decision. They are organisational, patient-related and physician-related. Physicians' reasons for ICU admission or refusal at the end of life, and how influential non medical factors are on the decision remain unclear. Facilitating triage and ensuring a fair and transparent decision making process are important to improve patient end of life care and to optimize the use of ICU health care resource. Advance care planning and a better understanding of the ICU admission decision process are two promising areas for research.

  • Intensive care
  • End of life
  • Decision making
Citation (ISO format)
ESCHER, Monica. Non medical factors influencing the admission to intensive care at the end of life. 2015. doi: 10.13097/archive-ouverte/unige:75482
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Creation09/24/2015 4:27:00 PM
First validation09/24/2015 4:27:00 PM
Update time03/14/2023 11:38:35 PM
Status update03/14/2023 11:38:35 PM
Last indexation08/29/2023 7:14:02 PM
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