Potentially Inappropriate Treatments in Intensive Care Units (INAPPT-ICU): Point Prevalence Study
Objective: Technological advances increased prolonged life expectancy of the terminal patients, who had end-stage diseases. End-of-life care in intensive care units (ICU) has increased with the rise in admissions of terminal patients to ICU. Our aims in this study were to determine the prevalence of...
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2022-09-01
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| Series: | Türk Yoğun Bakim Derneği Dergisi |
| Subjects: | |
| Online Access: | https://www.turkishjic.org/archives/archive-detail/article-preview/potentially-nappropriate-treatments-in-ntensive-ca/52513 |
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| author | Elif Erdoğan Öngel Hülya Sungurtekin Elif Erdoğan Öngel Hülya Sungurtekin Dilek Memiş Demet Tok Aydın Hilal Ayoğlu Ferruh Ayoğlu Işıl Özkoçak Turan Çetin Kaymak Dilek Özcengiz Mustafa Kemal Bayar Yalım Dikmen |
| author_facet | Elif Erdoğan Öngel Hülya Sungurtekin Elif Erdoğan Öngel Hülya Sungurtekin Dilek Memiş Demet Tok Aydın Hilal Ayoğlu Ferruh Ayoğlu Işıl Özkoçak Turan Çetin Kaymak Dilek Özcengiz Mustafa Kemal Bayar Yalım Dikmen |
| author_sort | Elif Erdoğan Öngel |
| collection | DOAJ |
| description | Objective: Technological advances increased prolonged life expectancy of the terminal patients, who had end-stage diseases. End-of-life care in intensive care units (ICU) has increased with the rise in admissions of terminal patients to ICU. Our aims in this study were to determine the prevalence of terminal patients, and to find the reasons for potentially inappropriate treatments in ICUs.
Materials and Methods: It was nationwide, multicenter, point prevalence and observational study. All adult patients, who stayed more than 48 h in the ICU, were enrolled. All patients were recorded on an electronic case record form, consisting of data on patient demographics, treatments, family participation and mini survey for physicians. The study was conducted on October 15, 2018 with a follow-up for 30 days.
Results: Of 1127 patients 286 (25%) ICU patients were diagnosed as terminal patients by ICU physicians depending on primary physician statement. Terminal patients relatives requests and physicians legal concerns reduced end-of-life care quality. Terminal patients had significantly increased usage of mechanical ventilation, inotropic drugs, and poor end-of-life care quality (p<0.001). Fifty-four percent of the terminal patients didn’t have any end-of-life decisions at discharge. Half of the terminal patient relatives requested the full code. Without legal concerns, most of the physicians would apply do not resuscitate (86%), withhold (77%) and withdraw (53%) to terminal patients at the end-of-life.
Conclusion: Terminal patients occupy an important place in the ICU. To increase the quality of terminal patients’ end-of-life care in the ICU, advanced care planning and legal arrangements should be conducted properly. |
| first_indexed | 2024-04-10T12:40:52Z |
| format | Article |
| id | doaj.art-afcef03ab3434a9eac2bc6ec3f836838 |
| institution | Directory Open Access Journal |
| issn | 2146-6416 2147-267X |
| language | English |
| last_indexed | 2024-04-10T12:40:52Z |
| publishDate | 2022-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Yoğun Bakim Derneği Dergisi |
| spelling | doaj.art-afcef03ab3434a9eac2bc6ec3f8368382023-02-15T16:14:20ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2022-09-0120Suppl 111712510.4274/tybd.galenos.2022.2691813049054Potentially Inappropriate Treatments in Intensive Care Units (INAPPT-ICU): Point Prevalence StudyElif Erdoğan Öngel0https://orcid.org/0000-0002-2206-9928Hülya Sungurtekin1https://orcid.org/0000-0002-9453-5625Elif Erdoğan Öngel2https://orcid.org/0000-0002-2206-9928Hülya Sungurtekin3https://orcid.org/0000-0002-9453-5625Dilek Memiş4https://orcid.org/0000-0001-5578-6221Demet Tok Aydın5https://orcid.org/0000-0002-0430-1754Hilal Ayoğlu6https://orcid.org/0000-0002-6869-5932Ferruh Ayoğlu7https://orcid.org/0000-0003-3266-1519Işıl Özkoçak Turan8https://orcid.org/0000-0002-0405-0107Çetin Kaymak9https://orcid.org/0000-0001-5532-6954Dilek Özcengiz10https://orcid.org/0000-0002-2598-0127Mustafa Kemal Bayar11https://orcid.org/0000-0002-0506-4869Yalım Dikmen12https://orcid.org/0000-0002-3122-5099Research Pamukkale University Faculty of Medicine, Department of Anesthesiology and Reanimation, Denizli, TurkeyUniversity of Health Sciences Turkey, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, Clinic of Anesthesiology and Reanimation, İstanbul, TurkeyPamukkale University Faculty of Medicine, Department of Anesthesiology and Reanimation, Denizli, TurkeyTrakya University Faculty of Medicine, Department of Anesthesiology and Reanimation, Edirne, TurkeyManisa Celal Bayar University Faculty of Medicine, Department of Anesthesiology and Reanimation, Manisa, TurkeyBülent Ecevit University Faculty of Medicine, Department of Anesthesiology and Reanimation, Zonguldak, TurkeyBülent Ecevit University Faculty of Medicine, Department of Public Health, Zonguldak, TurkeyAnkara Numune Training and Research Hospital, Clinic of Anesthesiology and Reanimation, Ankara, TurkeyAnkara Training and Research Hospital, Clinic of Anesthesiology and Reanimation, Ankara, TurkeyÇukurova University Faculty of Medicine, Department of Anesthesiology and Reanimation, Adana, TurkeyAnkara University Faculty of Medicine, Department of Anesthesiology and Reanimation, Ankara, TurkeyIstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, TurkeyObjective: Technological advances increased prolonged life expectancy of the terminal patients, who had end-stage diseases. End-of-life care in intensive care units (ICU) has increased with the rise in admissions of terminal patients to ICU. Our aims in this study were to determine the prevalence of terminal patients, and to find the reasons for potentially inappropriate treatments in ICUs. Materials and Methods: It was nationwide, multicenter, point prevalence and observational study. All adult patients, who stayed more than 48 h in the ICU, were enrolled. All patients were recorded on an electronic case record form, consisting of data on patient demographics, treatments, family participation and mini survey for physicians. The study was conducted on October 15, 2018 with a follow-up for 30 days. Results: Of 1127 patients 286 (25%) ICU patients were diagnosed as terminal patients by ICU physicians depending on primary physician statement. Terminal patients relatives requests and physicians legal concerns reduced end-of-life care quality. Terminal patients had significantly increased usage of mechanical ventilation, inotropic drugs, and poor end-of-life care quality (p<0.001). Fifty-four percent of the terminal patients didn’t have any end-of-life decisions at discharge. Half of the terminal patient relatives requested the full code. Without legal concerns, most of the physicians would apply do not resuscitate (86%), withhold (77%) and withdraw (53%) to terminal patients at the end-of-life. Conclusion: Terminal patients occupy an important place in the ICU. To increase the quality of terminal patients’ end-of-life care in the ICU, advanced care planning and legal arrangements should be conducted properly.https://www.turkishjic.org/archives/archive-detail/article-preview/potentially-nappropriate-treatments-in-ntensive-ca/52513terminal careinappropriate treatmentsintensive care unitsadvanced care planningpatient care planning |
| spellingShingle | Elif Erdoğan Öngel Hülya Sungurtekin Elif Erdoğan Öngel Hülya Sungurtekin Dilek Memiş Demet Tok Aydın Hilal Ayoğlu Ferruh Ayoğlu Işıl Özkoçak Turan Çetin Kaymak Dilek Özcengiz Mustafa Kemal Bayar Yalım Dikmen Potentially Inappropriate Treatments in Intensive Care Units (INAPPT-ICU): Point Prevalence Study Türk Yoğun Bakim Derneği Dergisi terminal care inappropriate treatments intensive care units advanced care planning patient care planning |
| title | Potentially Inappropriate Treatments in Intensive Care Units (INAPPT-ICU): Point Prevalence Study |
| title_full | Potentially Inappropriate Treatments in Intensive Care Units (INAPPT-ICU): Point Prevalence Study |
| title_fullStr | Potentially Inappropriate Treatments in Intensive Care Units (INAPPT-ICU): Point Prevalence Study |
| title_full_unstemmed | Potentially Inappropriate Treatments in Intensive Care Units (INAPPT-ICU): Point Prevalence Study |
| title_short | Potentially Inappropriate Treatments in Intensive Care Units (INAPPT-ICU): Point Prevalence Study |
| title_sort | potentially inappropriate treatments in intensive care units inappt icu point prevalence study |
| topic | terminal care inappropriate treatments intensive care units advanced care planning patient care planning |
| url | https://www.turkishjic.org/archives/archive-detail/article-preview/potentially-nappropriate-treatments-in-ntensive-ca/52513 |
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