RT Journal Article
T1 Limitation of life support techniques at admission to the intensive care unit: a multicenter prospective cohort study.
A1 Rubio, Olga
A1 Arnau, Anna
A1 Cano, Sílvia
A1 Subirà, Carles
A1 Balerdi, Begoña
A1 Perea, María Eugenía
A1 Fernández-Vivas, Miguel
A1 Barber, María
A1 Llamas, Noemí
A1 Altaba, Susana
A1 Prieto, Ana
A1 Gómez, Vicente
A1 Martin, Mar
A1 Paz, Marta
A1 Quesada, Belen
A1 Español, Valentí
A1 Montejo, Juan Carlos
A1 Gomez, José Manuel
A1 Miro, Gloria
A1 Xirgú, Judith
A1 Ortega, Ana
A1 Rascado, Pedro
A1 Sánchez, Juan María
A1 Marcos, Alfredo
A1 Tizon, Ana
A1 Monedero, Pablo
A1 Zabala, Elisabeth
A1 Murcia, Cristina
A1 Torrejon, Ines
A1 Planas, Kenneth
A1 Añon, José Manuel
A1 Hernandez, Gonzalo
A1 Fernandez, María-Del-Mar
A1 Guía, Consuelo
A1 Arauzo, Vanesa
A1 Perez, José Miguel
A1 Catalan, Rosa
A1 Gonzalez, Javier
A1 Poyo, Rosa
A1 Tomas, Roser
A1 Saralegui, Iñaki
A1 Mancebo, Jordi
A1 Sprung, Charles
A1 Fernández, Rafael
K1 Critical care
K1 Intensive care units
K1 Limitations on life support techniques
K1 Palliative care
AB To determine the frequency of limitations on life support techniques (LLSTs) on admission to intensive care units (ICU), factors associated, and 30-day survival in patients with LLST on ICU admission. This prospective observational study included all patients admitted to 39 ICUs in a 45-day period in 2011. We recorded hospitals' characteristics (availability of intermediate care units, usual availability of ICU beds, and financial model) and patients' characteristics (demographics, reason for admission, functional status, risk of death, and LLST on ICU admission (withholding/withdrawing; specific techniques affected)). The primary outcome was 30-day survival for patients with LLST on ICU admission. Statistical analysis included multilevel logistic regression models. We recruited 3042 patients (age 62.5 ± 16.1 years). Most ICUs (94.8%) admitted patients with LLST, but only 238 (7.8% [95% CI 7.0-8.8]) patients had LLST on ICU admission; this group had higher ICU mortality (44.5 vs. 9.4% in patients without LLST; p  The frequency of ICU admission with LLST is low but probably increasing; nearly one third of these patients survive for ≥ 30 days.
SN 2052-0492
YR 2018
FD 2018-04-13
LK https://hdl.handle.net/10668/24418
UL https://hdl.handle.net/10668/24418
LA en
DS RISalud
RD Apr 17, 2025