Futility decision and its association with sequential organ failure assessment score in non-cancer ICU patients.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- To know the association between the decision of futility care with the SOFA score days before the futility decision.
研究概览
简要总结
Rapid technological development in the recent decades have increased the lifespan of critically ill patients in intensive care units (ICU). However, this might also lead to futile medical
care. Medical futility remains a controversial ethical term and broadly it means to be incapable of producing any useful result.
Many factors contribute to futile medical care like social, occupational, organizational and sometimes financial status also in developing countries. Other than these, individual factors like sense of guilt, grief, lack of correct information, fear of a plausible legal action and the patient family’s response contribute to the futile care.
We aimed to study to find out objectivity in the decision making by critical care physicians for futility care through the ICU severity score SOFA score.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 99.00 Year(s)（—）
- 性别
- All
入选标准
- •All ICU patients in whom continuing medical care was deemed futile by the Critical care team will be recruited as Cases.
- •All patients who died during the same period who were not deemed futile and died in ICU will be recruited as Controls.
排除标准
- •Aged above 18 years
- •Incomplete data
- •Futility decision within 5 days of ICU admission
- •ICU admission duration less than 5 days
- •Decision of withhold or withdraw of life sustaining therapies initiated by other than critical care team like family members, other clinicians.
结局指标
主要结局
To know the association between the decision of futility care with the SOFA score days before the futility decision.
时间窗: 1) D0: At ICU admission | 2)De: On the day of event (either futility decision in cases group or death in control group) | 3) De-3: Three-days prior to the event | 4) De-5: Five-days prior to the event
次要结局
未报告次要终点
研究者
Dr Abhishek Samprathi
Narayana Health