• Intensive Care• Dying in the intensive care unit• Limitation of life-sustaining treatment in the ICU
Conditions
Interventions
Group 1: All consecutive adult patients admitted to the ICU who die or have any limitation of life-saving interventions in the ICU are observed
all relatives are invited to participate in a postal survey after 90 days
all physicians and nurses in the ICU are questionned once with a staff survey .
Sponsors
Universitätsklinikum Jena
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: All patients who die or who had a limitation of life-sustaining interventions in the ICU
Exclusion criteria
Exclusion criteria: Patients without limitation of life sustaining therapy who are discharged alive; patients on intermediate care or step down units or normal wards
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • end of life category | — |
Secondary
| Measure | Time frame |
|---|---|
| • characteristics of decision-making • time periods between admission and death/discharge or until end-of-life decision, time period between end-of-life decision and death. • Emotional exhaustion of ICU nurses and physicians (Maslach Burnout Inventory) • Perception of work environment by ICU staff in the context of end-of-life practice (validated questionnaire [2]) • Perception of decision-making and EOL Care by relatives after 3 months (validated questionnaire [3]) Anxiety and depression (measured by Brief-Symptom-Inventory 18) of relatives after 3 months | — |
Countries
Germany
Contacts
Public ContactChristiane S Hartog
Charité Universitätsmedizin Belrin
Outcome results
None listed