Informed Consents for Withholding/Withdrawing Life Support in Intensive Care Units
|ClinicalTrials.gov Identifier: NCT02020473|
Recruitment Status : Completed
First Posted : December 25, 2013
Last Update Posted : December 25, 2013
End-of- life care is a major issue in medical ethics with life support technology progress. Intensive care may prolong the dying process in patients who have been unresponsive to the treatment already provided. Withholding or withdrawing of life support (WLS) care was introduced to avoid the suffering of critically ill patients. Decision to WLS is a difficult and affected by several factors including not only disease severity but also ethics, religion, culture, and legal background. In western countries, advance directives had an important role to WLS for dying patients and honor patient autonomy. However, the illegality of advance directives in Korea and Korean culture under Confucianism, requiring children to do the best to treat their parents in the name of filial piety make physicians and family members difficult to WLS in terminally ill patients.
Additionally, WLS in intensive care unit had been usually decided without official documentation before the final legal decision by Supreme Court in Korea. Scanty information exists about end-of-life practices because informed consents of WLS were taken after the legal decision.
Thus, we aimed to investigate the current status of informed consent at the time of decision to WLS and difference between WLS group and non-WLS group in Korea.
|Condition or disease|
|Death Occurring in Intensive Care Units|
|Study Type :||Observational|
|Actual Enrollment :||348 participants|
|Study Start Date :||February 2013|
|Actual Primary Completion Date :||December 2013|
|Actual Study Completion Date :||December 2013|
patients with informed consents for withholding/withdrawing life support
patients without informed consents for withholding/withdrawing life support
- Signing of informed consents for withholding/withdrawing life support [ Time Frame: 1 year after ICU admission ]Primary outcome was existence of informed consents for withholding/withdrawing life support. Data from informed consents for WLS included main family members who signed the WLS and type of the life support modalities withheld or withdrawn.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02020473
|Korea, Republic of|
|Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Chief of ICUs, Severance Hospital, Yonsei University Health System|
|Seoul, Korea, Republic of, 120-752|