Evaluation of changes in forgoing life-sustaining treatment in Israeli ICU patients.

Abstract:

INTRODUCTION:Over the last several years, there have been legal decisions and changes in medical directives concerning end-of-life decisions in Israel. METHODS:The data were compared to evaluate the changes in the frequency and types of forgoing of life-sustaining treatment (FLST) in patients who were admitted to the ICU during period I (November 1994 to July 1995) and period II (January 1998 to January 1999). RESULTS:During period I, there were 385 ICU admissions, and during period II there were 627 ICU admissions. In period I, FLST or death occurred in 13.5% of patients, and in 12% in period II. There was no significant difference in cardiopulmonary resuscitation (9% vs 13%, respectively), withholding therapy (90% vs 91%, respectively), or withdrawing therapy (0% vs 0%, respectively) between the two study periods. CONCLUSIONS:There was no significant change in the frequency or types of FLST in an Israeli ICU between 1994 and 1998, despite passage of a new Patients' Rights Law and the issuing of a Ministry of Health directive on the treatment of the terminally ill, both of which occurred in 1996, and recent district court decisions favoring the termination of life-sustaining therapies.

journal_name

Chest

journal_title

Chest

authors

Jakobson DJ,Eidelman LA,Worner TM,Oppenheim AE,Pizov R,Sprung CL

doi

10.1378/chest.126.6.1969

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

1969-73

issue

6

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)31449-5

journal_volume

126

pub_type

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