Worldwide end-of-life practice for patients in ICUs
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AbstractPurpose of reviewPublished data and practice recommendations on end-of-life (EOL) generally reflect Western practice frameworks. Understanding worldwide practices is important because improving economic conditions are promoting rapid expansion of intensive care services in many previously disadvantaged regions, and increasing migration has promoted a new cultural diversity previously predominantly unicultural societies. This review explores current knowledge of similarities and differences in EOL practice between regions and possible causes and implications of these differences.Recent findingsRecent observational and survey data shows a marked variability in the practice of withholding and withdrawing life sustaining therapy worldwide. Some evidence supports the view that culture, religion, and socioeconomic factors influence EOL practice, and individually or together account for differences observed. There are also likely to be commonly desired values and expectations for EOL practice, and recent attempts at establishing where worldwide consensus may lie have improved our understanding of shared values and practices.SummaryAwareness of differences, understanding their likely complex causes, and using this knowledge to inform individualized care at EOL is likely to improve the quality of care for patients. Further research should clarify the causes of EOL practice variability, monitor trends, and objectively evaluate the quality of EOL practice worldwide.
All Author(s) ListWong WT, Phua J, Joynt GM
Journal nameCurrent Opinion in Anaesthesiology
Year2018
Month4
Day1
Volume Number31
Issue Number2
PublisherLippincott, Williams & Wilkins
Pages172 - 178
ISSN0952-7907
eISSN1473-6500
LanguagesEnglish-United Kingdom
Keywordseuthanasia,medical futility,withdrawing treatment,withholding treatment
Web of Science Subject CategoriesAnesthesiology;Anesthesiology

Last updated on 2020-04-04 at 12:14