Your browser doesn't support javascript.
loading
Life-Sustaining Treatment and Advance Care Documentation among Chinese American ICU Decedents.
Glover, Avery Caz; Jia, Zhimeng; Waybill, Kathleen; Vesel, Tamara.
Afiliación
  • Glover AC; Tufts University School of Medicine (A.C.G.), Boston, MA; Brandeis University (A.C.G.), Heller School for Social Policy and Management, Waltham, MA.
  • Jia Z; Temmy Latner Centre for Palliative Care (Z.J.), Toronto, Ontario, Canada; Department of Family and Community Medicine (Z.J.), University of Toronto, Ontario, Canada; Program in Global Palliative Care (Z.J.), Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United
  • Waybill K; Tufts Medical Center (K.W.), Division of Pulmonary and Critical Care, Boston, MA.
  • Vesel T; Chief, Division of Palliative Care (T.V.), Tufts Medical Center, Associate Professor, Medicine and Pediatrics, Tufts University School of Medicine, Boston, MA. Electronic address: Tamara.vesel@tuftsmedicine.org.
J Pain Symptom Manage ; 68(1): 53-60, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38574875
ABSTRACT
CONTEXT Despite being one of the fastest growing ethnic groups in the U.S., there exists a gap in how treatment preferences among Chinese Americans are expressed and enacted upon in inpatient settings.

OBJECTIVES:

To compare the rates of advance care documentation and life-sustaining treatment between Chinese American and White American ICU decedents.

METHODS:

In this matched retrospective decedent cohort study, we included four ICUs within a tertiary medical center located in a Chinatown neighborhood. The Chinese American cohort included adult patients during the terminal admission in the ICU with primary language identified as Chinese (Mandarin, Cantonese, Taishanese). The White American cohort was matched according to age, sex, year of death, and admitting diagnosis.

RESULTS:

We identified 154 decedents in each cohort. Despite similar odds on admission, Chinese American decedents had higher odds of DNR completion (OR 1.82; 95%CI 0.99-3.40) and DNI completion (OR 1.81; 95%CI, 1.07-1.57) during the terminal ICU admission. Although Chinese American decedents had similar odds of intubation (aOR 0.90; 95%CI, 0.55-1.48), a higher proportion signed a DNI after intubation (41% vs 25%). Chinese American decedents also had higher odds of CPR (aOR 2.03; 95%CI, 1.03-41.6) with three Chinese American decedents receiving CPR despite a signed DNR order (12% vs 0%).

CONCLUSIONS:

During terminal ICU admissions, Chinese American decedents were more likely to complete advance care documentation and to receive CPR than White American decedents. Changes in code status were more common for Chinese Americans after intubation. Further research is needed to understand these differences and identify opportunities for goal-concordant care.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asiático / Unidades de Cuidados Intensivos / Cuidados para Prolongación de la Vida Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: J Pain Symptom Manage Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Marruecos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asiático / Unidades de Cuidados Intensivos / Cuidados para Prolongación de la Vida Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: J Pain Symptom Manage Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Marruecos Pais de publicación: Estados Unidos