Zurasky J A, Aiyagari V, Zazulia A R, Shackelford A, Diringer M N
Neurology/Neurosurgery Intensive Care Unit, Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Neurology. 2005 Feb 22;64(4):725-7. doi: 10.1212/01.WNL.0000152045.56837.58.
The authors reviewed the charts of 1,421 patients with cerebral hemorrhage to determine the cause of death. Limitation or withdrawal of life-sustaining interventions was the most common cause of death (68%) followed by brain death (28%). Neurologic reasons were the most common cause of delayed decisions to withdraw or limit therapy. Brain death was more common in African Americans, whereas life-sustaining interventions were withdrawn or limited early more often in whites.
作者回顾了1421例脑出血患者的病历以确定死因。维持生命干预措施的限制或撤除是最常见的死因(68%),其次是脑死亡(28%)。神经系统原因是延迟做出撤除或限制治疗决定的最常见原因。脑死亡在非裔美国人中更为常见,而维持生命的干预措施在白人中更早被撤除或限制。