Barlow P, Jennett B
Department of Neurosurgery, Southern General Hospital, Glasgow.
Scott Med J. 1991 Aug;36(4):109-11. doi: 10.1177/003693309103600404.
The monthly audit of deaths in this regional neurosurgical unit notes decisions to limit treatment recorded in the case-sheet. In 1988 a treatment-limiting decision was noted in 67 of 131 deaths (51%). In 40% of these the decision was made soon after admission; in these patients the mean time to death was 1.5 days (median one day). When the decision was made later, the mean time for admission to death was 6.8 days (median five days). Regular audit provides an opportunity to discuss the appropriateness of such decisions in various circumstances.
该地区神经外科病房的月度死亡病例审计记录了病历中有关限制治疗的决定。1988年，在131例死亡病例中有67例（51%）记录了限制治疗的决定。其中40%的决定是在入院后不久做出的；这些患者的平均死亡时间为1.5天（中位数为1天）。当决定较晚做出时，从入院到死亡的平均时间为6.8天（中位数为5天）。定期审计为讨论在各种情况下此类决定的合理性提供了机会。
