Miranda-Ackerman Roberto Carlos, Ruiz-Ochoa Paulina, López-Ramírez Daniela, Quevedo-Barrientos Juan Fernando, Plascencia-Rendón Mariana, Landeros-Torres José Luis, Astorga-Cervantes Karen Fernanda, González-Uribe Alejandra, Cortes-Flores Ana Olivia, Del-Valle Carlos José Zuloaga-Fernández-, Morgan-Villela Gilberto, Barbosa-Camacho Francisco José, Fuentes-Orozco Clotilde, Brancaccio-Pérez Irma Valeria, González-Ojeda Alejandro
Hospital San Javier, Guadalajara, México.
Department of Psychiatry, Hospital Civil de Guadalajara "Fray Antonio Alcalde", University of Guadalajara, Guadalajara, México.
Palliat Med Rep. 2024 Aug 21;5(1):359-364. doi: 10.1089/pmr.2024.0023. eCollection 2024.
Many factors, such as religion, geography, and customs, influence end-of-life practices. This variability exists even between different physicians.
To observe and describe the end-of-life actions of patients in the intensive care unit (ICU) and document the variables that might influence decision-making at the end of life.
This is a cross-sectional study performed in the ICU patients of a private hospital from March 2017 to March 2022. We used the Philips Tasy Electronic Medical Record database of clinical records; 298 patients were included in the study during these five years (2017-2022). The data analysis was done with the statistical package SPSS version 23 for Windows.
A total of 297 patients were included in this study, of which more than half were men. About 60% of our sample had private health insurance, whereas the remaining paid out of pocket. Most patients had withholding treatment, followed by failed cardiopulmonary resuscitation, withdrawal treatment, and brain death, and none of the patients had acceleration of the dying process. The main cause of admission to the ICU in our center was respiratory complications. Most of our samples were Catholics.
Decision-making at the end of life is a complex process. Active participation of the patient, when possible, the patient's family, doctors, and nurses, can give different perspectives and a more compassionate and individualized approach to end-of-life care.
许多因素，如宗教、地理和习俗，都会影响临终实践。这种差异甚至存在于不同的医生之间。
观察和描述重症监护病房（ICU）患者的临终行为，并记录可能影响临终决策的变量。
这是一项横断面研究，于2017年3月至2022年3月在一家私立医院的ICU患者中进行。我们使用了飞利浦Tasy电子病历临床记录数据库；在这五年（2017 - 2022年）期间，共有298名患者纳入研究。数据分析使用Windows版SPSS 23统计软件包完成。
本研究共纳入297名患者，其中超过一半为男性。我们样本中约60%拥有私人医疗保险，其余为自掏腰包支付费用。大多数患者接受了治疗 withhold，其次是心肺复苏失败、撤掉治疗和脑死亡，没有患者出现加速死亡进程的情况。我们中心患者入住ICU的主要原因是呼吸并发症。我们的大多数样本是天主教徒。
临终决策是一个复杂的过程。患者、患者家属、医生和护士在可能的情况下积极参与，可以提供不同的观点，并为临终关怀提供更具同情心和个性化的方法。
