Navigation Links
Use Caution in Ending Life Support for Brain-Injured, Experts Say
Date:8/29/2011

MONDAY, Aug. 29 (HealthDay News) -- Caution is required when deciding whether to stop life support for patients with traumatic brain injuries, a new study suggests.

Researchers examined death rates after life support was halted for 720 patients over age 16 with severe traumatic brain injury in six trauma centers in the Canadian provinces of Ontario, Quebec and Alberta.

Overall, about one-third of the patients died in hospital, but the rate varied from 11 to 44 percent -- depending on the different trauma centers, according to the study published Aug. 29 in the Canadian Medical Association Journal.

"We saw that most deaths after severe traumatic brain injury occurred after withdrawal of life-sustaining therapy and that the rate of withdrawal of life-sustaining therapy varied significantly across level-one trauma centers," wrote Dr. Alexis Turgeon of Laval University in Quebec, and coauthors.

Seventy percent of the deaths (a range of 64 percent to 76 percent among centers) were associated with the withdrawal of life support, and about half of these deaths occurred within three days, the authors noted in a journal news release.

The team also found "considerable variability" in the death rate between the hospitals, even after adjusting for various risk factors. "This raises the concern that differences in mortality between centers may be partly due to variation in physicians' perceptions of long-term prognosis and physicians' practice patterns for recommending withdrawal of life-sustaining therapy," the team stated.

Therefore, until accurate diagnostic tools are available, caution is required when estimating prognoses for patients with severe traumatic brain injuries and when recommending the withdrawal of life support, the researchers concluded.

More information

The Society of Critical Care Medicine has more about life support.

-- Robert Preidt

SOURCE: Canadian Medical Association Journal, news release, Aug. 29, 2011


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Heat Safety Precautions May Save Student Athletes
2. Study urges caution with lenalidomide dosage
3. Caution Urged in Intensive Treatment of Type 2 Diabetes
4. Cautionary tale for people with diabetes: Dog consumed part of a sleeping patients toe
5. Caution for estrogen therapy after hysterectomy
6. Greater Caution Urged for X-Rays in Pregnancy, Infants
7. Take Safety Precautions in the Snow, Ice
8. Docs Claim Transplant Cured Man of HIV, But Experts Urge Caution
9. Use Anemia Drugs for Cancer Patients With Caution, Experts Say
10. New guideline from ASH and ASCO recommends caution regarding ESA use in cancer patients
11. SNM cautions that Canadas Chalk River coming back online will not solve long-term isotope shortage
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Use Caution in Ending Life Support for Brain-Injured, Experts Say
(Date:5/31/2016)... ... May 31, 2016 , ... Spectrum Aquatics has launched a brand new ... designed and built with the user in mind. , “Over the last two years ... that an ADA 400 lbs lift is a necessary requirement for certain facilities with ...
(Date:5/31/2016)... ... , ... In a recent interview on The Greenburgh Report radio show hosted ... WVOX (1460 AM), leading medical insurance advocate Adria Goldman Gross discussed several eye-opening ... maelstrom.” , During the interview with Mr. Feiner that aired on May 7, ...
(Date:5/31/2016)... , ... May 31, 2016 , ... ... media enterprise focused on patients with cancer, has added Cancer and Careers ... website visitors with more timely content on continuing successful careers while fighting cancer. ...
(Date:5/30/2016)... ... May 30, 2016 , ... Shaolin Institute ... 8-day-8 and 8-night special intensive summer training camp starts on June 17th on ... offers families and children a fun and unique experience with an opportunity to ...
(Date:5/28/2016)... ... May 28, 2016 , ... SuperCloset is proud to officially launch our ... day issues, struggles and obstacles veterans’ need to overcome in order to face their ... or retired military veteran(s) with a donated SuperCloset product based on the needs and ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... 2016 According to market research ... and Demand Forecast to 2022 - Industry Insights by ... published by P&S Market Research, the global insulin delivery ... and it is expected to grow at a CAGR ... pump segment is expected to witness the fastest growth ...
(Date:5/25/2016)... 2016  Granger Diagnostics today announced immediate availability of ... infections. This test ensures discovery of ALL bacteria, ... test requires only a simple swab of the wound ... G. Bostwick , MD, Chief Medical Officer, described ... "We are excited to make available, for the ...
(Date:5/25/2016)... 2016 MedDay, a biotechnology company focused ... oral presentation entitled "High doses of biotin in progressive multiple ... given by Professor Ayman Tourbah , Principal Investigator of ... European Academy of Neurology (EAN) in Copenhagen, Denmark ... will take place on Sunday, 29 May 2016 from 14:45 ...
Breaking Medicine Technology: