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Text
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URL Address
<a href="http://doi.org/10.1377/hlthaff.24.4.961" target="_blank" rel="noreferrer">http://doi.org/10.1377/hlthaff.24.4.961</a>
Dublin Core
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Title
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The costs of nonbeneficial treatment in the intensive care setting
Publisher
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Health Affairs
Date
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2005
Subject
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Female; Humans; Male; United States; Patient Discharge; Adult; Medical Futility; Middle Aged; Length of Stay; Dissent and Disputes; Survival Analysis; Empirical Approach; Death and Euthanasia; decision making; ICU Decision Making; Health Care and Public Health; Hospital Costs/statistics & numerical data; Ethics Consultation/utilization; Intensive Care Units/economics/ethics; Intensive Care/economics/ethics/utilization; Life Support Care/economics/ethics/utilization
Creator
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Gilmer T; Schneiderman LJ; Teetzel H; Blustein J; Briggs K; Cohn F; Cranford R; Dugan D; Kamatsu G; Young E
Description
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Ethics consultations have been shown to reduce the use of "nonbeneficial treatments," defined as life-sustaining treatments delivered to patients who ultimately did not survive to hospital discharge, when treatment conflicts occurred in the adult intensive care unit (ICU). In this paper we estimated the costs of nonbeneficial treatment using the results from a randomized trial of ethics consultations. We found that ethics consultations were associated with reductions in hospital days and treatment costs among patients who did not survive to hospital discharge. We conclude that consultations resolved conflicts that would have inappropriately prolonged nonbeneficial or unwanted treatments in the ICU instead of focusing on more appropriate comfort care.
2005
Identifier
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<a href="http://doi.org/10.1377/hlthaff.24.4.961" target="_blank" rel="noreferrer">10.1377/hlthaff.24.4.961</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2005
Adult
Backlog
Blustein J
Briggs K
Cohn F
Cranford R
Death and Euthanasia
Decision Making
Dissent And Disputes
Dugan D
Empirical Approach
Ethics Consultation/utilization
Female
Gilmer T
Health Affairs
Health Care and Public Health
Hospital Costs/statistics & numerical data
Humans
ICU Decision Making
Intensive Care Units/economics/ethics
Intensive Care/economics/ethics/utilization
Journal Article
Kamatsu G
Length Of Stay
Life Support Care/economics/ethics/utilization
Male
Medical Futility
Middle Aged
Patient Discharge
Schneiderman LJ
Survival Analysis
Teetzel H
United States
Young E