Skip to main content
. 2014 May-Jun;21(3):165–170. doi: 10.1155/2014/429789

TABLE 3.

Details for patients with agreement among medical doctors, registered nurses and charge nurses regarding withdrawal of life support

Patient Outcome Interval from first agreement to death, days Age, years Diagnosis at time of death Length of stay, days
APACHE II Predicted risk of death from APACHE II
Hospital ICU
1 Death 2 65 Prehospital VF arrest with MVC, anoxia, hypothermia 6 5.3 29 0.75
2 Death 6 66 Gangrenous foot, AKA, sepsis and cardiac complications
Comorbidities COPD
25 7.8 34 0.83
3 Death 0 68 Prehospital cardiac arrest, hypothermia 3 2.2 46 0.97
4 Death 0 69 Ischemic arm, embolectomy, complicated by MODS 5 3.8 35 0.67
5 Death 2 80 Respiratory distress with pleural effusion; adenocarcinoma lung, brain metastasis 5 4.6 16 0.43
6 Death 1 74 Post OP recurrent resection, CA floor of mouth 20 11.0 23 0.43
7 Death 0 64 CO poisoning (intentional), bowel cancer, CAD 2 1.0 46 0.91
8 Death 0 70 VSA arrests with hypothermia 3 1.7 38 0.92
9 Death 1 73 Fall, TBI, SDH, SAH, IPH 8 6.5 27 0.48
10 Death 0 47 Status asthmaticus, failed ECMO 6 4.8 28 0.18
11 Death 0 83 Food aspiration, shock 2 0.7 41 0.91
12 Death 0 84 Large hemorrhagic stroke 3 2.5 33 0.63
13 Death 7 87 Esophageal perforation 62 56.0 27 0.72
14 Death 1 65 Perforated duodenal ulcer, septic shock, metastatic CA breast 13 9.2 40 0.92
15 Home n/a* 72 COPD exacerbation, CAD 20 11.6 34 0.75
16 Death 0 76 Prehospital VSA, hypothermia 2 1.8 44 0.39
17 Death 10 86 Septic shock, arm cellulitis, complicated by CVA and MODS 14 12.9 42 0.94
18 Death 0 64 Septic shock, ascending cholangitis, admitted from other unit 38 37.3 40 0.92
19 Death 1 72 Bilateral PE, stage 4 ovarian CA, from another hospital 18 17.5 33 0.61
Median 0.5
Maximum 10
Minimum 0
n <2 days 15
*

Eight days in intensive care unit (ICU) after agreement, died eight months post ICU discharge;

Consensus on question 5 occurred on day before withdrawal of life support (WLS). AKA Above knee amputation; APACHE II Acute Physiology and Chronic Health Evaluation; CA Cancer; CAD Coronary artery disease; CO Carbon monoxide; COPD Chronic obstructive pulmonary disease; CVA Cerebrovascular accident; ECMO Extracorporeal membrane oxygenation; ICU Intensive care unit; IPH Idiopathic pulmonary hypertension; n/a Not applicable; MODS Multiple organ dysfunction syndrome; MVC Multiple vehicle crash; OP Operative; PE Pulmonary embolism; SAH Subarachnoid hemorrhage; SDH Subdural hemorrhage; TBI Traumatic brain injury; VF Ventricular fibrillation; VSA Vital signs absent