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    Does anyone ever expect to die?

    Access Status
    Fulltext not available
    Authors
    Anstey, Matthew
    Watts, N.
    Orford, N.
    Seppelt, I.
    Mitchell, I.
    Date
    2017
    Type
    Journal Article
    
    Metadata
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    Citation
    Anstey, M. and Watts, N. and Orford, N. and Seppelt, I. and Mitchell, I. 2017. Does anyone ever expect to die? Anaesthesia and Intensive Care. 45 (4): pp. 466-468.
    Source Title
    Anaesthesia and Intensive Care
    Additional URLs
    http://www.aaic.net.au/Document/?D=20170048
    ISSN
    0310-057X
    School
    Department of Health Policy and Management
    URI
    http://hdl.handle.net/20.500.11937/59167
    Collection
    • Curtin Research Publications
    Abstract

    Patients who come to the intensive care unit are amongst the sickest patients in our hospitals. Patients can be admitted to the intensive care unit unexpectedly (following accidents or sudden onset of illness) or as unplanned but not necessarily truly 'unexpected' admissions. These patients often have significant underlying chronic health issues, including metastatic cancer, advanced cardiac, respiratory, renal, or hepatic failure, or frailty, with a high likelihood of death in the ensuing months. Using the Australian and New Zealand Intensive Care Society Clinical Trials Group Point Prevalence Program, a prospective single-day observational study across 46 Australian hospitals in 2014 and 2015, we found that less than 9% of intensive care unit patients (51/577) had an advance directive available. From these results, we provide two suggestions to increase intensive care's understanding of patients' end-of-life wishes. First, systematically target 'high risk of dying' patient groups for goals of care conversations in the outpatient setting. Such groups include those where one would not be 'surprised' if they died within a year. Second, as a society, more conversations about end-of-life wishes are needed.

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