Age, comorbidity and functional status influence end-of-life decisions in critical illness, while nationality, ethnicity and clinician experience influence the agressiveness of medical care
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
- Correspondence to Ronald L Hickman, Jr
Case Western Reserve University, Frances Payne Bolton School of Nursing, 2120 Cornell Road, Cleveland, OH 44106-4904, USA;
Implications for practice
■ Critical care nurses are more likely to recommend intensive end-of-life (EOL) care compared with physicians who routinely work in critical care settings.
■ Patients with advanced age, comorbidity and limited functional status are less likely to use technologically intensive EOL care.
Implications for research
■ Further evaluation of the complex interactions of factors associated with critically ill patients, family members and healthcare professionals are needed to guide the development of decision support strategies at EOL.
■ Novel decision support strategies should consider tailored approaches to overcome patient and healthcare professional factors and …