Adamik, Barbara

Bernas, Szymon

Białka, Szymon

Biernawska, Jowita

Borys, Michał

Cwyl, Katarzyna

Cyrankiewicz, Waldemar

Czajka, Szymon

Czuczwar, Mirosław

Flaatten, Hans

Fronczek, Jakub

Gawda, Ryszard

Gola, Wojciech

Goździk, Waldemar

Grudzień, Paweł

Hymczak, Hubert

Janc, Jarosław

Kluzik, Anna

Kotfis, Katarzyna

Kozera, Natalia

Kościuczuk, Urszula

Krawczyk, Paweł

Krzych, Łukasz J.

Kudliński, Bartosz

Machała, Waldemar

Mudyna, Wojciech

Nasiłowski, Paweł

Nowak, Łukasz R.

Owczuk, Radosław

Pasieka, Paweł

Piechota, Mariusz

Popek, Natalia

Sadowski, Łukasz

Sierakowska, Katarzyna

Skowronek, Jacek

Skwara, Evan

Solek-Pastuszka, Joanna

Stefaniak, Jan

Studzińska, Dorota

Surówka, Anna

Szczeklik, Wojciech

Szymkowiak, Małgorzata

Trzebicki, Janusz

Wieczorek, Agnieszka

Zatorski, Paweł

Ziętkiewicz, Mirosław

Żukowski, Maciej

Journal of Critical Care

English

Purpose: Several initiatives have recently focused on raising awareness about limitations of treatment in Poland. We aimed to assess if the propensity to limit LST among elderly patients in 2018-2019 increased compared to 2016-2017. Methods: We analysed Polish cohorts from studies VIP1 (October 2016 - May 2017) and VIP2 (May 2018 - May 2019) that enrolled critical patients aged >80. We collected data on demographics, clinical features limitations of LST. Primary analysis assessed factors associated with prevalence of limitations of LST, A secondary analysis explored differences between patients with and without limitations of LST. Results: 601 patients were enrolled. Prevalence of LST limitations was 16.1% in 2016-2017 and 20.5% in 2018-2019. No difference was found in univariate analysis (p = 0.22), multivariable model showed higher propensity towards limiting LST in the 2018-2019 cohort compared to 2016-2017 cohort (OR 1.07;95%CI, 1.01-1.14). There was higher mortality and a longer length of stay of patients with limitations of LST compared to the patients without limitations of LST. (11 vs. 6 days, p = 0.001). Conclusions: The clinicians in Poland have become more proactive in limiting LST in critically ill patients ≥80 years old over the studied period, however the prevalence of limitations of LST in Poland remains low

Jagiellonian Univeristy Repository

Prevalence of life-sustaining treatment limitations in Polish very old intensive care patients (VIPs). A post-hoc analysis of two prospective observational studies

Paweł Pasieka

Anna Surówka

Jakub Fronczek

Evan Skwara

Mirosław Czuczwar

Michał Borys

Paweł Krawczyk

Mirosław Ziętkiewicz

Łukasz R. Nowak

Maciej Żukowski

Katarzyna Kotfis

Katarzyna Cwyl

Jacek Skowronek

Joanna Solek-Pastuszka

Jowita Biernawska

Paweł Grudzień

Paweł Nasiłowski

Natalia Popek

Waldemar Cyrankiewicz

Katarzyna Sierakowska

Wojciech Mudyna

Szymon Białka

Dorota Studzińska

Szymon Bernas

Mariusz Piechota

Waldemar Machała

Łukasz Sadowski

Jan Stefaniak

Radosław Owczuk

Małgorzata Szymkowiak

Ryszard Gawda

Natalia Kozera

Barbara Adamik

Waldemar Goździk

Agnieszka Wieczorek

Jarosław Janc

Anna Kluzik

Janusz Trzebicki

Paweł Zatorski

Wojciech Gola

Hubert Hymczak

Lukasz J. Krzych

Szymon Czajka

Urszula Kościuczuk

Bartosz Kudliński

Hans Flaatten

Wojciech Szczeklik

Crossref

http://ruj.uj.edu.pl/bitstreams/ce4baac8-e7d4-48fa-a097-cd44504a9525/download

Prevalence of life-sustaining treatment limitations in Polish very old intensive care patients (VIPs). A post-hoc analysis of two prospective observational studies

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Jagiellonian Univeristy Repository

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