Evidence map›Paper›PMID 24532934›Full record

ReviewMedical journal, Armed Forces India2013

End of life issues in the intensive care units.

Rashmi Datta, R Chaturvedi, A Rudra, C N Jaideep

Abstract readReview
In one paragraph

Review in Medical journal, Armed Forces India, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Framework for decision-making and management of end-of-life decisions in Intensive Care Units: A modified protocol.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2015
    Review
  3. Article
  4. End of life care: should we struggle on, or let go?Medical journal, Armed Forces India · 2013
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Rashmi DattaSenior Advisor, Anaesthesiology, Army Hospital (R&R), New Delhi, India.
R ChaturvediDean & Deputy Commandant, CH (AF), Bangalore 560 007, India.
A RudraCommanding Officer, 408 Field Hospital, C/o 56 APO, India.
C N JaideepAssociate Professor, Anaesthesiology, AFMC, Pune 40, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A structured discussion of End-of-Life (EOL) issues is a relatively new phenomenon in India. Personal beliefs, cultural and religious influences, peer, family and societal pressures affect EOL decisions. Indian law does not provide sanction to contentious issues such as do-not-resuscitate (DNR) orders, living wills, and euthanasia. Finally, published data on EOL decisions in Indian ICUs is lacking. What is needed is a prospective determination of which patients will benefit from aggressive management and life-support. A consensus regarding the concept of Medical Futility is necessary to give impetus to further discussion on more advanced policies including ideas such as Managed Care to restrict unnecessary health care costs, euthanasia, the principle of withhold and/or withdraw, ethical and moral guidelines that would govern decisions regarding futile treatment, informed consent to EOL decisions and do-not-resuscitate orders. This review examines the above concepts as practiced worldwide and looks at some landmark judgments that have shaped current Indian policy, as well as raising talking points for possible legislative intervention in the field.

Indexed as

Do-not-Resuscitate OrdersEnd of lifeIntensive care unitMedical Futility

Identifiers

PMID24532934
PMCPMC3862790

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.