ArticleCritical care medicine2017
Admission to Intensive Care for Palliative Care or Potential Organ Donation: Demographics, Circumstances, Outcomes, and Resource Use.
Article in Critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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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.
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Who cites it
13 citing papers in PubMed, 30 citations in OpenAlex.
- Association of emergency intensive care unit occupancy due to brain-dead organ donors with ambulance diversion.Scientific reports · 2025Article
- Intensive care admission aiming at organ donation. Pro.Intensive care medicine · 2024Article
- Intensive care admission aiming at organ donation. Con.Intensive care medicine · 2024Article
- Assessing Outcomes of Patients Subject to Intensive Care to Facilitate Organ Donation: A Spanish Multicenter Prospective Study.Transplant international : official journal of the European Society for Organ Transplantation · 2024Article
- Perceptions of intensive care triage in Australia and New Zealand in 2009 and 2023.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2023Article
- Rationale for integration of palliative care in the medical intensive care: A narrative literature review.World journal of critical care medicine · 2022Review
- A microcosting analysis of ICU expenditure in the interval between brain death and organ donation.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2021Article
- Outcomes of patients with subarachnoid haemorrhage admitted to Australian and New Zealand intensive care units following a cardiac arrest.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2020Article
- Impact of a Devastating Brain Injury Pathway on Outcomes, Resources, and Organ Donation: 3 Years' Experience in a Regional Neurosciences ICU.Neurocritical care · 2020Article
- ICU beds: less is more? No.Intensive care medicine · 2020Article
- Expanding the pool of deceased organ donors: the ICU and beyond.Intensive care medicine · 2019Article
- Attitudes of visitors at adult intensive care unit toward organ donation and organ support.Chinese medical journal · 2019Article
- Barriers and Enablers to Organ Donation After Circulatory Determination of Death: A Qualitative Study Exploring the Beliefs of Frontline Intensive Care Unit Professionals and Organ Donor Coordinators.Transplantation direct · 2018Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe the characteristics, circumstances, change over time, resource use, and outcomes of patients admitted to ICUs in Australia and New Zealand for the purposes of "palliative care of a dying patient" or "potential organ donation," and compare with actively managed ICU patients.
designA retrospective study of data from the Australian and New Zealand Intensive Care Society Adult Patient Database and a nested cohort analysis of a single center.
settingOne hundred seventy-seven ICUs in Australia and New Zealand and a nested analysis of one university-affiliated hospital ICU in Melbourne, VIC, Australia. PATIENTS: Three thousand seven hundred "palliative care of a dying patient" and 1,115 "potential organ donation" patients from 2007 to 2016. The nested cohort included 192 patients.
interventionsNo interventions. Data extracted included patient demographics, diagnoses, length of stay, circumstances, and outcome of admission. MEASUREMENTS AND MAIN
resultsICU admissions for "palliative care of a dying patient" and "potential organ donation" increased from 179 in 2007 to 551 in 2016 and from 44 in 2007 to 174 in 2016 in each respective group, though only the "potential organ donation" cohort showed an increase in proportion of total ICU admissions. Lengths of stay in ICU were a mean of 33.8 hours (median, 17.5; interquartile range, 6.4-38.8) and 44.7 hours (26.6; 16.0-44.6), respectively, compared with 74.2 hours (41.5; 21.7-77.0) in actively managed patients. Hospital mortality was 86.6% and 95.9%, respectively. In the nested cohort of 192 patients, facilitating family discussions about goals of treatment and organ donation represented the most common reason for ICU admission.
conclusionsPatients admitted to ICU to manage end-of-life care represent a small proportion of overall ICU admissions, with an increasing proportion of "potential organ donation" admissions. They have shorter ICU lengths of stay than actively managed patients, suggesting resource use for these patients is not disproportionate.
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