Evidence map›Paper›PMID 29302594›Full record

ReviewAnnals of translational medicine2017

Ethical aspects of admission or non-admission to the intensive care unit.

Jean-Philippe Rigaud, Mikhael Giabicani, Marion Beuzelin, Antoine Marchalot, Fiona Ecarnot, Jean-Pierre Quenot

Abstract readReview
In one paragraph

Review in Annals of translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Intensive Care Residents' Views Regarding Ethical Issues and Practices.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
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

6 authors.

Jean-Philippe RigaudDepartment of Intensive Care, General Hospital of Dieppe, Dieppe, France.
Mikhael GiabicaniDepartment of Intensive Care, General Hospital of Dieppe, Dieppe, France.
Marion BeuzelinDepartment of Intensive Care, General Hospital of Dieppe, Dieppe, France.
Antoine MarchalotDepartment of Intensive Care, General Hospital of Dieppe, Dieppe, France.
Fiona EcarnotDepartment of Cardiology, University Hospital, Besancon, France.
Jean-Pierre QuenotDepartment of Intensive Care, François Mitterrand University Hospital, 14 rue Paul Gaffarel, Dijon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The question of admission and non-admission to the intensive care unit (ICU) raises several ethical questions. There is a fine line between the risk of loss-of-opportunity for the patient in case of non-admission, and the risk of unreasonable therapeutic obstinacy, in case of unjustified admission. Similar difficulties arise in decisions regarding re-admission or non-re-admission, with the sole difference that the intensivists already know the patient and his/her medical history. This information can help inform the decision when re-admission is being considered. Intensive, i.e., life-sustaining care should be implemented after shared reflection involving the caregivers, the patient and the family, and the same applies for non-implementation of these same therapies. Anticipating admission or non-admission to the ICU in case of acute organ failure, or in case of potential deterioration represents a major challenge for our discipline in the coming years.

Indexed as

admissionIntensive care unit (ICU)non-admissionre-admission

Identifiers

PMID29302594
PMCPMC5750248

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.