Observational studyDeutsches Arzteblatt international2019
Hospitalization and Intensive Therapy at the End of Life.
Observational study in Deutsches Arzteblatt international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 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.
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.
Who cites it
25 citing papers in PubMed, 44 citations in OpenAlex.
- Consent in Intensive Care: The Concurrence of Patients' and Families' Viewpoints. A Simulation StudyDeutsches Arzteblatt international · 2026Article
- Decreasing admissions in older and increasing mortality in younger patients: a nationwide observational study of all German ICU cases 2011-2022.Critical care (London, England) · 2026Observational
- Invasive ventilation and mortality in critically ill nonagenarians: a retrospective cohort study.European journal of medical research · 2026Article
- Article
- [Dying in the intensive care unit].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Review
- "Geriatric patients in Argentinean ICUs: admission, care patterns, outcomes and healthcare system implications".BMC geriatrics · 2025Observational
- Time-Limited Trials in Intensive Care Medicine: A Tool for Avoiding Inappropriate Treatment.Deutsches Arzteblatt international · 2025Review
- Analyzing the use of specialized palliative care in intensive care unit patients in Germany: a cross-sectional study.BMC palliative care · 2025Article
- The instrumental value of advance directives: lesson learned from the COVID-19 pandemic for policymaking.Research in health services & regions · 2025Article
- [Hemodynamic monitoring and volume management].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Article
- [Relatives after a stay on the intensive care unit: a care gap to be closed].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Article
- Quality of palliative and end-of-life care: a quantitative study of temporal trends and differences according to illness trajectories in Quebec (Canada).BMC palliative care · 2024Article
- [The Trend in Places of Death Over Two Decades in the City of Muenster - an Observational Study Based on evaluated Death Certificates].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2024Observational
- End-of-life practices in 11 German intensive care units : Results from the ETHICUS-2 study.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Article
- [Advance care instruments for emergency rescue services : What is the current situation in Germany?]Die Anaesthesiologie · 2023Review
- [Transition from intensive care to palliative care : A retrospective analysis of 102 consultation requests].Die Anaesthesiologie · 2023Article
- [Slow demographic change and neurological rehabilitation-Part 1: state of affairs].Der Nervenarzt · 2023Review
- Low extracellular vesicle concentrations predict survival in patients with heart failure.Frontiers in cardiovascular medicine · 2023Article
- Application of DRGs in hospital medical record management and its impact on service quality.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2022Article
- [Communication in intensive care medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGermany has more intensive care unit (ICU) beds per capita than the USA, but the utilization of these resources at the end of life is unknown.
methodsRetrospective observational study using nationwide German hospital discharge data (DRG statistics; DRG, diag- nosis-related groups) from 2007 to 2015. We investigated hospital deaths and use of intensive care services during terminal hospitalizations. Population-based incidences were standardized to the age and sex distribution of the German population.
resultsStandardized hospital admission rates increased by 0.8% annually (from 201.9 to 214.6 per 1000 population), while hospital admissions involving ICU care increased by 3.0% annually (from 6.5 to 8.2 per 1000 population). Among all deaths in the German population, the proportion of hospital deaths with ICU care increased by 2.3% annually (from 9.8% to 11.8%). Among all hospital deaths, the proportion involving ICU care increased by 2.8% annually from 20.6% (2007) to 25.6% (2015). In patients aged 65 and older, the use of intensive care services during terminal hospitalizations increased 3 times faster than hospital deaths.
conclusionUse of intensive care services during terminal hospitalizations increased across all age groups, particularly the elderly. The increased need for end-of-life care in the ICU calls for improvements in educational, policy, and reimbursement strategies. It is unclear whether ICU care was appropriate and compliant with patient preferences.
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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.