ArticleIntensive care medicine2022
Change in perception of the quality of death in the intensive care unit by healthcare workers associated with the implementation of the "well-dying law".
Article in Intensive care medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
- Shifting Public Discourse on Life-Sustaining Treatment in South Korea From 2014 to 2025: Longitudinal Social Media Analysis.JMIR infodemiology · 2026Article
- End-of-Life Antibiotic Use After the Life-Sustaining Treatment Decisions Act in Korea.JAMA network open · 2026Article
- How national laws enhance palliative care integration: lessons from the Philippines, South Korea, and Taiwan.Journal of global health · 2026Article
- With strength and breath, I laugh at death: a cross-sectional survey on involvement in recreational sport, resocialization, and well-dying perception among older adults.Frontiers in psychology · 2026Article
- End-of-life care among Koreans in critical care and community-dwelling Korean Americans: A cross-cultural scoping review.Palliative & supportive care · 2025Article
- Article
- Decreased aggressive care at the end of life among advanced cancer patients in the Republic of Korea: a nationwide study from 2012 to 2018.BMC palliative care · 2024Article
- Recent Trends in the Withdrawal of Life-Sustaining Treatment in Patients with Acute Cerebrovascular Disease : 2017-2021.Journal of Korean Neurosurgical Society · 2024Article
- Comparison of the end-of-life decisions of patients with hospital-acquired pneumonia after the enforcement of the life-sustaining treatment decision act in Korea.BMC medical ethics · 2023Article
- Place of Death From Cancer in US States With vs Without Palliative Care Laws.JAMA network open · 2023Article
- Simplified Legal Procedure for End-of-life Decisions in India: A New Dawn in the Care of the Dying?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023Article
- Quality of last journey.Intensive care medicine · 2022Article
- Quality of last journey. Author's reply.Intensive care medicine · 2022Article
- Assessment of an Instrument to Measure Interdisciplinary Staff Perceptions of Quality of Dying and Death in a Pediatric Cardiac Intensive Care Unit.JAMA network open · 2022Article
- The role of policy and law in shaping the ethics and quality of end-of-life care in intensive care.Intensive care medicine · 2022Article
- Prognostic Value of Antithrombin Activity Levels in the Early Phase of Intensive Care: A 2-Center Retrospective Cohort Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisArticle
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Abstract
purposeThe importance of dying with dignity in the intensive care unit (ICU) has been emphasized. The South Korean government implemented the "well-dying law" in 2018, which enables patients to refuse futile life-sustaining treatment (LST) after being determined as terminally ill. We aimed to study whether the well-dying law is associated with a significant change in the quality of death in the ICU.
methodsThe Quality of Dying and Death (QODD) questionnaires were prospectively collected from the doctors and nurses of deceased patients of four South Korean medical ICUs after the law was passed (January 2019 to May 2020). Results were compared with those of our previous study, which used the same metric before the law was passed (June 2016 to May 2017). We compared baseline characteristics of the deceased patients, enrolled staff, QODD scores, and staff opinions about withdrawing LST from before to after the law was passed.
resultsAfter the well-dying law was passed, deceased patients (N = 252) were slightly older (68.6 vs. 66.6, p = 0.03) and fewer patients were admitted to the ICU for post-resuscitation care (10.3% vs. 20%, p = 0.003). The mean total QODD score significantly increased after the law was passed (36.9 vs. 31.3, p = 0.001). The law had a positive independent association with the increased QODD score in a multiple regression analysis.
conclusionOur study is the first to show that implementing the well-dying law is associated with quality of death in the ICU, although the quality of death in South Korea remains relatively low and should be further improved.
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