This cross-sectional study compares patterns of end-of-life care and family-rated quality of care for patients in the Veterans Affairs health system dying with different serious illnesses.
Using data from large clinical trials of previous years, Kox and Pickkers exemplify that less intensive treatment is associated with a better outcome in intensive care patients and suggest that we should reappraise both patient management as well as trial design in intensive care medicine while bearing in mind the “less is more” paradigm.
Lamontagne and colleagues describe the frequency, anatomical location, risk factors, management, and consequences of nonleg deep venous thromboses in a large cohort of medical-surgical critically ill adults. Maynard provides an Invited Commentary.
This survey study found that whereas physicians in Asian intensive care units often withheld but seldom withdrew life-sustaining treatments at the end of life, attitudes and practice varied widely across countries and regions.