Short-Term Mortality Predictions for Critically Ill Hospitalized Adults: Science and Ethics
Keywords
AdultsAge Factors
Alternatives
Biomedical Technologies
Critically Ill
Death
Decision Analysis
Data Banks
Economics
Ethics
Evaluation
Futility
Health
Health Care
Hospitals
Intensive Care Units
Life
Medicine
Methods
Morbidity
Mortality
Patient Care
Patients
Physicians
Probability
Prognosis
Quality of Life
Resource Allocation
Science
Statistics
Uncertainty
Values
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http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Short-Term+Mortality+Predictions+for+Critically+Ill+Hospitalized+adults:+Science+and+Ethics&title=Science.++&volume=254&issue=5030&pages=389-394&date=1991&au=Knaus,+William+A.https://dx.doi.org/10.1126/science.1925596
http://hdl.handle.net/10822/736673
Abstract
Modern life-sustaining therapy often succeeds in postponing death but may be ineffective at restoring health. Decisions that influence the time and circumstances of an individual's death are now common and require an accurate and comprehensive characterization of likely outcome. Evaluation of alternative outcomes requires acknowledgement that most patients find some outcomes to be worse than death. Improved understanding of major predictors of patient outcome, combined with rapidly expanding technical abilities to collect and manipulate large amounts of detailed clinical data, have created a new intellectual and technical basis for estimating outcomes from intensive medical care. Such objective probability estimates, such as the system described here, can reduce uncertainty about difficult clinical decisions and can be used by physicians, patients, and society to reorient health care toward more scientifically and ethically defensible approaches.Date
2015-05-05Identifier
oai:repository.library.georgetown.edu:10822/73667310.1126/science.1925596
Science. 1991 Oct 18; 254(5030): 389-394.
0036-8075
http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Short-Term+Mortality+Predictions+for+Critically+Ill+Hospitalized+adults:+Science+and+Ethics&title=Science.++&volume=254&issue=5030&pages=389-394&date=1991&au=Knaus,+William+A.
http://dx.doi.org/10.1126/science.1925596
http://hdl.handle.net/10822/736673