Factors ID'd in withdrawal of life support in severe TBI patients

Factors ID'd in withdrawal of life support in severe TBI patients

(HealthDay)—In addition to clinical factors, socioeconomic factors may play a role in the decision regarding withdrawal of life-supporting treatment (WLST) in patients with severe traumatic brain injury (sTBI), according to a study recently published in JAMA Surgery.

Theresa Williamson, M.D., from Duke University in Durham, North Carolina, and colleagues assessed demographic and clinical factors associated with the decision to withdraw LST in with sTBI. The analysis included data from 37,931 treated at more than 825 U.S. trauma centers from 2013 through 2015.

The researchers found that 20.7 percent had WLST. Compared with (73.7 percent), black patients (13.2 percent; odds ratio [OR], 0.66) and patients of other races (13.2 percent; OR, 0.83) were less likely to have WLST. WLST was more common among patients from hospitals in the Midwest (OR, 1.12) or Northeast (OR, 1.23) versus patients from hospitals in the South. WLST was also more common among patients with Medicare (OR, 1.55) and self-pay patients (OR, 1.36) versus patients with private insurance. WLST was more common among older patients and those with lower Glasgow Coma Scale scores, higher Injury Severity Scores, or craniotomy. Patients with functionally dependent health status (OR, 1.30), hematoma (OR, 1.19), dementia (OR, 1.29), and disseminated cancer (OR, 2.82) were more likely to have WLST versus patients without these conditions.

"These results highlight potential challenges in decision making in sTBI," the authors write.


Explore further

Socioeconomic factors appear to influence how brain injuries are treated

More information: Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Journal information: JAMA Surgery

Copyright © 2020 HealthDay. All rights reserved.

Citation: Factors ID'd in withdrawal of life support in severe TBI patients (2020, August 12) retrieved 22 September 2020 from https://medicalxpress.com/news/2020-08-factors-idd-life-severe-tbi.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
1 shares

Feedback to editors

User comments