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- W4226023675 endingPage "e060154" @default.
- W4226023675 startingPage "e060154" @default.
- W4226023675 abstract "Abstract Prognostication is crucial in the neurological intensive care unit (neuroICU). Patients with severe acute brain injury (SABI) are unable to make their own decisions because of the insult itself or sedation needs. Surrogate decision makers, usually family members, must make decisions on the patient’s behalf. However, many are unprepared for their role as surrogates owing to the sudden and unexpected nature of SABI. Surrogates rely on clinicians in the neuroICU to provide them with an outlook (prognosis) with which to make substituted judgments and decide on treatments and goals of care on behalf of the patient. Therefore, how a prognostic estimate is derived, and then communicated, is extremely important. Prognostication in the neuroICU is highly variable between clinicians and institutions, and evidence based guidelines are lacking. Shared decision making (SDM), where surrogates and clinicians arrive together at an individualized decision based on patient values and preferences, has been proposed as an opportunity to improve clinician-family communication and ensure that patients receive treatments they would choose. This review outlines the importance and current challenges of prognostication in the neuroICU and how prognostication and SDM intersect, based on relevant research and expert opinion." @default.
- W4226023675 created "2022-05-05" @default.
- W4226023675 creator A5013038853 @default.
- W4226023675 creator A5019723977 @default.
- W4226023675 date "2022-04-07" @default.
- W4226023675 modified "2023-10-13" @default.
- W4226023675 title "Prognostication and shared decision making in neurocritical care" @default.
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- W4226023675 doi "https://doi.org/10.1136/bmj-2021-060154" @default.
- W4226023675 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35696329" @default.
- W4226023675 hasPublicationYear "2022" @default.
- W4226023675 type Work @default.