@article {Hwange2054作者={大卫y .黄和安德里亚·k .小刀、Mampre Stanislav Kolenikov和玛莎Schalk Heather锤和道格拉斯b .白色和罗伯特·g·霍洛威学院和凯文·n . Sheth和藤本植物Fraenkel}, title ={代理决策者的关注急性脑损伤患者},体积={94}={19},页面= {e2054——e2068} = {2020}, doi = {10.1212 / WNL。出版商0000000000009406}= {Wolters Kluwer健康,公司代表美国神经病学学会},文摘={目的确定组严重急性脑损伤患者的代理人(寂)与预后不良可以确定基于他们的照顾目标首页的优先级(作为决策问题,通过概率1588名成年人的在线调查招募小组代表的美国人。参与者作为一个替代方法作为决定一个假想的寂和患者被随机分配到1 2预后场景:病人可能被留下一系列严重功能障碍(SD)或剩余处于植物人状态(VS)。参与者优先列表12通过best-worst扩展决策问题。潜在类别分析(LCA)被用来发现决策组。结果完成率44.6 \ %;数据进行加权来减轻nonresponse偏见。792 SD受访者,LCA显示4组。所有组共享关于尊重病人的愿望和减少痛苦。4组独特的担心,他们的成员强调:另有杰出的一位年长的成人剩余严重残疾(34.4 \ %),家庭的共识(26.4 \ %),怀疑关于预后的准确性(20.7 \ %),和长期护理成本(18.6 \ %)。796年与受访者LCA显示5组。四个5组概要文件4 SD组也有类似的担忧。 The largest (29.0\%) expressed the most prognostic doubt. An additional group (15.8\%) prioritized religious concerns.Conclusions Although surrogate decision makers for patients with SABI are concerned with respecting patient wishes and minimizing suffering, certain groups highly prioritize other specific decisional factors. These data can help inform future interventions for supporting decision makers.BSW=best-worst scaling; CMO=comfort measures only; GOC=goals-of-care; ICU=intensive care unit; LCA=latent class analysis; LST=life-sustaining therapy; SABI=severe acute brain injury; SD=severe disability; VS=vegetative state; YNHH=Yale New Haven Hospital}, issn = {0028-3878}, URL = {//www.ez-admanager.com/content/94/19/e2054}, eprint = {//www.ez-admanager.com/content/94/19/e2054.full.pdf}, journal = {Neurology} }

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