RT期刊文章SR电子T1的代孕决策者对急性脑损伤患者摩根富林明神经学神经学乔FD Lippincott Williams &威尔金斯SP e2054 OP e2068 10.1212 / WNL。首页94签证官0000000000009406 19岁A1大卫y .黄A1安德里亚·k·Knies A1 Mampre A1斯坦尼斯拉夫Kolenikov A1玛莎Schalk A1 Heather锤A1道格拉斯·b·白A1罗伯特·g·霍洛韦A1凯文·n·Sheth A1藤本植物Fraenkel年2020 UL //www.ez-admanager.com/content/94/19/e2054.abstract AB目的确定组严重急性脑损伤患者的代理人(寂)与预后不良可以首页确定基于他们的照顾目标的优先级(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。结果完成率为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%),和成本的长期护理(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