[Review] End-of-life decisions in patients with severe acute brain injury
The Lancet Neurology
Most in-hospital deaths of patients with stroke, traumatic brain injury, or postanoxic encephalopathy after cardiac arrest occur after a decision to withhold or withdraw life-sustaining treatments. Decisions on treatment restrictions in these patients are generally complex and are based only in part on evidence from published work. Prognostic models to be used in this decision-making process should have a strong discriminative power. However, for most causes of acute brain injury, prognostic models are not sufficiently accurate to serve as the sole basis of decisions to limit treatment.
Original Article: http://www.thelancet.com/journals/laneur/article/PIIS1474-4422(14)70030-4/abstract?rss=yes
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