Predictors and outcomes of withholding and withdrawal of life-sustaining treatments in intensive care units in Singapore: a multicentre observational study.
Clare FongWern Lunn KuehSennen Jin Wen LewBenjamin Choon Heng HoYu-Lin WongYie Hui LauYew Woon ChiaHui Ling TanYing Hao Christopher SeetWen Ting SiowGraeme MacLarenRohit AgrawalTian Jin LimShir Lynn LimToon Wei LimVui Kian HoChai Rick SohDuu Wen SewaChian Min LooFaheem Ahmed KhanChee Keat TanRoshni Sadashiv GokhaleChuin SiauNoelle Louise Siew Hua LimChik-Foo YimJonathen VenkatachalamKumaresh VenkatesanNaville Chi Hock ChiaMei Fong LiewGuihong LiLi LiSu Mon MyatZena ZenaShuling ZhuoLing Ling YuehCaroline Shu Fang TanJing MaSiew Lian YeoYiong Huak ChanJason Phuanull nullPublished in: Journal of intensive care (2024)
Differences in the independent predictors of withholding and withdrawal of LST exist. Even after accounting for baseline characteristics, both withholding and withdrawal of LST independently predict hospital mortality. Later mortality in patients who had LST withdrawn compared to withholding suggests that the decision to withdraw may be at the point when medical futility is recognised.