Abstract
Critical care services are highly valued because they can often restore function in patients with acute life-threatening illnesses. In this context, advances in medical science have led to increased expectations for favorable outcomes of episodes of critical illness, even when the patient has severe coexisting chronic disease. The growing demand for critical care has led both to increased numbers of patients who survived with desirable functional outcomes and to increased numbers of patients who die in the intensive care unit (ICU). Today, many deaths in the ICU occur after a decision has been made to discontinue or forgo advanced supportive . . .
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