Sex differences in advance directives and their clinical translation among critically ill adults: results from the ADVISE study
This study revealed sex disparities in the content and translation of ADs between females and males admitted to ICUs. Females' ADs were more frequently violated, indicating a potential sex bias in the interpretation and translation of ADs in critical care. Clinicians must remain vigilant against violations of ADs and strive to deliver equitable care. Further prospective research is needed to investigate the causes of disparities in ICU end-of-life decision-making, integrating both qualitative and quantitative measures, to ensure equal treatment for all patients, regardless of sex or gender.
Authors
- Sebastian Berger (ORCID: https://orcid.org/0009-0006-0654-6479)
- Mathias Nebiker (ORCID: https://orcid.org/0000-0002-4289-0625)
- Pascale Grzonka (ORCID: https://orcid.org/0000-0002-6723-320X)
- Sira M. Baumann (ORCID: https://orcid.org/0000-0002-4762-1408)
- Caroline E. Gebhard
- Luca Cioccari (ORCID: https://orcid.org/0000-0003-4993-427X)
- Raoul Sutter (ORCID: https://orcid.org/0000-0002-6575-356X)
- Paulina S. C. Kliem (ORCID: https://orcid.org/0000-0003-3521-5880)
- Simon Adrian Amacher (ORCID: https://orcid.org/0000-0001-6530-1240)
- Dominik Vock
- Yasmin Erne
- Sabina Hunziker
- Martin Lohri (ORCID: https://orcid.org/0009-0000-3204-2262)
Institutions
- University of Bern (CH)
- University of Freiburg (DE)
- University of Basel (CH)
- University Medical Center Freiburg (DE)
- University Hospital of Basel (CH)
- Kantonsspital Aarau (CH)
Publication Details
- Journal
- Annals of Intensive Care
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1186/s13613-025-01518-z
- Citations
- 1
- Primary Topic
- Palliative Care and End-of-Life Issues
- Type
- article
- Field-Weighted Citation Impact
- 1.88
Funders
- Universität Basel