Delirium and its impact on the withdrawal of life-sustaining treatment post-intracerebral hemorrhage

Takeaway

  • Delirium predicts the withdrawal of life-sustaining treatment (WLST) post-intracerebral hemorrhage (ICH) whether it is on admission or later during hospitalization.

Why this matters

  • There is a paucity of data on the relative contribution of individual patient-level factors on WLST post-ICH, and the association between WLST and composite prognostic models of poor outcome after ICH are unclear.

  • This study adds to the data by showing that established predictors of outcome after ICH have high accuracy in predicting WLST and that the continuum of delirium and coma may be the strongest predictive individual factors.

  • These findings also suggest further research is required for establishing a causal link between post-ICH delirium and decisions related to WLST, especially when considering that some cases of delirium are reversible.