BACKGROUND AND OBJECTIVES: Currently, the reformulation of intensive care goals, often shifting from the search for a cure to offering comfort, has become more and more necessary. The intensivist is frequently confronted with the decision to suspend or not offer a specific therapy, despite its availability. The objective of this study was to estimate the developing risk of probability of @entity204 for individual ICU @entity1 with @entity1576 , identify which life-sustaining therapies were administered, time of internment and outcome. Compare the @entity204 outcome in relation to UNICAMP II and APACHE II models, as well as verify if the life-sustaining therapies may be limited or suspended. METHODS: It is the observational, prospective cohort study of 150 @entity1 with @entity1576 confined to the intensive care unit. Statistical analysis was carried out using Generalized Linear Models. RESULTS: Age, sex, race or morbidity did not reveal statistical significance in predicting outcome. This prediction was confirmed more accurately by means of changes in the individual prognostic index of @entity204 probability during the first seven days of ICU internment. A 10% worsening prognosis in @entity1 who presented initial @entity204 risk of 70% to 80%, utilizing the UNICAMP II Model, showed a specificity of 97.4% - 98.6%. CONCLUSIONS: Prognostic changes in @entity1 during the first seven days of ICU internment are of great aid, from an objective point of view, for ethical decision-making in relation to not-offering new life-sustaining therapies.

[Medical futility and XXXX : a prospective cohort study].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['respiratory failure']
@entity1576 :: (MESH:D012131,Disease) :: ['respiratory failure']
