American patients to five times more likely to spend last days in intensive care than patients in England

Dr. Wunsch and colleagues wanted to examine the differences in the use of intensive in England and the United States, because the hopes of country life and similar demographic population allowed a comparison between health systems are fundamentally different.Dr. Wunsch and colleagues examined data from the database of the Hospital Episodes Statistics and all the basics out of the hospital in seven states , United States found that of all hospital discharge, only 2.2 per cent in England have received intensive care compared to 19.3 % in the United States

Their results were published in the Nov. 1 issue of the Journal of Respiratory and Critical Care Medicine, published by the American Thoracic Society.

In addition, future research still needs to investigate not only the origins but the implications of these differences.D., and Julia Lynch, Ph.D., a editorial in the same issue. A path to unpack carefully the origins of this difference and learn something about how generally true for intensive care systems develop. The other road leads to hospitals using observational data to develop new ways to organize and generate support the concept the balance needed to focus intervention studies of these interventions. The first way to help shape national policy levers. The second way it helps to rethink health care organizations to make changes to patients. Both are necessary.

We found much more useful to intensive care in the U.S. during terminal hospitalizations, especially among medical patients and the elderly.

England has one-sixth of the number of beds available in intensive care per capita, which are available in the U. S. Moreover, medical decisions in England are generally considered the direct responsibility of the physician, rather than the patient or patient’s surrogate decision maker as in the United States

Although these results highlight important differences in the use of the two countries in the ICU, the research was not designed to determine the direct impact of these differences. Previous investigations have suggested that most people prefer not to die in the hospital, but as many do, questions about the use of intensive interventions remain.

– The survey of 700 health workers was conducted in August / September 2008 and ended in early September.