2022
Pilot Randomized Clinical Trial of a Goals-of-Care Decision Aid for Surrogates of Patients With Severe Acute Brain Injury
Muehlschlegel S, Goostrey K, Flahive J, Zhang Q, Pach JJ, Hwang DY. Pilot Randomized Clinical Trial of a Goals-of-Care Decision Aid for Surrogates of Patients With Severe Acute Brain Injury. Neurology 2022, 99: e1446-e1455. PMID: 35853748, PMCID: PMC9576301, DOI: 10.1212/wnl.0000000000200937.Peer-Reviewed Original ResearchConceptsCode status changeTraumatic brain injuryBrain injuryIschemic strokeCare decisionsIntracerebral hemorrhageDA groupAcute brain injury patientsSevere acute brain injuryNeurologic intensive care unitCare decision aidSurrogates of patientsAcute brain injuryAcute ischemic strokeClass IV evidenceLong-term prognosisIntensive care unitBrain injury patientsClinician-family communicationAdditional psychosocial supportPatient-centered careLife-sustaining treatmentPsychological outcomesDecision-making interventionClassification of evidence
2021
End-of-Life Care Decision-Making in Stroke
Gao L, Zhao C, Hwang D. End-of-Life Care Decision-Making in Stroke. Frontiers In Neurology 2021, 12: 702833. PMID: 34650502, PMCID: PMC8505717, DOI: 10.3389/fneur.2021.702833.Peer-Reviewed Original ResearchStroke patientsImmediate post-stroke periodIntensive care unit careLong-term functional outcomeCare decisionsCode status changePost-stroke periodIntensive care unitIntracerebral hemorrhage patientsLong-term disabilityLife care discussionsLife-sustaining therapyCause of deathLife care decisionsClinician's subjectivityIschemic strokeUnit careCare unitHemorrhage patientsPatient survivalFunctional outcomeProvider recommendationPatient preferencesCare discussionsTreatment goals
2020
Psychological Attachment Orientations of Surrogate Decision-Makers and Goals-of-Care Decisions for Brain Injury Patients in ICUs
Knies AK, Zhang Q, Juthani P, Tu S, Pach J, Martinez A, Monin JK, Hwang DY. Psychological Attachment Orientations of Surrogate Decision-Makers and Goals-of-Care Decisions for Brain Injury Patients in ICUs. Critical Care Explorations 2020, 2: e0151. PMID: 32696015, PMCID: PMC7340333, DOI: 10.1097/cce.0000000000000151.Peer-Reviewed Original ResearchLife-sustaining therapyBrain injury patientsAcute brain injury patientsInjury patientsTherapy selectionNonwhite racePoor prognosisFisher's exact testAcademic medical centerCross-sectional surveyNeuroscience ICUPatient demographicsIndependent predictorsMedical CenterComfort measuresExact testConsecutive samplePatientsEligible respondentsTherapyICUCare decisionsFuture interventionsMultivariate modelSignificant predictorsSubtypes of Insecure Psychological Attachment Styles as Predictors of Neuro ICU Goals-of-care Decisions (4323)
Zhang Q, Knies A, Juthani P, Tu S, Pach J, Martinez A, Hwang D. Subtypes of Insecure Psychological Attachment Styles as Predictors of Neuro ICU Goals-of-care Decisions (4323). Neurology 2020, 94 DOI: 10.1212/wnl.94.15_supplement.4323.Peer-Reviewed Original Research
2019
Psychological Attachment Styles of Surrogate Decision Makers and Neuro ICU Goals-of-Care Decisions (P2.6-052)
Juthani P, Knies A, Martinez A, Pach J, Kimbrough T, Tu S, Hwang D. Psychological Attachment Styles of Surrogate Decision Makers and Neuro ICU Goals-of-Care Decisions (P2.6-052). Neurology 2019, 92 DOI: 10.1212/wnl.92.15_supplement.p2.6-052.Peer-Reviewed Original Research