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 goalsFrequency of Withdrawal of Life-Sustaining Therapy for Perceived Poor Neurologic Prognosis
Steinberg A, Abella BS, Gilmore EJ, Hwang DY, Kennedy N, Lau W, Mullen I, Ravishankar N, Tisch CF, Waddell A, Wallace DJ, Zhang Q, Elmer J. Frequency of Withdrawal of Life-Sustaining Therapy for Perceived Poor Neurologic Prognosis. Critical Care Explorations 2021, 3: e0487. PMID: 34278317, PMCID: PMC8280080, DOI: 10.1097/cce.0000000000000487.Peer-Reviewed Original ResearchPoor neurologic prognosisLife-sustaining therapyLarge teaching hospitalNeurologic prognosisOdds of withdrawalFrequency of withdrawalSmall Teaching HospitalTeaching hospitalMedian hospital lengthPrimary neurologic diagnosisRetrospective cohort studyRate of withdrawalInpatient decedentsHospital lengthInpatient deathCardiac deathCohort studyMedian ageHospital variabilitySignificant unexplained variationHospital characteristicsNeurologic diagnosisBrain deathNonteaching hospitalsHospital setting
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 predictors
2018
Characteristics of Surrogate Decision Makers Selecting Life-sustaining Therapy for Severe Intracerebral Hemorrhage Patients: a Neuropalliative Care Survey of the US Population (S7.003)
Hwang D, Knies A, White D, Holloway R, Sheth K, Fraenkel L. Characteristics of Surrogate Decision Makers Selecting Life-sustaining Therapy for Severe Intracerebral Hemorrhage Patients: a Neuropalliative Care Survey of the US Population (S7.003). Neurology 2018, 90 DOI: 10.1212/wnl.90.15_supplement.s7.003.Peer-Reviewed Original ResearchIntracerebral hemorrhage patientsLife-sustaining therapyHemorrhage patientsCare SurveyUS populationPatientsTherapy
2017
Goals of Care and Difficult Conversations
Hudoba C, Hwang D. Goals of Care and Difficult Conversations. 2017, 343-361. DOI: 10.1007/978-3-319-48669-7_19.Peer-Reviewed Original Research