Table 1 Developed Instrument
Estimated survival with access to critical care “SURVIVAL” | Estimated best prognosis after rehabilitation concerning autonomy and free will “AUTONOMY” | Estimated length of stay in ICU “LOS” | |
|---|---|---|---|
0 | Very likely e.g.: intermediate care after surgery, paraplegia, intoxication, AV-Blockade before pacemaker implantation, uncomplicated myocardial infarction, mild stroke | Complete Autonomy Complete mental recovery is anticipated | Up to 48 h |
5 | Likely Subdural haemorrhage, traumatic brain injury, pneumonia, Post-ROSC with awakening after CPR, repair of aortic aneurysm, gastrointestinal bleeding, hyperkalaemia in renal impairment | Incomplete Autonomy Predominant mental recovery is anticipated with temporary legal supervision | 3- 9 days |
20 | Intermediate Sepsis, ARDS, AECOPD, severe trauma, severe Stroke, oncologic diseases with an overall prognosis to survive more than 1 year, liver cirrhosis Child A/B, heart failure, shock, severe traumatic brain injury | Incomplete Heteronomia High risk for insufficient mental recovery with long term legal supervision | 10–25 days |
30 | unlikely Post-ROSC with cerebral edema, severe subarachnoid bleeding (Hunt&Hess V), severe oxygen dependent COPD, Frailty, oncological diseases with anticipated survival of less than 2 years, liver cirrhosis Child C, hypoxic encephalopathy | Complete Heteronomia The patient will be under legal supervision for the rest of his life and will not be able to create or express his free will | 25 days or more |