Don't Escalate Treatment, Kin Of Elderly Tell Doctors
The Times of India Hyderabad|July 07, 2020
Mumbai: Doctors across private intensive care units (ICUs) in the city have noted a rise in ‘Do not escalate treatment’ requests from families, particularly when the patient is elderly with severe Covid-related complications.
Sumitra DebRoy
Don't Escalate Treatment, Kin Of Elderly Tell Doctors

The decision, say doctors, is driven by a range of factors such as uncertainty about the treatment outcome, research showing poor survival among the elderly with comorbidities and even financial constraints. Intensivists fear that the lack of physical contact with the patient during hospitalisation could also be a key contributor.

The son of an 85-year-old woman urged doctors at Bhatia Hospital to not put her on ventilator after she developed bad lungs. “The son said they didn’t want her to suffer anymore. While ICUs commonly see such requests, it’s definitely more during Covid times,” said Dr Gunjan Chanchalani, chief intensivist at Bhatia Hospital. “Roughly, we may be seeing this in nearly 5% ICU admissions.” Some doctors told TOI that it was happening in 15-20% of extremely critical cases.

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