%0 Journal Article
%T Value, Chronic Critical Illness, and Choosing Wisely
%A Rachel A. Madrid
%A William McGee
%J Journal of Intensive Care Medicine
%@ 1525-1489
%D 2019
%R 10.1177/0885066618790942
%X Management of limited health-care resources has been of growing concern. Stewardship of health-care dollars and avoidance of low-value care is being increasingly recognized as a matter that affects all practitioners. This review aims to examine a particular pathological state with multifactorial origins: chronic critical illness (CCI). This condition exerts a large toll on society as well as individual patients and their families. Here, we offer a brief review as to the incidence/prevalence of CCI and suggestions for prevention. Emphasis should be placed on the importance of early, open communication among physicians and patients about their end-of-life decisions and advanced directives, so that decisions can be made wisely and with the patient¡¯s best interests in mind
%K chronic critical illness
%K health-care resources
%K advanced directives
%U https://journals.sagepub.com/doi/full/10.1177/0885066618790942