Previous studies have already demonstrated that religious patients receive more aggressive end-of-life care. In this study, the Vanderbilt surgeon authors sought to examine the effect of religious affiliation on EOL care in the ICU setting. (The lead author, Myrick Clements Shinall, Jr., earned an M.Div. concurrently with his M.D.)
The authors looked at patients admitted to any adult ICU at a tertiary academic center who required at least 2 days of mechanical ventilation and who died within 30 days of admission. This group had 334 patients, with 235 affirming a religious affiliation. The affiliated and non-affiliated patients had similar levels of acuity.
The authors used hospital charges, ventilator days, hospital days, and days until death as proxies for intensity of care among the EOL patients. Religiously affiliated patients in the EOL group incurred:
- 23% more hospital charges
- 25% more ventilator days
- 23% more hospital days
- 30% longer time until death