Proposal for participation in intensive care and emergency medicine studies for patients unable to give informed consent (Cologne Model)

被引:0
|
作者
Kochanek, M. [1 ,2 ]
Grass, G. [3 ]
Boell, B. [1 ,2 ]
Eichenauer, D. A. [1 ,2 ]
Shimabukuro-Vornhagen, A. [1 ,2 ]
Hallek, M. [1 ,2 ]
Zander, T. [1 ,2 ]
Mertens, J. [4 ]
Voltz, R. [3 ]
机构
[1] Univ Cologne, Med Fak, Kerpener Str 62, D-50937 Cologne, Germany
[2] Univ Cologne, Univ Klin Koln, Med Klin Innere Med 1, Ctr Integrated Oncol Aachen Bonn Cologne Dusseldor, Kerpener Str 62, D-50937 Cologne, Germany
[3] Univ Cologne, Eth Kommiss, Med Fak, Cologne, Germany
[4] Amtsgericht Koln, Cologne, Germany
关键词
Clinical trials; Ethics committee; Spousal representation law; Guardianship; Informed consent; ABILITY; LEGAL;
D O I
10.1007/s00063-023-01063-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
When conducting clinical trials in intensive care and emergency medicine, physicians, ethics committees, and legal experts have differing views regarding the inclusion of patients who are incapable of giving consent. These different views on the participation of patients who are not capable of giving consent also complicate how clinical trials are prepared and conducted. Based on the results of a literature search, a consensus model (Cologne Model) was developed by physicians performing clinical research, ethics committees, and lawyers in order to provide patients, those scientifically responsible for the study, ethics committees, and probate (guardianship) judges with a maximum of patient safety and legal certainty, while simultaneously enabling scientific research.
引用
收藏
页码:391 / 397
页数:7
相关论文
共 50 条
  • [31] What do patients want? Surgical informed-consent and patient-centered care - An augmented model of information disclosure
    Gabay, Gillie
    Bokek-Cohen, Yaarit
    [J]. BIOETHICS, 2020, 34 (05) : 467 - 477
  • [32] THE INTENSIVE CARE NATIONAL AUDIT AND RESEARCH CENTRE MODEL FOR THE PREDICTION OF 1-MONTH MORTALITY IN EMERGENCY INTENSIVE CARE UNIT PATIENTS OF SOUTH KOREA
    Kim, K. S.
    Suh, G. J.
    Kwon, W. Y.
    Park, M. H.
    [J]. INTENSIVE CARE MEDICINE, 2010, 36 : S286 - S286
  • [33] Emergency ultrasound and echocardiography in patients with infarct-related cardiogenic shock: Asurvey among members of the German Society of Medical Intensive Care and Emergency Medicine
    Michels, G.
    Hempel, D.
    Pfister, R.
    Janssens, U.
    [J]. MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN, 2019, 114 (05) : 434 - 438
  • [34] Emergency medicine ward as a step down unit for selected poisoned patients after intensive care unit management: a pilot study
    Lam, P. K.
    Leung, J. K. S.
    Chan, L. W.
    Wong, T. W.
    Lau, C. C.
    [J]. HONG KONG JOURNAL OF EMERGENCY MEDICINE, 2012, 19 (04) : 231 - 241
  • [35] Year in review in Intensive Care Medicine 2013: II. Sedation, invasive and noninvasive ventilation, airways, ARDS, ECMO, family satisfaction, end-of-life care, organ donation, informed consent, safety, hematological issues in critically ill patients
    Azoulay, Elie
    Citerio, Giuseppe
    Bakker, Jan
    Bassetti, Matteo
    Benoit, Dominique
    Cecconi, Maurizio
    Curtis, J. Randall
    Hernandez, Glenn
    Herridge, Margaret
    Jaber, Samir
    Joannidis, Michael
    Papazian, Laurent
    Peters, Mark
    Singer, Pierre
    Smith, Martin
    Soares, Marcio
    Torres, Antoni
    Vieillard-Baron, Antoine
    Timsit, Jean-Francois
    [J]. INTENSIVE CARE MEDICINE, 2014, 40 (03) : 305 - 319
  • [36] Year in review in Intensive Care Medicine 2013: II. Sedation, invasive and noninvasive ventilation, airways, ARDS, ECMO, family satisfaction, end-of-life care, organ donation, informed consent, safety, hematological issues in critically ill patients
    Elie Azoulay
    Giuseppe Citerio
    Jan Bakker
    Matteo Bassetti
    Dominique Benoit
    Maurizio Cecconi
    J. Randall Curtis
    Glenn Hernandez
    Margaret Herridge
    Samir Jaber
    Michael Joannidis
    Laurent Papazian
    Mark Peters
    Pierre Singer
    Martin Smith
    Marcio Soares
    Antoni Torres
    Antoine Vieillard-Baron
    Jean-François Timsit
    [J]. Intensive Care Medicine, 2014, 40 : 305 - 319
  • [37] APPLICATION OF INTENSIVE CARE NATIONAL AUDIT AND RESEARCH CENTRE (ICNARC) MODEL FOR PREDICTING ONE MONTH MORTALITY IN EMERGENCY INTENSIVE CARE UNIT PATIENTS OF SOUTH KOREA.
    Song, Bongkyu
    Kim, Kyung Su
    Lee, Jae Hyuk
    Jo, In Cheol
    Kwon, Woon Yong
    Suh, Gil Joon
    [J]. CRITICAL CARE MEDICINE, 2008, 36 (12) : A87 - A87
  • [38] Is there adequate care for patients with psychosomatic disorders in Austria? Analysis of the need and a proposal for a model of quality assurance in Austrian psychosomatic medicine
    Leitner, Anton
    Pieh, Christoph
    Matzer, Franziska
    Fazekas, Christian
    [J]. ZEITSCHRIFT FUR PSYCHOSOMATISCHE MEDIZIN UND PSYCHOTHERAPIE, 2013, 59 (04): : 408 - 421
  • [39] Assessment and technical monitoring of nutritional status of patients in intensive and intermediate care units Position paper of the Section Metabolism and Nutrition of the German Interdisciplinary Association for Intensive and Emergency Medicine (DIVI)
    Weimann, Arved
    Hartl, Wolfgang H.
    Adolph, Michael
    Angstwurm, Matthias
    Brunkhorst, Frank M.
    Edel, Andreas
    de Heer, Geraldine
    Felbinger, Thomas W.
    Goeters, Christiane
    Hill, Aileen
    Kreymann, K. Georg
    Mayer, Konstantin
    Ockenga, Johann
    Petros, Sirak
    Ruemelin, Andreas
    Schaller, Stefan J.
    Schneider, Andrea
    Stoppe, Christian
    Elke, Gunnar
    [J]. MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN, 2022, 117 (SUPPL 2) : 37 - 50
  • [40] Investigation of the Relationship between Thyroid Hormone Levels and Mortality in Old Patients Hospitalized in an Internal Medicine Intensive Care Unit from the Emergency Service
    Topal, Yagmur
    Sebe, Ahmet
    Ay, Mehmet Oguzhan
    Acikalin, Ayca
    Karanlik, Meryem
    Topal, Metin
    Gulen, Muge
    [J]. EURASIAN JOURNAL OF EMERGENCY MEDICINE, 2014, 13 (02) : 71 - 74