- •Early withdrawal of life-sustaining therapy was a significant contributor to out-of-hospital cardiac arrest.
- •Following multivariable logistic regression analysis, status myoclonus had the strongest association with early withdrawal of life-sustaining therapy.
- •Within the cohort of patients presenting with status myoclonus, 52 patients underwent withdrawal and subsequently died, whereas three patients who didn't undergo withdrawal survived their ICU and hospital stay.
- •Status myoclonus must no longer be viewed as an agonal phenomenon and used as the sole determinant for withdrawal. We strongly advocate objective assessment and stratification with EEG.
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