Surrogates’ Assessment of Patient’s Minimally Acceptable Recovery and Recalibration after Severe Acute Brain Injury (GP785)

Objectives Compare surrogates' assessment of GoC in terms of a patient's minimally acceptable recovery during the acute hospitalization with the level of recovery at 6 months after SABI Explore the phenomenon of recalibration (changes in minimally acceptable recovery) among survivors and their families. Importance. Severe acute brain injury (SABI) is a major cause of morbidity and mortality that requires complex decisions. As patients commonly lack decision-making capacity, surrogates are called upon to make life-or-death treatment decisions that are challenged by uncertainty regarding prognosis and patient's presumed goals of care (GoC). Objectives. (1) compare surrogates' assessment of GoC in terms of a patient's minimally acceptable recovery during the acute hospitalization with the level of recovery at 6 months after SABI; (2) explore the phenomenon of recalibration (changes in minimally acceptable recovery) among survivors and their families. Methods. Participants were surrogates of patients with SABI in our Neuro-ICU and a GCS