Attitudes Towards End-of-Life Issues in Disorders of Consciousness: A European Survey
Journal of neurology 2011 Jun; 258(6): 1058-65
Previous European surveys showed the support of healthcare professionals for treatment withdrawal [i.e., artificial nutrition and hydration (ANH) in chronic vegetative state (VS) patients]. The recent definition of minimally conscious state (MCS), and possibly research advances (e.g., functional neuroimaging), may have led to uncertainty regarding potential residual perception and may have influenced opinions of healthcare professionals. The aim of the study was to update the end-of-life attitudes towards VS and to determine the end-of-life attitudes towards MCS. A 16-item questionnaire related to consciousness, pain and end-of-life issues in chronic (i.e., >1 year) VS and MCS and locked-in syndrome was distributed among attendants of medical and scientific conferences around Europe (n = 59). During a lecture, the items were explained orally to the attendants who needed to provide written yes/no responses. Chi-square tests and logistic regression analyses identified differences and associations for age, European region, religiosity, profession, and gender. We here report data on items concerning end-of-life issues on chronic VS and MCS. Responses were collected from 2,475 participants. For chronic VS (>1 year), 66% of healthcare professionals agreed to withdraw treatment and 82% wished not to be kept alive (P
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A National Survey of Italian Physicians' Attitudes Towards End-of-Life Decisions Following the Death of Eluana Englaro: Reply to M.Y. Rady Solarino, Biagio; Bruno, Francesco; Frati, Giacomo; Dell'erba, Alessandro; Frati, Paola (2011-08)
A National Survey of Italian Physicians' Attitudes Towards End-of-Life Decisions Following the Death of Eluana Englaro Solarino, Biagio; Bruno, Francesco; Frati, Giacomo; Dell'erba, Alessandro; Frati, Paola (2011-03)Ethical issues regarding patient care have recently been raised in Italy by the case of Eluana Englaro, a 36-year-old woman who remained in a persistent vegetative state (PVS) for 17 years. There are no specific laws on ...
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