Interpreting Survival Rates for the Treatment of Decompensated Diabetes: Are We Saving Too Many Lives?
Yudkin, John S.
Doyal, Len T.
Hurwitz, Brian S.
Lancet. 1987 Nov 21; 2(8569): 1192-1195.
Discussion of the case of a patient admitted to hospital with decompensated diabetes revealed a conflict in attitudes to resuscitation of the patient from that disorder and from cardiac arrest. A survey was sent to 200 diabetologists and 200 cardiologists in the United Kingdom, asking about their management of diabetes and their therapeutic approaches to cardiac arrest for 3 elderly patients admitted with severe decompensated diabetes. The response rate was poor (27%) but the answers showed that all three patients were more likely to be resuscitated from decompensated diabetes than from cardiac arrest. Possible reasons for a different approach to the two conditions are discussed, and suggestions are put forward for a greater involvement by patients in decisions about future resuscitation.
Aged; Allowing to Die; Artificial Feeding; Attitudes; Critically Ill; Decision Making; Diabetes; Diagnosis; Heart Diseases; Hospitals; Institutional Policies; Insulin; Life; Patient Care; Patient Participation; Patients; Physicians; Prognosis; Quality of Life; Resuscitation; Resuscitation Orders; Selection for Treatment; Survey;
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Doyal, Len; Hurwitz, Brian; Yudkin, John S. (1987-09)There are very few medical ethics courses in British medical schools which are a formal part of the clinical curriculum. Such a programme is described in the following, along with the way in which the long-term curriculum ...