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dc.creatorPhillips, Russell S.en
dc.creatorWenger, Neil S.en
dc.creatorTeno, Joanen
dc.creatorOye, Robert K.en
dc.creatorYoungner, Stuarten
dc.creatorCaliff, Roberten
dc.creatorLayde, Peteren
dc.creatorDesbiens, Normanen
dc.creatorConnors, Alfred F.en
dc.creatorLynn, Joanneen
dc.date.accessioned2015-05-05T19:03:12Zen
dc.date.available2015-05-05T19:03:12Zen
dc.date.created1996-02en
dc.date.issued1996-02en
dc.identifier10.1016/S0002-9343(97)89450-8en
dc.identifier.bibliographicCitationAmerican Journal of Medicine. 1996 Feb; 100(2): 128-137.en
dc.identifier.issn0002-9343en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Choices+of+Seriously+Ill+Patients+about+Cardiopulmonary+resuscitation:+Correlates+and+Outcomes&title=American+Journal+of+Medicine.++&volume=100&issue=2&pages=128-137&date=1996&au=Phillips,+Russell+S.en
dc.identifier.urihttp://dx.doi.org/10.1016/S0002-9343(97)89450-8en
dc.identifier.urihttp://hdl.handle.net/10822/754324en
dc.description.abstractPURPOSE: For patients hospitalized with serious illnesses, we identified factors associated with a stated preference to forgo cardiopulmonary resuscitation (CPR), examined physician-patient communication about these issues, and determined the relationship of patients' preferences to intensity of care and survival. PATIENTS AND METHODS: The study was a cross-sectional evaluation of patient preferences. The setting was five geographically diverse academic acute-care medical centers participating in the SUPPORT (Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments) project. Study participants were hospitalized patients greater than or = 18 years of age with 1 of 9 serious illnesses who were interviewed between days 3 and 6 after qualifying for the study. Using standardized interviews, patients provided information on demographics, preferences for CPR and other treatments, quality of life, functional status, perceptions of prognosis, and whether the patient had discussed CPR preferences with his or her physician. Data abstracted from the medical record included physiologic measures, therapeutic intensity, whether CPR was provided, and whether there was a do-not-resuscitate order. RESULTS: Of 1,995 eligible patients, 84% were interviewed (mean age 62 years, 58% men, inhospital mortality 7%, 6-month mortality 33%). Of the respondents, 28% did not want CPR. Factors associated independently with not wanting CPR included: hospital site; diagnosis; being older; being more functionally impaired; and patient perception of a worse prognosis. Only 29% of patients had discussed their preferences with their physician; 48% of those who did not want CPR reported such discussions. After adjusting for illness severity and factors associated with CPR preferences, patients not wanting CPR had lower intensity of care; similar inhospital mortality; and higher mortality at 2 and 6 months following study entry. CONCLUSIONS: The diagnosis, patients' perception of the prognosis, and hospital site were significantly associated with patients' resuscitation preferences after adjusting for patient demographics, severity of illness, and functional status. The rate of discussing CPR was low even for patients who did not want CPR. Patient preferences not to receive CPR were associated with a small decrease in intensity of care but no difference in hospital survival.en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:MEDKIE/96202994en
dc.subjectAge Factorsen
dc.subjectAllowing to Dieen
dc.subjectAttitudesen
dc.subjectCommunicationen
dc.subjectCritically Illen
dc.subjectComaen
dc.subjectDiagnosisen
dc.subjectEvaluationen
dc.subjectEvaluation Studiesen
dc.subjectFemalesen
dc.subjectHospitalsen
dc.subjectInterviewsen
dc.subjectIllnessen
dc.subjectLifeen
dc.subjectMalesen
dc.subjectMedical Recordsen
dc.subjectMethodsen
dc.subjectMorbidityen
dc.subjectMortalityen
dc.subjectPainen
dc.subjectPalliative Careen
dc.subjectPatientsen
dc.subjectPhysiciansen
dc.subjectPrognosisen
dc.subjectProlongation of Lifeen
dc.subjectQuality of Lifeen
dc.subjectRecordsen
dc.subjectResuscitationen
dc.subjectResuscitation Ordersen
dc.subjectSurveyen
dc.subjectTerminally Illen
dc.subjectTime Factorsen
dc.subjectTreatment Refusalen
dc.subjectVentilatorsen
dc.titleChoices of Seriously Ill Patients About Cardiopulmonary Resuscitation: Correlates and Outcomesen
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


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