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dc.creatorGoldstein, Nathan E.en
dc.creatorLampert, Rachelen
dc.creatorBradley, Elizabethen
dc.creatorLynn, Joanneen
dc.creatorKrumholz, Harlan M.en
dc.date.accessioned2016-01-08T23:47:42Zen
dc.date.available2016-01-08T23:47:42Zen
dc.date.created2004-12-07en
dc.date.issued2004-12-07en
dc.identifierdoi:10.7326/0003-4819-141-11-200412070-00006en
dc.identifier.bibliographicCitationAnnals of Internal Medicine 2004 December 7; 141(11): 835-838en
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=Management+of+implantable+cardioverter+defibrillators+in+end-+of-life+care&title=Annals+of+Internal+Medicine+&volume=141&issue=11&spage=835-838&date=2004-12&au=Goldstein,+Nathan+E.;+Lampert,+Rachel;+Bradley,+Elizabeth;+Lynn,+Joanne;+Krumholz,+Harlan+M.en
dc.identifier.urihttp://dx.doi.org/10.7326/0003-4819-141-11-200412070-00006en
dc.identifier.urihttp://hdl.handle.net/10822/986204en
dc.description.abstractBACKGROUND: Implantable cardioverter defibrillators (ICDs) can prevent premature death from an arrhythmia but may also prolong the dying process and make it more distressing. OBJECTIVE: To describe the frequency, timing, and correlates of discussions about deactivating ICDs. DESIGN: Retrospective cohort study. SETTING: Telephone survey. PARTICIPANTS: Next of kin of patients with ICDs who died of any cause. Of 136 next of kin contacted, 100 (74%) participated. MEASUREMENTS: Incidence of discussions about deactivating ICDs and timing of last shock from ICD. RESULTS: Next of kin reported that clinicians discussed deactivating the ICD in only 27 of the 100 cases. Most discussions occurred in the last few days of life. Family members reported that 8 patients received a shock from their ICD in the minutes before death. LIMITATIONS: This retrospective survey relied on the reports of next of kin. CONCLUSIONS: Next of kin reported that clinicians discussed deactivating ICDs with few patients. Individuals who choose to receive this device should have the opportunity to choose to discontinue it as death approaches.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:278570en
dc.subjectDeathen
dc.subjectFamily Membersen
dc.subjectLifeen
dc.subjectPatientsen
dc.subjectSurveyen
dc.subject.classificationPatient Relationshipsen
dc.subject.classificationProlongation of Life and Euthanasiaen
dc.titleManagement of Implantable Cardioverter Defibrillators in End- of-Life Careen
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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