End-of-life decision-making in respiratory intermediate care units: a European survey. Export

@article{citeulike:6014073, abstract = {A survey was performed on behalf of the European Respiratory Society to assess end-of-life practices in patients admitted to European respiratory intermediate care units and high dependency units over a 6-month period. A 33-item questionnaire was sent by e-mail to physicians throughout Europe and the response rate was 28 (29.5\%) out of 95. A total of 6,008 patients were admitted and an end-of-life decision was taken in 1,292 (21.5\%). The mortality rate in these patients was 68\% (884 out of 1,292). The patients received similar proportions of withholding of treatment (298 (23\%) out of 1292), do-not-resuscitate or do-not-intubate orders (442 (34\%) out of 1,292) and noninvasive mechanical ventilation as the ceiling of ventilatory care (402 (31\%) out of 1,292). Withdrawal of therapy was employed in 149 (11\%) out of 1,292 patients and euthanasia in one. Do-not-intubate/do-not-resuscitate orders were more frequently used in North compared with South Europe. All of the 473 competent patients directly participated in the decision, whereas, in 722 (56\%) out of 1,292 cases, decision-making was reported to be shared with the nurses. In European respiratory intermediate care units and high dependency units, an end-of-life decision is taken for 21.5\% of patients admitted. Withholding of treatment, do-not-intubate/do-not-resuscitate orders and noninvasive mechanical ventilation as the ventilatory care ceiling are the most common procedures. Competent patients are often involved, together with nurses.}, author = {Nava, S. and Sturani, C. and Hartl, S. and Magni, G. and Ciontu, M. and Corrado, A. and Simonds, A. and {European Respiratory Society Task Force on Ethics and decision-making in end stage lung disease}}, citeulike-article-id = {6014073}, citeulike-linkout-0 = {http://dx.doi.org/10.1183/09031936.00128306}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/17601972}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=17601972}, doi = {10.1183/09031936.00128306}, issn = {0903-1936}, journal = {The European respiratory journal : official journal of the European Society for Clinical Respiratory Physiology}, keywords = {dni, eol, eti, hdu, icu, nfr, niv, nurses, palliaitve}, month = {July}, number = {1}, pages = {156--164}, posted-at = {2009-10-27 04:18:50}, priority = {2}, title = {End-of-life decision-making in respiratory intermediate care units: a European survey.}, url = {http://dx.doi.org/10.1183/09031936.00128306}, volume = {30}, year = {2007} }

TY - JOUR ID - citeulike:6014073 L3 - citeulike-article-id:6014073 N2 - A survey was performed on behalf of the European Respiratory Society to assess end-of-life practices in patients admitted to European respiratory intermediate care units and high dependency units over a 6-month period. A 33-item questionnaire was sent by e-mail to physicians throughout Europe and the response rate was 28 (29.5%) out of 95. A total of 6,008 patients were admitted and an end-of-life decision was taken in 1,292 (21.5%). The mortality rate in these patients was 68% (884 out of 1,292). The patients received similar proportions of withholding of treatment (298 (23%) out of 1292), do-not-resuscitate or do-not-intubate orders (442 (34%) out of 1,292) and noninvasive mechanical ventilation as the ceiling of ventilatory care (402 (31%) out of 1,292). Withdrawal of therapy was employed in 149 (11%) out of 1,292 patients and euthanasia in one. Do-not-intubate/do-not-resuscitate orders were more frequently used in North compared with South Europe. All of the 473 competent patients directly participated in the decision, whereas, in 722 (56%) out of 1,292 cases, decision-making was reported to be shared with the nurses. In European respiratory intermediate care units and high dependency units, an end-of-life decision is taken for 21.5% of patients admitted. Withholding of treatment, do-not-intubate/do-not-resuscitate orders and noninvasive mechanical ventilation as the ventilatory care ceiling are the most common procedures. Competent patients are often involved, together with nurses. IS - 1 JF - The European respiratory journal : official journal of the European Society for Clinical Respiratory Physiology SN - 0903-1936 EP - 164 TI - End-of-life decision-making in respiratory intermediate care units: a European survey. VL - 30 SP - 156 KW - dni KW - eol KW - eti KW - hdu KW - icu KW - nfr KW - niv KW - nurses KW - palliaitve AU - Nava, S AU - Sturani, C AU - Hartl, S AU - Magni, G AU - Ciontu, M AU - Corrado, A AU - Simonds, A PY - 2007/07// UR - http://dx.doi.org/10.1183/09031936.00128306 ER -